Primary Non Hodgkin'ss Lymphoma of the Vagina

Abstract

The genital tract as a primary site of malignant lymphoma in women is extremely rare. This report concerns a 64 year old patient with a primary vaginal non-Hodgkin lymphoma (large cell B lineage according to the REAL classification — centroblastic type according to the Kiel classification — “G” according Working Formulation) with an unusual clinical presentation — pelvic discomfort accompanied by frequent ureteral-like colic —;

Due to gynecological onset symptoms and the rarity of this extranodal primary site misinterpretation of a primary vaginal lymphoma as a benign inflammatory disease or endometriosis may occur. We emphasize the importance of their recognition and also the differential diagnosis of cervical lymphoma from other neoplastic and non-neoplastic lesions.

Key Words:

• vagina
• non-Hodgkin's lymphoma
• extranodal