Primary lymphoma of the cervix uteri: a diagnostic challenge. Report of two cases and review of the literature.

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Ghent University Hospital, Belgium.
European journal of gynaecological oncology (Impact Factor: 0.61). 02/2005; 26(1):36-8.
Source: PubMed


Primary non Hodgkin's lymphoma (NHL) of the cervix and vagina is uncommon; the incidence of uterine lymphoma is estimated to be less than 0.5% of all NHL. Patients regularly present with vaginal bleeding. The diagnosis is made on biopsy but this can be difficult on small samples which may not be representative of the lesion. Immunohistochemical analysis and often molecular techniques are required to confirm the diagnosis.
We report two cases of primary diffuse large B-cell lymphoma of the cervix. In the first case, the diagnosis could only be made on repeat biopsies. The second case presented as a cervical polyp.
Gynecologists should be aware of this rare clinical entity in order to apply the proper treatment.

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    • "If the base is visualized, then cauterization should be performed to prevent further bleeding. All polyps that are removed should be sent to pathology to be evaluated for malignancy [52–54]. Furthermore, if there is concern for endometrial polyps, then the patient should be referred to operative hysteroscopy with possible dilation and curettage. "
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