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Journal:   TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)   April 2020 , Volume 78 , Number 1 ; Page(s) 53 To 57.
 
Paper: 

Diagnostic Error, Benign Infiltrative Pseudotumor Or Malignant Primary Lymphoma Of Cervix: Case Report

 
 
Author(s):  Hassanzadeh Malihe, Jafarian Amir Hosein, Homaee Fatemeh, Jeddi Lida, Malakuti Parnian, Mousavi Seresht Leila*
 
* Department of Gynecology and Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
 
Abstract: 
Background: Although cervical malignancy rate had grown up in recent years, primary cervical lymphoma is so rare. It must be high index of suspicious for primary cervical lymphoma diagnosis in patient with malignancy-like signs and symptoms for early detection. Primary cervical lymphoma has no standard treatment or follow-up protocol; so the management still is in doubt and based on previous case reports. In the other hand, the precise prognosis of patient is undetermined. In the present study, a case of primary cervical lymphoma is presented which was misdiagnosed at first. The patient accurate diagnosis was made at last due to multidisciplinary team working. Case presentation: A 51-year-old woman, gravida 2, para 2, presented with complaint of abnormal vaginal bleeding and discharge, with no abnormal finding in cervical cytology and sonography, so uneventfully a diagnostic error had happened in the assessment of her. After several months and multiple different treatment, the patient referred to the Oncology Department of Obstetrics and Gynecology Center, Ghaem Hospital, Mashhad, Iran in May 2017. Re-assessment was performed by biopsy and imaging, and the final pathologic diagnosis of diffuse large B-cell non-Hodgkin's lymphomas was confirmed. Conclusion: Primary cervical lymphoma is an uncommon malignancy; the diagnosis could be missed simply by low suspicious due to low accuracy of Pap smear and imaging in this situation. So an accurate evaluation and pelvic examination, high suspicious and close communication between clinician and pathologist are needed. By timely diagnosis of patient in early stage and appropriate approach, the prognosis could be excellent most of the time.
 
Keyword(s): B-cell lymphoma,case reports,cervix uteri,non-Hodgkin's lymphoma,extra nodal lymphoma,pelvic examination
 
 
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APA: Copy

Hassanzadeh, M., & JAFARIAN, A., & HOMAEE, F., & JEDDI, L., & Malakuti, P., & MOUSAVI SERESHT, L. (2020). Diagnostic error, benign infiltrative pseudotumor or malignant primary lymphoma of cervix: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 78(1 ), 53-57. https://www.sid.ir/en/journal/ViewPaper.aspx?id=797875



Vancouver: Copy

Hassanzadeh Malihe, JAFARIAN AMIR HOSEIN, HOMAEE FATEMEH, JEDDI LIDA, Malakuti Parnian, MOUSAVI SERESHT LEILA. Diagnostic error, benign infiltrative pseudotumor or malignant primary lymphoma of cervix: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ). 2020 [cited 2022May16];78(1 ):53-57. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=797875



IEEE: Copy

Hassanzadeh, M., JAFARIAN, A., HOMAEE, F., JEDDI, L., Malakuti, P., MOUSAVI SERESHT, L., 2020. Diagnostic error, benign infiltrative pseudotumor or malignant primary lymphoma of cervix: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), [online] 78(1 ), pp.53-57. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=797875.



 
 
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