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Leiomyoma with massive lymphoid infiltration: Case report

Year 2015, Volume: 46 Issue: 3, 106 - 109, 16.03.2015
https://doi.org/10.16948/zktb.17453

Abstract

Massive lymphocytic infiltration of the leiomyomas of the uterus is rare and causes diagnostic difficulties. The pathogenesis of this lesion is not clear. The recognition of its distinct histological features is important to avoid possible confusion with differential diagnosis including malignant lymphoma.  Only 20 cases have been reported in the literature. We present a case of leiomyoma of the uterus with massive lymphocytic infiltration, and we investigated the literature.

References

  • Harris NL, Scully RE. Malignant lymphoma and granulotic sarcoma of the uterus and vagina: a clinicopathologic analysis of 27 cases. Cancer 1984;52:2530-45.
  • Botsis D, Trakakis E, Kondis-Pafitis A, et al. Leiomyoma of the uterus with massive lymphoid infiltration simulating lympoma. A case report. Eur J Gynaecol Oncol 1999;20:61-2.
  • Ferry JA, Harris NL, Scully RE. Uterine leiomyomas with lymphoid infiltration simulating lymphoma. A report of seven cases. Int J Gynecol Pathol 1989;8:263-70.
  • Paik SS, Oh YH, Jang KS, et al. Uterine leiomyoma with massive lymphoid infiltration: case report and review of the literature. Pathol Int 2004;54:343-8.
  • Chuang SS, Lin CN, Li CY, et al. Uterine leiomyoma with massive lymphocytic infiltration simulating malignant lymphoma. A case report with immunohistochemical study showing taht the infiltrating lymphocytes are cytotoxic T cells. Pathol Res Pract 2001;197:135-8.
  • Ohmori T, Wakamoto R, Lu LM, et al. Immunohistochemical study of a case of uterine leiomyoma showing massive lymphoid infiltration and localized vasculitis after LH-RH derivant treatment. Histopathology 2002;41:276-7.
  • McClean G, McCluggage WG. Unusual morphologic features of uterine leiomyomas treated with gonadotropin-releasing hormone agonists: massive lymphoid infiltration and vasculitis. Int J Surg Pathol 2003;11:339-44.
  • Crow J, Gardner RL, McSweeney G, et al. Morphological changes in uterine leiomyomas treated by GnRH agonist goserelin. Int J Gynecol Pathol 1995;14:235-42.
  • Bardsley V, Cooper P, Peat DS. Massive lymphocytic infiltration of uterine leiomyomas associated with GnRH agonist treatment. Histopathology 1998;33:80-2.
  • Laforga JB, Aranda FI. Uterine leiomyomas with T-cell infiltration associated with GnRH agonist goserelin. Histopathology 1999;34:471-2.
  • Case records of the Massachusetts General Hospital. Case 23. N Engl J Med 1985;312:1505-11.
  • Young RH, Harris HL, Scully RE. Lymphoma-like lesions of the female genital tract: a report of 16 cases. Int J Gynecol Pathol 1985;4:289-99.
  • Gilks B, Taylor P, Clement B. Inflammatory pseudotumor of the uterus. Int J Gynecol Pathol 1987;6:275-86.

Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu

Year 2015, Volume: 46 Issue: 3, 106 - 109, 16.03.2015
https://doi.org/10.16948/zktb.17453

Abstract

Yaygın lenfositik infiltrasyon gösteren uterin leiomyomlar nadirdirler ve tanısal güçlüklere yol açarlar. Bu lezyonun patogenezi belli değildir. Farklı histolojik özelliklerinin tanınması ayırıcı tanıda malign lenfoma gibi hastalıklar ile muhtemel karışıklıkları önlemek için önemlidir. Literatürde sadece 20 olgu bildirilmiştir. Biz yaygın lenfositik infiltrasyon gösteren leiomyom olgusunu sunduk ve literatürü gözden geçirdik.

References

  • Harris NL, Scully RE. Malignant lymphoma and granulotic sarcoma of the uterus and vagina: a clinicopathologic analysis of 27 cases. Cancer 1984;52:2530-45.
  • Botsis D, Trakakis E, Kondis-Pafitis A, et al. Leiomyoma of the uterus with massive lymphoid infiltration simulating lympoma. A case report. Eur J Gynaecol Oncol 1999;20:61-2.
  • Ferry JA, Harris NL, Scully RE. Uterine leiomyomas with lymphoid infiltration simulating lymphoma. A report of seven cases. Int J Gynecol Pathol 1989;8:263-70.
  • Paik SS, Oh YH, Jang KS, et al. Uterine leiomyoma with massive lymphoid infiltration: case report and review of the literature. Pathol Int 2004;54:343-8.
  • Chuang SS, Lin CN, Li CY, et al. Uterine leiomyoma with massive lymphocytic infiltration simulating malignant lymphoma. A case report with immunohistochemical study showing taht the infiltrating lymphocytes are cytotoxic T cells. Pathol Res Pract 2001;197:135-8.
  • Ohmori T, Wakamoto R, Lu LM, et al. Immunohistochemical study of a case of uterine leiomyoma showing massive lymphoid infiltration and localized vasculitis after LH-RH derivant treatment. Histopathology 2002;41:276-7.
  • McClean G, McCluggage WG. Unusual morphologic features of uterine leiomyomas treated with gonadotropin-releasing hormone agonists: massive lymphoid infiltration and vasculitis. Int J Surg Pathol 2003;11:339-44.
  • Crow J, Gardner RL, McSweeney G, et al. Morphological changes in uterine leiomyomas treated by GnRH agonist goserelin. Int J Gynecol Pathol 1995;14:235-42.
  • Bardsley V, Cooper P, Peat DS. Massive lymphocytic infiltration of uterine leiomyomas associated with GnRH agonist treatment. Histopathology 1998;33:80-2.
  • Laforga JB, Aranda FI. Uterine leiomyomas with T-cell infiltration associated with GnRH agonist goserelin. Histopathology 1999;34:471-2.
  • Case records of the Massachusetts General Hospital. Case 23. N Engl J Med 1985;312:1505-11.
  • Young RH, Harris HL, Scully RE. Lymphoma-like lesions of the female genital tract: a report of 16 cases. Int J Gynecol Pathol 1985;4:289-99.
  • Gilks B, Taylor P, Clement B. Inflammatory pseudotumor of the uterus. Int J Gynecol Pathol 1987;6:275-86.
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section OBSTETRICS AND GYNECOLOGY
Authors

Ecmel Işık Kaygusuz

Publication Date March 16, 2015
Published in Issue Year 2015 Volume: 46 Issue: 3

Cite

APA Işık Kaygusuz, E. (2015). Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu. Zeynep Kamil Tıp Bülteni, 46(3), 106-109. https://doi.org/10.16948/zktb.17453
AMA Işık Kaygusuz E. Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu. Zeynep Kamil Tıp Bülteni. October 2015;46(3):106-109. doi:10.16948/zktb.17453
Chicago Işık Kaygusuz, Ecmel. “Yaygın Lenfoid Infiltrasyon içeren Leiomyom: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 46, no. 3 (October 2015): 106-9. https://doi.org/10.16948/zktb.17453.
EndNote Işık Kaygusuz E (October 1, 2015) Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu. Zeynep Kamil Tıp Bülteni 46 3 106–109.
IEEE E. Işık Kaygusuz, “Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu”, Zeynep Kamil Tıp Bülteni, vol. 46, no. 3, pp. 106–109, 2015, doi: 10.16948/zktb.17453.
ISNAD Işık Kaygusuz, Ecmel. “Yaygın Lenfoid Infiltrasyon içeren Leiomyom: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 46/3 (October 2015), 106-109. https://doi.org/10.16948/zktb.17453.
JAMA Işık Kaygusuz E. Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2015;46:106–109.
MLA Işık Kaygusuz, Ecmel. “Yaygın Lenfoid Infiltrasyon içeren Leiomyom: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni, vol. 46, no. 3, 2015, pp. 106-9, doi:10.16948/zktb.17453.
Vancouver Işık Kaygusuz E. Yaygın lenfoid infiltrasyon içeren leiomyom: Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2015;46(3):106-9.