B-cell acute lymphoblastic leukemia/lymphoma in relapse presenting as a cervical mass: A case report and review of literature

被引:3
作者
Kazma, Jamil [1 ]
Johnson, Cynae [2 ]
Jain, Nitin [3 ]
Gali, Vasantha Lakshmi [4 ]
Young, Ken H. [4 ]
Jazaeri, Amir A. [2 ]
机构
[1] Amer Univ Beirut, Med Ctr, Dept Internal Med, Riad El Solh 1107 2020, Beirut, Lebanon
[2] Univ Texas MD Anderson Canc Ctr, Dept Gynecol Oncol & Reprod Med, Houston, TX 77030 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Leukemia, Div Canc Med, Houston, TX 77030 USA
[4] Univ Texas MD Anderson Canc Ctr, Dept Hematopathol, Houston, TX 77030 USA
关键词
Hematologic malignancy; Diagnosis relapse; Cervical cancer; LEUKEMIA; LYMPHOMA; VAGINA;
D O I
10.1016/j.gore.2019.08.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The involvement of the cervix as a site of relapse for hematologic malignancies is rare. We herein present a case of relapsed B-cell Acute Lymphoblastic Leukemia/Lymphoma (ALL) mimicking advanced cervical cancer. The patient is a 61-year-old female with history B-cell ALL and had multiple relapses confined to the bone marrow and had received several different chemotherapy regimens. She presented with lower abdominal pain after the end of her last cycle for which an MRI abdomen and pelvis was done and it showed the presence of an asymmetrical cervical mass. Further imaging included a PET-CT showing the presence of hypermetabolic cervical mass with left pelvic and retroperitoneal lymph node involvement. She underwent a biopsy of 3 distinct lesions in the cervix and vagina and a diagnosis of relapsed B-cell ALL was confirmed in two out of the three specimens.
引用
收藏
页码:94 / 97
页数:4
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