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Genital Lymphoma
Douglas Rogers, MD; Christine O. Menias, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Primary uterine, vaginal, or vulvar lymphoma
              • Extranodal non-Hodgkin lymphoma (NHL) of genital tract
                • Including uterus, cervix, vagina, or vulva
            • Secondary uterine lymphoma
              • Genital involvement is part of systemic disease

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Petrillo M et al: Primary extranodal vaginal non-hodgkin lymphoma: diagnostic pitfalls and therapeutic challenges. Histol Histopathol. 34(7):723-30, 2019
                                          2. Zhang X et al: Successful conservative treatment of primary endometrial marginal zone lymphoma (MALT type): a case report and review of the literature. Medicine (Baltimore). 98(16):e15331, 2019
                                          3. Naik N et al: Genitourinary involvement of lymphomas on FDG-PET. Br J Radiol. 91(1086):20170273, 2018
                                          4. Slonimsky E et al: Gynecological lymphoma: a case series and review of the literature. J Comput Assist Tomogr. 42(3):435-40, 2018
                                          5. Rohena-Quinquilla IR et al: Imaging of extranodal genitourinary lymphoma. Radiol Clin North Am. 54(4):747-64, 2016
                                          6. Alves Viera MA et al: Primary lymphomas of the female genital tract: imaging findings. Diagn Interv Radiol. 20(2):110-5, 2014
                                          7. Merritt AJ et al: Primary extranodal marginal zone B cell lymphoma of the uterus: a case study and review of the literature. J Clin Pathol. 67(4):375-7, 2014
                                          8. Salem U et al: Hematopoietic tumors of the female genital system: imaging features with pathologic correlation. Abdom Imaging. 39(4):922-34, 2014
                                          9. Hashimoto A et al: [Primary diffuse large B-cell lymphoma of the uterine cervix successfully treated with rituximabplus cyclophosphamide, doxorubicin, vincristine, and prednisone chemotherapy-a case report.] Gan To Kagaku Ryoho. 40(13):2589-92, 2013
                                          10. Isosaka M et al: [Primary diffuse large B-cell lymphoma of the uterus complicated with hydronephrosis.] Rinsho Ketsueki. 54(4):392-6, 2013
                                          11. Onyiuke I et al: Primary gynecologic lymphoma: imaging findings. AJR Am J Roentgenol. 201(4):W648-55, 2013
                                          12. Ragupathy K et al: Primary vaginal non-Hodgkin lymphoma: gynecologic diagnosis of a hematologic malignancy. J Low Genit Tract Dis. 17(3):326-9, 2013
                                          13. Sugimoto KJ et al: Diffuse large B-cell lymphoma of the uterus suspected of having transformed from a marginal zone B-cell lymphoma harboring trisomy 18: a case report and review of the literature. Int J Clin Exp Pathol. 6(12):2979-88, 2013
                                          14. Sohaib SA et al: Imaging of uterine malignancies. Semin Ultrasound CT MR. 31(5):377-87, 2010
                                          15. Goto N et al: Magnetic resonance findings of primary uterine malignant lymphoma. Magn Reson Med Sci. 6(1):7-13, 2007
                                          16. Niwa K et al: Primary lymphoma of the uterine corpus: an unusual location for a common disease--case report. Eur J Gynaecol Oncol. 28(6):522-3, 2007
                                          17. Hamadani M et al: Marginal zone B-cell lymphoma of the uterus: a case report and review of the literature. J Okla State Med Assoc. 99(4):154-6, 2006
                                          18. Keller C et al: Primary Burkitt lymphoma of the uterine corpus. Leuk Lymphoma. 47(1):141-5, 2006
                                          19. Lagoo AS et al: Lymphoma of the female genital tract: current status. Int J Gynecol Pathol. 25(1):1-21, 2006
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Primary uterine, vaginal, or vulvar lymphoma
                                                      • Extranodal non-Hodgkin lymphoma (NHL) of genital tract
                                                        • Including uterus, cervix, vagina, or vulva
                                                    • Secondary uterine lymphoma
                                                      • Genital involvement is part of systemic disease

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Petrillo M et al: Primary extranodal vaginal non-hodgkin lymphoma: diagnostic pitfalls and therapeutic challenges. Histol Histopathol. 34(7):723-30, 2019
                                                                                  2. Zhang X et al: Successful conservative treatment of primary endometrial marginal zone lymphoma (MALT type): a case report and review of the literature. Medicine (Baltimore). 98(16):e15331, 2019
                                                                                  3. Naik N et al: Genitourinary involvement of lymphomas on FDG-PET. Br J Radiol. 91(1086):20170273, 2018
                                                                                  4. Slonimsky E et al: Gynecological lymphoma: a case series and review of the literature. J Comput Assist Tomogr. 42(3):435-40, 2018
                                                                                  5. Rohena-Quinquilla IR et al: Imaging of extranodal genitourinary lymphoma. Radiol Clin North Am. 54(4):747-64, 2016
                                                                                  6. Alves Viera MA et al: Primary lymphomas of the female genital tract: imaging findings. Diagn Interv Radiol. 20(2):110-5, 2014
                                                                                  7. Merritt AJ et al: Primary extranodal marginal zone B cell lymphoma of the uterus: a case study and review of the literature. J Clin Pathol. 67(4):375-7, 2014
                                                                                  8. Salem U et al: Hematopoietic tumors of the female genital system: imaging features with pathologic correlation. Abdom Imaging. 39(4):922-34, 2014
                                                                                  9. Hashimoto A et al: [Primary diffuse large B-cell lymphoma of the uterine cervix successfully treated with rituximabplus cyclophosphamide, doxorubicin, vincristine, and prednisone chemotherapy-a case report.] Gan To Kagaku Ryoho. 40(13):2589-92, 2013
                                                                                  10. Isosaka M et al: [Primary diffuse large B-cell lymphoma of the uterus complicated with hydronephrosis.] Rinsho Ketsueki. 54(4):392-6, 2013
                                                                                  11. Onyiuke I et al: Primary gynecologic lymphoma: imaging findings. AJR Am J Roentgenol. 201(4):W648-55, 2013
                                                                                  12. Ragupathy K et al: Primary vaginal non-Hodgkin lymphoma: gynecologic diagnosis of a hematologic malignancy. J Low Genit Tract Dis. 17(3):326-9, 2013
                                                                                  13. Sugimoto KJ et al: Diffuse large B-cell lymphoma of the uterus suspected of having transformed from a marginal zone B-cell lymphoma harboring trisomy 18: a case report and review of the literature. Int J Clin Exp Pathol. 6(12):2979-88, 2013
                                                                                  14. Sohaib SA et al: Imaging of uterine malignancies. Semin Ultrasound CT MR. 31(5):377-87, 2010
                                                                                  15. Goto N et al: Magnetic resonance findings of primary uterine malignant lymphoma. Magn Reson Med Sci. 6(1):7-13, 2007
                                                                                  16. Niwa K et al: Primary lymphoma of the uterine corpus: an unusual location for a common disease--case report. Eur J Gynaecol Oncol. 28(6):522-3, 2007
                                                                                  17. Hamadani M et al: Marginal zone B-cell lymphoma of the uterus: a case report and review of the literature. J Okla State Med Assoc. 99(4):154-6, 2006
                                                                                  18. Keller C et al: Primary Burkitt lymphoma of the uterine corpus. Leuk Lymphoma. 47(1):141-5, 2006
                                                                                  19. Lagoo AS et al: Lymphoma of the female genital tract: current status. Int J Gynecol Pathol. 25(1):1-21, 2006