Ovarian lymphoma in a patient on long-term sulfasalazine for ulcerative colitis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32110635.
- Also identified by DOI 10.4103/jfmpc.jfmpc_886_19 and PMC identifier 7014842.
- Licence recorded as CC BY-NC-SA.
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Abstract
We report a case of ovarian lymphoma in a 59 year old woman with ulcerative colitis for over 20 years. She presented with intermittent high fever and right sided abdominal pain for 3 weeks. An ultrasound scan and CT scan revealed a right adnexal mass measuring 71 X 54 mm which was well defined with a thick wall and internal septations and enlarged pelvic and para aortic lymph nodes. The patient underwent bilateral salpingo oophorectomy and omentectomy. Histology confirmed a diffuse large B cell Non Hodgkin's lymphoma and she was referred for chemotherapy. After 6 cycles of chemotherapy she showed a good response. Lymphoma of the gastrointestinal tract arising in a background of ulcerative colitis has been known to occur, ovarian lymphoma with a background of ulcerative colitis has not been reported.