Primary lymphomas of the female genital tract: imaging findings.

Alves Viera MA, Teresa Margarida Cunha
Diagnostic and interventional radiology (Ankara, Turkey) · 2014 · doi:10.5152/dir.2013.13288 · PMID:24412819 · PMC4463305
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This pictorial essay reviews the radiological appearances of primary lymphomas in the female genital tract, emphasizing that definitive diagnosis requires integrating clinical, radiological, and pathological data. The authors describe imaging features across ultrasonography, computed tomography, and magnetic resonance imaging, noting that solid, well-defined homogeneous masses without necrosis or diffuse infiltration with preserved architecture may suggest lymphoma over other malignancies. Because treatment for lymphoma is typically nonsurgical, recognizing these patterns allows radiologists to alter the clinical approach from surgical intervention to medical management. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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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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| Nome: | Descrição: | Tamanho: | Formato: | | |---|---|---|---|---| | 406.74 KB | Adobe PDF | Orientador(es) Resumo(s) 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. Descrição Palavras-chave Contexto Educativo Citação Mónica Alexandra Alves Vieira; Teresa Margarida Cunha. Primary Lymphomas of the Female Genital Tract: Imaging Findings, Diagnostic and Interventional Radiology, 20, 2, 110-115, 2014.

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