1Department of Oncology, Bangladesh Specialized Hospitals, 21 Shyamoli, Dhaka, Bangladesh
2The Labratory, Panthapath, Dhaka, Bangladesh
American Journal of Medical Case Reports.
2020,
Vol. 8 No. 8, 240-243
DOI: 10.12691/ajmcr-8-8-7
Copyright © 2020 Science and Education PublishingCite this paper: Ferdous Ara Begum, Md Arifur Rahman, Mohammed Kamal, Qamruzzaman Chowdhury. Primary Ovarian Non-Hodgkin’s Lymphoma with Late Diagnosis Due to Unusual Presentation - A Case Report.
American Journal of Medical Case Reports. 2020; 8(8):240-243. doi: 10.12691/ajmcr-8-8-7.
Correspondence to: Ferdous Ara Begum, Department of Oncology, Bangladesh Specialized Hospitals, 21 Shyamoli, Dhaka, Bangladesh. Email:
dr.ferdousara1963@gmail.comAbstract
Involvement of NHL in ovary is seen in disseminated Lymphoma but primary ovarian lymphoma still not commonly seen. We presented the case where the patient had suffered for unexplained fever for more than 1 year and lately presented with gross weight loss as well as painless lower abdominal lump. CT scan showed a huge heterogeneous mass of about 15x12.4cm in pelvic cavity with mild ascites. Surgery was performed in view of ovarian neoplasm as CA125 was also raised. Histopathology confirmed the diagnosis of diffuse large B cell lymphoma with Immunohistochemistry confirmation. Treated with R-CHOP protocol for 6 cycles as IHC expressed CD20 positive. Post chemotherapy follow up PET scan showed complete response of treatment, though in spite of all treatment Primary ovarian lymphoma have a poor outcome with a range from 0% to 36% expected to survive for less than three years.
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