Primary Bilateral Ovarian Lymphoma: A Rare Case Report

Primary ovarian lymphomas constitute 0.5% of all ovarian malignancies. We report one such case in a middle-aged woman who presented with a bilateral ovarian tumor. Bilateral oophorectomy with salpingectomy was sent for frozen section analysis that revealed a round cell tumor. Final histopathology sh...

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Main Authors: Salwa Bano, Veena Ramaswamy, Chaitra Chandrashekar
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2022-09-01
Series:Asian Journal of Oncology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1753497
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author Salwa Bano
Veena Ramaswamy
Chaitra Chandrashekar
author_facet Salwa Bano
Veena Ramaswamy
Chaitra Chandrashekar
author_sort Salwa Bano
collection DOAJ
description Primary ovarian lymphomas constitute 0.5% of all ovarian malignancies. We report one such case in a middle-aged woman who presented with a bilateral ovarian tumor. Bilateral oophorectomy with salpingectomy was sent for frozen section analysis that revealed a round cell tumor. Final histopathology showed a mitotically active small round blue cell tumor arranged in diffuse sheets and chords with an evident starry-sky pattern. Extensive immunohistochemistry (IHC) panel was performed. Histopathology along with IHC did not classify the tumor into diffuse-large-B cell-lymphoma or Burkitt lymphoma and a final diagnosis of high-grade B cell lymphoma (HGBL) was made. This case is presented for its rarity and to discuss the challenges on IHC to subclassify a lymphoma as HGBL. Although rare, the possibility of primary ovarian non-Hodgkin lymphoma should be kept in mind when dealing with bilateral ovarian tumors as a timely and accurate diagnosis can save unnecessary surgeries and improve outcome.
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spelling doaj.art-acba8786baa7489f9be8f05f19f37f9f2022-12-22T03:33:00ZengThieme Medical Publishers, Inc.Asian Journal of Oncology2454-67982455-46182022-09-01080316016310.1055/s-0042-1753497Primary Bilateral Ovarian Lymphoma: A Rare Case ReportSalwa Bano0Veena Ramaswamy1Chaitra Chandrashekar2Department of Pathology, HCG Cancer Centre, Bengaluru, Karnataka, IndiaDepartment of Pathology, HCG Cancer Centre, Bengaluru, Karnataka, IndiaDepartment of Pathology, HCG Cancer Centre, Bengaluru, Karnataka, IndiaPrimary ovarian lymphomas constitute 0.5% of all ovarian malignancies. We report one such case in a middle-aged woman who presented with a bilateral ovarian tumor. Bilateral oophorectomy with salpingectomy was sent for frozen section analysis that revealed a round cell tumor. Final histopathology showed a mitotically active small round blue cell tumor arranged in diffuse sheets and chords with an evident starry-sky pattern. Extensive immunohistochemistry (IHC) panel was performed. Histopathology along with IHC did not classify the tumor into diffuse-large-B cell-lymphoma or Burkitt lymphoma and a final diagnosis of high-grade B cell lymphoma (HGBL) was made. This case is presented for its rarity and to discuss the challenges on IHC to subclassify a lymphoma as HGBL. Although rare, the possibility of primary ovarian non-Hodgkin lymphoma should be kept in mind when dealing with bilateral ovarian tumors as a timely and accurate diagnosis can save unnecessary surgeries and improve outcome.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1753497primary ovarian lymphomahigh-grade b cell lymphomabilateral ovarian non-hodgkin lymphoma
spellingShingle Salwa Bano
Veena Ramaswamy
Chaitra Chandrashekar
Primary Bilateral Ovarian Lymphoma: A Rare Case Report
Asian Journal of Oncology
primary ovarian lymphoma
high-grade b cell lymphoma
bilateral ovarian non-hodgkin lymphoma
title Primary Bilateral Ovarian Lymphoma: A Rare Case Report
title_full Primary Bilateral Ovarian Lymphoma: A Rare Case Report
title_fullStr Primary Bilateral Ovarian Lymphoma: A Rare Case Report
title_full_unstemmed Primary Bilateral Ovarian Lymphoma: A Rare Case Report
title_short Primary Bilateral Ovarian Lymphoma: A Rare Case Report
title_sort primary bilateral ovarian lymphoma a rare case report
topic primary ovarian lymphoma
high-grade b cell lymphoma
bilateral ovarian non-hodgkin lymphoma
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1753497
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AT veenaramaswamy primarybilateralovarianlymphomaararecasereport
AT chaitrachandrashekar primarybilateralovarianlymphomaararecasereport