Non-Hodgkin’s Lymphoma of the Ovaries and Appendix: A Case Report
1.   Nirja Chawla

2.    Lakhbir Kaur Dhaliwal

3.    Sarala Gopalan1

4.    Arvind Rajwanshi

Article first published online: 24 MAY 2010

DOI: 10.1111/j.1447-0756.1990.tb00014.x

© 1990 Japanese Society of Obstetrics and Gynaecology

Asia-Oceania Journal of Obstetrics and Gynaecology

Volume 16, Issue 2, pages 127–130, June 1990

How to Cite

Chawla, N.,

Dhaliwal, L. K., Gopalan, S. and Rajwanshi, A. (1990), Non-Hodgkin’s Lymphoma of the Ovaries and Appendix: A Case Report. Asia-Oceania Journal of Obstetrics and Gynaecology, 16: 127–130. doi: 10.1111/j.1447-0756.1990.tb00014.x

Author Information
  1. Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

2. Department of Gynaecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

*Correspondence: Lakhbir Kaur Dhaliwal,

*Correspondence: Reprint request to: Dr. Lakhbir K. Dhaliwal, HSQ/5, Sector-12, PGI Campus, Chandigarh-160012, India

Publication History

1.    Issue published online: 24 MAY 2010

2.    Article first published online: 24 MAY 2010

3.    Received Oct 30, 1989

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2303.1993.tb00114.x/abstract

Abstract – Involvement of the female genital tract by non-Hodgkin’s lymphoma is extremely rare. Here is the report of a patient who presented as a bilateral malignant ovarian tumour and was diagnosed by laparotomy and subsequent histopathology to have non- Hodgkin’s lymphoma of both ovaries and appendix. The patient had radical surgery followed by multiagent chemotherapy and is alive without disease at one year of follow- UP * Key words : non-Hodgkin’s lymphoma, ovaries, appendix Mrs S., a 34 years old multiparous lady at- tended this hospital on 1st March, 1988 with the complaint of lower abdominal pain which was dull and continuous, not associated with vomiting, diarrhoea, hematemesis or melena. There was no association with anorexia or loss of weight. She had no significant menstrual complaints as well. On physical examination she was well nourished, not anemic and had no significant lymphadenopathy as well as foot edema. Heart and lungs were normal. On ab- dominal examination 2 separate well de- fined masses were palpable of about 14×14 cm each. These masses were firm, smooth, mobile and non-tender. There was initially no demonstrable free fluid, but it developed rap- idly during her 10 days pre-operative hospital stay. Liver and spleen were not palpable. On pelvic examination a firm mass was felt in the pouch. of Douglas continuous with the mass felt in right iliac fossa, which was mobile, of variegated consistency without tenderness. A normal sized uterus felt separate from the mass was pushed to the left. No nodules were felt in the pouch of Douglas on per rectal examina- tion as well. A provisional diagnosis of bilateral malignant ovarian tumour (Krukenberg’s) was made. Pre-operative investigations were all normal including chest X-ray. Barium meal and barium enema did not reveal any primary lesion in the gastrointestinal tract. At laparotomy more than 2 litres of clear straw coloured ascites was drained. Uterus was normal and both ovaries were enlarged to the size of 20×15 cm, had lobulated, smooth in- tact capsule without adhesions (Fig. 1).