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KMID : 0356720120280020111
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Journal of the Korean Society of Coloproctology
2012 Volume.28 No. 2 p.111 ~ p.115
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A Case of Primary Ovarian Lymphoma Presenting as a Rectal Submucosal Tumor
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Jung Il-Soon
Kim Seul-Young
Kim Kyu-Seup
Ko Kwang-Hun
Sung Jae-Kyu
Jeong Hyun-Young
Kim Ji-Yeoun
Moon Hee-Seok
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Abstract
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Primary ovarian lymphoma is a rare malignancy whose symptoms or signs are usually nonspecific. In this article, we report a very rare case initially presenting as a rectal submucosal-tumor-like lesion with a defecation disturbance caused by primary ovarian lymphoma with bilateral involvement. A 42-year-old woman visited chungnam national university hospital complaining of persistent defecation disturbance for 6 months. Colonoscopy demonstrated compression of the rectum by an extrinsic mass mimicking a rectal submucosal tumor. Magnetic resonance imaging detected bilateral ovarian tumors, 9.3 cm and 5.4 cm each in diameter, compressing the rectum without enlarged lymph nodes. The diagnosis was established following a bilateral adnexectomy and histological studies of the excised tissue. The tumor was classified as a diffuse large B-cell lymphoma. The patient was prescribed six cycles of standard CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisolone) regimen and is presently on treatment.
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KEYWORD
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Primary ovarian lymphoma, Rectum, Submucosal tumor, Defecation disturbance
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