Korean J Med.  2003 Oct;65(4):486-490.

Primary cytotoxic T-cell lymphoma of uterine cervix: A case report

Affiliations
  • 1Department of Internal Medicine, Chonbuk National University Medical School, Chonju, Korea. jykwak@moak.chonbuk.ac.kr

Abstract

Non-Hodgkin's lymphoma can involve the gynecologic tract, most often as a manifestation of systemic involvement. Primary lymphomas of the female genital tract are rare. Most involve the cervix rather than the uterine corpus. All of those previously reported have been B-cell lymphomas, with the exception of several case reports. Primary T-cell lymphoma of the uterine cervix is rare. We describe a rare case of primary cytotoxic T-cell lymphoma of the uterine cervix, Ann Arbor stage IE in a 55-year-old woman. The tumor, incidentally disclosed at gynecological examination, appeared as diffuse cervical enlargement with mucosal erosion. A biopsy was taken and showed diffuse infiltration of variable sized lymphoma cells. Neoplastic cells were positive for LCA, CD3, TIA-1 and consistent with cytotoxic T-cell lymphoma. She was treated with 3 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisolone(CHOP). After chemotherapy, the patient was treated by pelvic external radiation therapy. At present, the patient is well and disease-free.

Keyword

Uterine cervix; Lymphoma; T-cell

MeSH Terms

Biopsy
Cervix Uteri*
Cyclophosphamide
Doxorubicin
Drug Therapy
Female
Gynecological Examination
Humans
Lymphoma
Lymphoma, B-Cell
Lymphoma, Non-Hodgkin
Lymphoma, T-Cell*
Middle Aged
T-Lymphocytes*
Vincristine
Cyclophosphamide
Doxorubicin
Vincristine
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