Primary peripheral T-cell lymphoma of the vagina incidentally found at cervical cancer screening

  • ISOBE Rei
    Department of Internal Medicine, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • MITUISHI Toshimi
    Department of Internal Medicine, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • OMOTE Mayuko
    Department of Internal Medicine, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • MORI Yuichi
    Department of Internal Medicine, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • IDA Koichi
    Department of Obstetrics Gynecology, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • OGUCHI Osamu
    Department of Obstetrics Gynecology, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • NAKAI Ikuko
    Department of Obstetrics Gynecology, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare
  • OGUCHI Masahiko
    Department of Radiation Oncology, Saku Central Hospital, Nagano Prefectural Federation of Agricultural Cooperative for Health and Welfare

Bibliographic Information

Other Title
  • がん検診を契機に発見された膣原発末梢性T細胞リンパ腫
  • 症例報告 がん検診を契機に発見された膣原発末梢性T細胞リンパ腫
  • ショウレイ ホウコク ガン ケンシン オ ケイキ ニ ハッケン サレタ チツゲンパツ マッショウセイ Tサイボウ リンパシュ

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Abstract

A 50-year-old woman was referred to our hospital because a mass lesion had been palpable through the vaginal wall during a cervical cancer screening examination. A contrast-enhanced computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed marked thickening of the vaginal wall, constituting a mass 96 mm in diameter. Abnormal FDG uptake was observed in the vaginal mass, but no other lesions were detected by positron emission tomography (PET/CT). A transvaginal biopsy from the tumor revealed peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS). Although endoscopic examinations revealed no signs of infiltration in either the bladder or the rectum, the MRI findings suggested invasion into the adjacent rectal wall. She achieved complete remission after six courses of biweekly THP-COP therapy, to which field radiation (39.6 Gy) was added. PTCL of the vagina is rare and this case therefore merits description in the literature.

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 57 (1), 20-24, 2016

    The Japanese Society of Hematology

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