Diagnostic and Interventional Radiology
Abdominal Imaging - Pictorial Essay

Primary lymphomas of the female genital tract: imaging findings

1.

From the Department of Radiology Hospital José Joaquim Fernandes-Unidade Local de Saúde do Baixo Alentejo, Beja, Portugal

2.

From the Department of Radiology , Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.

Diagn Interv Radiol 2014; 20: 110-115
DOI: 10.5152/dir.2013.13288
Read: 740 Downloads: 375 Published: 03 September 2019

Abstract

Primary lymphomas of the female genital tract are extremely rare, and a definitive diagnosis requires correlation of the clinical, radiological, and pathological findings. Unlike nonlymphomatous malignant tumors, the treatment of lymphoma is typically nonsurgical, thus raising the possibility of lymphoma in the differential diagnosis of a pelvic mass, a radiologist can significantly change the approach to the disease. Although some imaging findings may appear nonspecific, others may suggest the possibility of lymphoma, such as the presence of one or more solid, well-defined, homogeneous masses without necrosis despite a large size or the presence of diffuse infiltration leading to organomegaly with architectural preservation. Additionally, pelvic lymphadenopathy may be evident. In this pictorial essay, we discuss the radiological appearances of gynecological primary lymphomas, grouped by organ, in ultrasonography, computed tomography, and magnetic resonance imaging.

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EISSN 1305-3612