Malignant lymphoma of uterus: a case report with a review of the literature

The female genital tract is rarely the initial manifestation site of malign ant lymphomas. Most genital lymphomas arise in the vagina or cervix while t hose of the uterine corpus are extremely rare. Patients usually present wit h bleeding, abdominal or pelvic discomfort or back pain but, very infrequen tly, the tumours are discovered as a result of a routine examination. Our patient was a 67-year-old postmenopausal woman presenting with haematur ia and upper abdominal pain. She had several investigations for haematuria including cystoscopy, intravenous urography (IVU) and both renal and pelvic scans. The pelvic scan revealed an enlarged uterus with some calcification suggestive of a fibroid uterus. An abdominal hysterectomy was performed. H istopathology revealed non-Hodgkin's malignant lymphoma of the uterine corp us. She subsequently had post-operative chemotherapy.