Table 1 Clinical characteristics and treatment of 13 patients with PLFGT
From: Primary lymphoma of the female genital tract masquerading as gynecological malignancy
Patient number | Age (year) | Clinical feature | Location | Size of lesion (Ultrasonograph, cm) | LDH (Normal:135-225u/L) | CA125 (Normal:0-35u/mL) | Surgery/biopsy |
|---|---|---|---|---|---|---|---|
Case1 | 70 | pelvic mass, postmenopausal vaginal bleeding | Bilateral ovaries | 9.7 | 821 | 46.3 | cytoreductive surgery (hysterectomy, bilateral adnexectomy and omentectomy) |
Case2* | 78 | postmenopausal vaginal bleeding | Uterus | 5.1 | 285 | 20.0 | Diagnostic curettage |
Case3** | 58 | postmenopausal vaginal bleeding | Cervix | 4.3 | 121 | 6.7 | Cervical puncture biopsy |
Case4 | 33 | pelvic mass lower abdominal pain, | Bilateral ovaries | 15.0 | 1501 | 39 | total hysterectomy, bilateral adnexectomy, pelvic and para-aortic lymph node dissection, omentectomy |
Case5 | 67 | pelvic mass, abdominal distension | Bilateral ovaries | 5.8 | 180 | 25.2 | total hysterectomy, bilateral adnexectomy, pelvic and para-aortic lymph node dissection, omentectomy |
Case6 | 73 | pelvic mass | Left ovary | 4.5 | 430 | 30 | Left adnexectomy and lymphatic biopsy |
Case7 | 31 | pelvic mass | Bilateral ovaries | 14.4 | 284 | 24.4 | cytoreductive surgery (hysterectomy, bilateral adnexectomy and omentectomy) |
Case8 | 53 | postmenopausal vaginal bleeding | Uterus | 6.8 | 680 | 30.1 | Diagnostic curettage |
Case9*** | 70 | postmenopausal vaginal bleeding, vaginal discharge | Uterus | 8.9 | 296 | 17.1 | total hysterectomy, bilateral adnexectomy, pelvic and para-aortic lymph node dissection, omentectomy |
Case10 | 30 | pelvic mass, lower abdominal pain, abdominal distension | Bilateral ovaries | 8.7 | 2705 | 959.3 | total hysterectomy and bilateral adnexectomy |
Case11* | 58 | pelvic mass, lower abdominal pain | Right ovary | 8.1 | 277 | 15.2 | total hysterectomy and bilateral adnexectomy |
Case12 | 72 | pelvic mass, lower abdominal pain, abdominal distension | Bilateral ovaries | 4.5 | 301 | 24.0 | bilateral adnexectomy and lymphatic biopsy |
Case13 | 77 | postmenopausal vaginal bleeding, vaginal discharge | Cervix | 3.5 | 382 | 31.5 | Radical total hysterectomy, bilateral adnexectomy and pelvic lymph node dissection |