Disseminated Anaplastic Lymphoma Kinase (ALK)-Positive T-cell Lymphoma Involving the Uterus and Cervix: A Case Report
Primary or secondary non-Hodgkin lymphomas (NHLs) involving the female gynecologic tract are rare. T-cell subtypes are further rare and portend a worse prognosis. We present a case of a 23-year-old female presenting with a cervical mass accompanied by constitutional symptoms and abnormal vaginal ble...
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| Published in | Curēus (Palo Alto, CA) Vol. 16; no. 1; p. e52815 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Cureus Inc
23.01.2024
Cureus |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Primary or secondary non-Hodgkin lymphomas (NHLs) involving the female gynecologic tract are rare. T-cell subtypes are further rare and portend a worse prognosis. We present a case of a 23-year-old female presenting with a cervical mass accompanied by constitutional symptoms and abnormal vaginal bleeding. Immunohistochemistry studies revealed the presence of disseminated T-cell non-Hodgkin lymphoma that was anaplastic lymphoma kinase (ALK)-positive. The patient demonstrated a complete response to systemic chemotherapy initially and again after the relapse of the disease one year after diagnosis. To our knowledge, this is the first case of an ALK-positive T-cell lymphoma with secondary involvement of the uterus and cervix; all previously published cases of this histologic subtype in the gynecologic tract describe primary disease of the vagina. This case emphasizes the importance of immunohistochemistry studies inclusive of T-cell and B-cell markers when evaluating biopsies from cervical tumors to render the appropriate diagnosis and guide systemic therapy. |
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| AbstractList | Primary or secondary non-Hodgkin lymphomas (NHLs) involving the female gynecologic tract are rare. T-cell subtypes are further rare and portend a worse prognosis. We present a case of a 23-year-old female presenting with a cervical mass accompanied by constitutional symptoms and abnormal vaginal bleeding. Immunohistochemistry studies revealed the presence of disseminated T-cell non-Hodgkin lymphoma that was anaplastic lymphoma kinase (ALK)-positive. The patient demonstrated a complete response to systemic chemotherapy initially and again after the relapse of the disease one year after diagnosis. To our knowledge, this is the first case of an ALK-positive T-cell lymphoma with secondary involvement of the uterus and cervix; all previously published cases of this histologic subtype in the gynecologic tract describe primary disease of the vagina. This case emphasizes the importance of immunohistochemistry studies inclusive of T-cell and B-cell markers when evaluating biopsies from cervical tumors to render the appropriate diagnosis and guide systemic therapy. Primary or secondary non-Hodgkin lymphomas (NHLs) involving the female gynecologic tract are rare. T-cell subtypes are further rare and portend a worse prognosis. We present a case of a 23-year-old female presenting with a cervical mass accompanied by constitutional symptoms and abnormal vaginal bleeding. Immunohistochemistry studies revealed the presence of disseminated T-cell non-Hodgkin lymphoma that was anaplastic lymphoma kinase (ALK)-positive. The patient demonstrated a complete response to systemic chemotherapy initially and again after the relapse of the disease one year after diagnosis. To our knowledge, this is the first case of an ALK-positive T-cell lymphoma with secondary involvement of the uterus and cervix; all previously published cases of this histologic subtype in the gynecologic tract describe primary disease of the vagina. This case emphasizes the importance of immunohistochemistry studies inclusive of T-cell and B-cell markers when evaluating biopsies from cervical tumors to render the appropriate diagnosis and guide systemic therapy. |
| Author | Conrad, Lesley B Sabri, Ahmed Yang, Erin J Awad, Seifeldin Cantu, David |
| AuthorAffiliation | 1 Department of Obstetrics and Gynecology, Creighton University School of Medicine, Omaha, USA 2 Department of Pathology, Creighton University School of Medicine, Omaha, USA |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38389588$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1309/DN0L-F9P7-E263-6512 10.1016/S1607-551X(09)70388-2 10.1155/2015/893083 10.1097/00125480-200107000-00002 10.1016/j.htct.2022.01.008 10.1097/01.pas.0000178089.77018.a9 10.1007/BF02981911 |
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| Copyright | Copyright © 2024, Yang et al. Copyright © 2024, Yang et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2024, Yang et al. 2024 Yang et al. |
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| Keywords | gynecology alk-positive non-hodgins lymphoma disseminated disease immunohistochemistry t-cell lymphoma adult t-cell lymphoma rare cancers abnormal uterine bleeding rare metastases |
| Language | English |
| License | Copyright © 2024, Yang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
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| References | Kirk CM (ref4) 2001; 115 Nakamura S (ref5) 2001; 73 Shen CJ (ref7) 2007; 23 Kosari F (ref3) 2005; 29 Vang R (ref1) 2001; 8 Herraiz JL (ref2) 2015; 2015 Cortez AC (ref6) 2022; 44 |
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| Snippet | Primary or secondary non-Hodgkin lymphomas (NHLs) involving the female gynecologic tract are rare. T-cell subtypes are further rare and portend a worse... Primary or secondary non-Hodgkin lymphomas (NHLs) involving the female gynecologic tract are rare. T-cell subtypes are further rare and portend a worse... |
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| SubjectTerms | Antigens Biopsy Bone marrow Case reports Cells Cervix Chemotherapy Cysts Cytokeratin Disease Emergency medical care Endometrium Females Fractures Hemoglobin Kinases Magnetic resonance imaging Medical prognosis Melanoma Metastasis Morphology Obstetrics/Gynecology Oncology Pathology Sarcoma Stains & staining Ultrasonic imaging Uterus Vagina |
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| Title | Disseminated Anaplastic Lymphoma Kinase (ALK)-Positive T-cell Lymphoma Involving the Uterus and Cervix: A Case Report |
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