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首页> 外文期刊>Journal of Cancer Research and Therapeutics >High-grade non-Hodgkin's lymphoma of ovary presenting as peritonitis
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High-grade non-Hodgkin's lymphoma of ovary presenting as peritonitis

机译：表现为腹膜炎的卵巢高级非霍奇金淋巴瘤

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Primary ovarian lymphoma is rare, with ovary more commonly involved secondarily in generalized disease. Primary ovarian lymphoma presents as mass in the ovary with chronic symptoms; an acute presentation has not been described previously. A 75-year-old female presented with acute abdomen and features of peritonism. Computed tomography and magnetic resonance imaging demonstrated large mass in left ovary along with infiltration of adjacent sigmoid colon causing perforation and pneumoperitoneum. Few jejunal loops were also involved. Intraoperatively, there was left ovarian mass infiltrating the sigmoid colon with perforation and fecal peritonitis. Distal jejunal loops were adherent to the tumor. The involved sigmoid colon was resected with total abdominal hysterectomy, bilateral salpingo-oophorectomy and resection of adherent jejunal loops. Histopathology revealed ovarian tissue with necrotic neoplasm composed of small-to medium-sized round cells exhibiting nuclear irregularity and scanty cytoplasm, forming discohesive sheets with the neoplasm infiltrating the retroperitoneal remnant tissue and resected bowel. This case highlights an unusual presentation of primary ovarian lymphoma.
机译：原发性卵巢淋巴瘤很罕见，其次是卵巢癌。原发性卵巢淋巴瘤在卵巢中呈肿块状伴有慢性症状。以前没有描述过急性表现。一名75岁女性，表现为急性腹部和腹膜功能。计算机断层扫描和磁共振成像显示左卵巢较大，伴有邻近的乙状结肠浸润，引起穿孔和气腹。空肠循环也很少。术中左卵巢肿块浸入乙状结肠并伴有穿孔和粪便性腹膜炎。空肠远端loop附着在肿瘤上。切除乙状结肠，行全腹子宫切除术，双侧输卵管卵巢切除术和切除空肠粘连环切除术。组织病理学检查显示，卵巢组织具有坏死性肿瘤，由小到中等大小的圆形细胞组成，表现出核不规则和细胞质稀薄，形成多歧管性片层，肿瘤浸润腹膜后残留组织并切除了肠。该病例突出了原发性卵巢淋巴瘤的异常表现。

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