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原发性卵巢非何杰金氏恶性淋巴瘤临床上罕见。经病理证实2例,兹报告如下:例1,16岁,女性,未婚,右下腹包块2月,伴腹痛。月经史正常,行B超检查提示右卵巢肿物。一般情况尚好,全身表浅淋巴结不肿大,心肺无异常所见。妇科检查,宫颈光滑,子宫大小6×5×4cm,右侧附件可触及10×8cm大小包块,质硬,左侧附件(一)。在硬麻下行右侧卵巢肿物切除术。病理检查:卵巢肿瘤大小10×10×7cm,椭圆形,切面灰红色,鱼肉状,质脆,镜检,卵巢结构基本消失,瘤细胞大小一致,浆细胞样淋巴细胞弥漫浸润,瘤细胞可呈“列”兵式”(图1、2),核分裂象易见。病理诊断:原发性右侧卵巢淋巴浆细胞性恶性淋巴瘤。例2,22岁,女性,已婚,腹胀3个月,发现左下腹包块2月,伴发热。检查:一般情况尚好,全身浅表淋巴结未见肿大,心肺(一)。宫颈糜烂,子宫大小7×5×4cm,左侧附件可触及8×7cm大小包块,有压痛。B超提示左侧卵巢肿物。行左侧卵巢肿物切除术。病
Primary ovarian non-Hodgkin’s lymphoma is clinically rare. 2 cases confirmed by pathology, it is reported as follows: Cases 1,16 years old, female, unmarried, right lower quadrant mass in February, with abdominal pain. Menstrual history is normal, line B ultrasound examination showed right ovarian tumor. The general situation is still good, systemic superficial lymph nodes are not swollen, no abnormal heart and lung see. Gynecological examination, cervical smooth, uterine size 6 × 5 × 4cm, the right attachment can reach the size of 10 × 8cm mass, hard, the left attachment (a). Down the right ovary tumor resection in hard. Pathological examination: Ovarian tumor size 10 × 10 × 7cm, oval, red-gray, fishy, crisp, microscopic examination, ovarian structure disappeared, tumor cells of the same size, diffuse infiltration of plasmacytoid lymphocytes, tumor cells can be “Column” soldiers "(Figure 1,2), mitosis is easy to see .Pathological diagnosis: primary right ovarian lymphocytoma malignant lymphoma cases .2, 22 years old, married, bloating 3 months , Found the left lower quadrant mass in February, with fever. Check: the general situation is good, systemic superficial lymph nodes without enlargement, cardiopulmonary (A). Cervical erosion, uterine size 7 × 5 × 4cm, left attachment can reach 8 × 7cm size of the mass, there are tenderness .B ultrasound prompts the left ovarian tumor .To the left ovarian tumor resection.