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Erschienen in: Wiener Medizinische Wochenschrift 7-8/2022

22.02.2021 | case report

Torquated large ovarian lymphoma as a cause of acute abdomen: a case report of diffuse large B-cell ovarian lymphoma with a germinal center B-cell-like phenotype

verfasst von: MD, MSc, PhD Krešimir Živković, MD, MSc, PhD Ass. Prof. Ingrid Marton, MD, MSc, PhD Ass. Prof. Ana Tikvica Luetić, MD, MSc, PhD Prof. Slavko Gašparov, MD Katarina Horvat Pavlov, MD Ljudevit Sović, MD, PhD Student Anis Cerovac, MD, MSc, PhD Prof. Dubravko Habek

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 7-8/2022

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Summary

Background

Ovarian lymphoma is a rare neoplasm and most commonly represents secondary ovarian involvement in overt systemic disease, usually of the non-Hodgkin’s type.

Aim

To report a case of acute abdomen caused by torquated large ovarian lymphoma.

Case report

We report the case of 65-year-old patient admitted to our hospital with signs and symptoms of acute abdomen. Findings were suggestive of left ovary torsion due to the neoplasm. After detorsion, mobilization, and adhesiolysis, a bilateral adnexectomy was performed. Histopathological and immunohistochemical analysis of the left ovarian tumor was performed and diagnosis of diffuse large B‑cell lymphoma (DLBCL) with a GCB (germinal center B‑cell-like) phenotype was made. Additional bone marrow biopsy and imaging techniques excluded other sites of involvement, confirming diagnosis of primary ovarian DLBCL.

Conclusion

The prognosis of ovarian lymphomas may be poorer than for other lymphomas because of late diagnosis. The best treatment option appears to be systemic chemotherapy.
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Metadaten
Titel
Torquated large ovarian lymphoma as a cause of acute abdomen: a case report of diffuse large B-cell ovarian lymphoma with a germinal center B-cell-like phenotype
verfasst von
MD, MSc, PhD Krešimir Živković
MD, MSc, PhD Ass. Prof. Ingrid Marton
MD, MSc, PhD Ass. Prof. Ana Tikvica Luetić
MD, MSc, PhD Prof. Slavko Gašparov
MD Katarina Horvat Pavlov
MD Ljudevit Sović
MD, PhD Student Anis Cerovac
MD, MSc, PhD Prof. Dubravko Habek
Publikationsdatum
22.02.2021
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 7-8/2022
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-021-00823-z