Abstract:

T-lymphoblastic lymphoma (T-LBL) is a rare and highly aggressive non-Hodgkin lymphoma (NHL). It is extremely rare to occur in the reproductive system. Due to its low incidence and lack of specificity in clinical manifestations and laboratory examinations, it is easy to be misdiagnosed. A case of uterine and bilateral ovary T-LBL in a menopausal female was reported. The patient underwent pelvic magnetic resonance imaging (MRI) for abdominal pain and found pelvic mass. Then the patient underwent extensive laparoscopic hysterectomy, bilateral adnexectomy and partial greater omentectomy. The definite diagnosis of T-LBL was made by the pathology after surgery. Due to personal factors, the patient did not receive chemotherapy after surgery. The patient was diagnosed with acute renal failure more than three months after surgery and the patient was lost to follow-up more than eight months after surgery. The clinical features, histopathological manifestations, diagnosis, treatment and prognosis of lymphomas of the reproductive system were summarized based on this case discussion and review of relevant literature, aim to improve clinical understanding of this disease and provide reference for clinical diagnosis and treatment of this disease.

Key words: Precursor T-cell lymphoblastic leukemia-lymphoma, Lymphoma, non-Hodgkin, Genital neoplasms, female, Lymphoma, Case reports