Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report
The female genital tract is rarely the initial site of presentation in lymphoma or leukemia. We report a case of non-Hodgkin’s lymphoma (NHL) presenting initially in the vagina. The patient, a 75-year-old woman, had a history of immune thrombocytopenic purpura (ITP). She presented with a chief compl...
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doaj-f4f4a1565f6e4ba887b242cef6b65ddb2020-11-25T00:58:23ZengKarger PublishersCase Reports in Oncology1662-65752010-11-013339740510.1159/000289447289447Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case ReportAkiko IkutaYoshiaki TanakaTomoko TsuzukiShoko TsujiGenichiro SumiTomomi MizokamiHisahide SugimotoNobuaki ShikataKatsuhiko YasudaYorihiko HorikoshiHideharu KanzakiThe female genital tract is rarely the initial site of presentation in lymphoma or leukemia. We report a case of non-Hodgkin’s lymphoma (NHL) presenting initially in the vagina. The patient, a 75-year-old woman, had a history of immune thrombocytopenic purpura (ITP). She presented with a chief complaint of genital bleeding and introital pain. On transvaginal ultrasonography, a vaginal tumor with an irregular wall was detected, and the internal echo showed a hypoechoic and echogenic pattern. Ultrasonography and magnetic resonance imaging (MRI) suggested that the vaginal tumor was likely to be a hematoma or a hemorrhagic tumor arising from ITP. Incision and resection for a hematoma or a hemorrhagic tumor were carried out in response to genital bleeding, introital pain, and pathological diagnosis. Postoperative microscopic examination confirmed that the tumor was a vaginal NHL. The final diagnosis using the Ann Arbor staging system was high-stage (stage IV) NHL. The patient received chemotherapy, and she remains in remission for 42 months after treatment.http://www.karger.com/Article/FullText/289447Magnetic resonance imagingTransvaginal ultrasonographyVaginaNon-Hodgkin’s lymphomaImmune thrombocytopenic purpura |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Akiko Ikuta Yoshiaki Tanaka Tomoko Tsuzuki Shoko Tsuji Genichiro Sumi Tomomi Mizokami Hisahide Sugimoto Nobuaki Shikata Katsuhiko Yasuda Yorihiko Horikoshi Hideharu Kanzaki |
spellingShingle |
Akiko Ikuta Yoshiaki Tanaka Tomoko Tsuzuki Shoko Tsuji Genichiro Sumi Tomomi Mizokami Hisahide Sugimoto Nobuaki Shikata Katsuhiko Yasuda Yorihiko Horikoshi Hideharu Kanzaki Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report Case Reports in Oncology Magnetic resonance imaging Transvaginal ultrasonography Vagina Non-Hodgkin’s lymphoma Immune thrombocytopenic purpura |
author_facet |
Akiko Ikuta Yoshiaki Tanaka Tomoko Tsuzuki Shoko Tsuji Genichiro Sumi Tomomi Mizokami Hisahide Sugimoto Nobuaki Shikata Katsuhiko Yasuda Yorihiko Horikoshi Hideharu Kanzaki |
author_sort |
Akiko Ikuta |
title |
Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_short |
Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_full |
Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_fullStr |
Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_full_unstemmed |
Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_sort |
vaginal lymphoma with immune thrombocytopenic purpura: an unusual case report |
publisher |
Karger Publishers |
series |
Case Reports in Oncology |
issn |
1662-6575 |
publishDate |
2010-11-01 |
description |
The female genital tract is rarely the initial site of presentation in lymphoma or leukemia. We report a case of non-Hodgkin’s lymphoma (NHL) presenting initially in the vagina. The patient, a 75-year-old woman, had a history of immune thrombocytopenic purpura (ITP). She presented with a chief complaint of genital bleeding and introital pain. On transvaginal ultrasonography, a vaginal tumor with an irregular wall was detected, and the internal echo showed a hypoechoic and echogenic pattern. Ultrasonography and magnetic resonance imaging (MRI) suggested that the vaginal tumor was likely to be a hematoma or a hemorrhagic tumor arising from ITP. Incision and resection for a hematoma or a hemorrhagic tumor were carried out in response to genital bleeding, introital pain, and pathological diagnosis. Postoperative microscopic examination confirmed that the tumor was a vaginal NHL. The final diagnosis using the Ann Arbor staging system was high-stage (stage IV) NHL. The patient received chemotherapy, and she remains in remission for 42 months after treatment. |
topic |
Magnetic resonance imaging Transvaginal ultrasonography Vagina Non-Hodgkin’s lymphoma Immune thrombocytopenic purpura |
url |
http://www.karger.com/Article/FullText/289447 |
work_keys_str_mv |
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