A Case of Primary Ovarian Lymphoma Presenting as a Rectal Submucosal Tumor
정일순, 김설영, Kim Kyu-Seup, 고광훈, 성재규, 정현영, 김지연, 문희석,
소속 상세정보
정일순 ( Jung Il-Soon )
Chungnam National University School of Medicine Department of Internal Medicine
김설영 ( Kim Seul-Young )
Chungnam National University College of Medicine Department of Internal Medicine
( Kim Kyu-Seup )
Chungnam National University College of Medicine Department of Internal Medicine
고광훈 ( Ko Kwang-Hun )
Chungnam National University College of Medicine Department of Internal Medicine
성재규 ( Sung Jae-Kyu )
Chungnam National University College of Medicine Department of Internal Medicine
정현영 ( Jeong Hyun-Young )
Chungnam National University College of Medicine Department of Internal Medicine
김지연 ( Kim Ji-Yeoun )
Chungbuk National University College of Medicine Department of Surgery
문희석 ( Moon Hee-Seok )
Chungnam National University College of Medicine Department of Internal Medicine
KMID : 0356720120280020111
Abstract
Primary ovarian lymphoma is a rare malignancy whose symptoms or signs are usually nonspecific. In this article, we report a very rare case initially presenting as a rectal submucosal-tumor-like lesion with a defecation disturbance caused by primary ovarian lymphoma with bilateral involvement. A 42-year-old woman visited chungnam national university hospital complaining of persistent defecation disturbance for 6 months. Colonoscopy demonstrated compression of the rectum by an extrinsic mass mimicking a rectal submucosal tumor. Magnetic resonance imaging detected bilateral ovarian tumors, 9.3 cm and 5.4 cm each in diameter, compressing the rectum without enlarged lymph nodes. The diagnosis was established following a bilateral adnexectomy and histological studies of the excised tissue. The tumor was classified as a diffuse large B-cell lymphoma. The patient was prescribed six cycles of standard CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisolone) regimen and is presently on treatment.
키워드
Primary ovarian lymphoma; Rectum; Submucosal tumor; Defecation disturbance
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