Journal
MEDICINE
Volume 101, Issue 30, Pages -Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000029353
Keywords
B-Cell; fallopian tube; infertility; lymphoma; marginal zone
Categories
Funding
- National Nature and Science Foundation of China [81701517, 81671438]
- Jiangsu Science & Health Departments [JX10231802, YXZXB2016001]
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Primary extranodal marginal zone B-cell lymphomas of the fallopian tube are extremely rare and pose a great challenge for gynecologists. This case report describes a successful delivery of a healthy baby through IVF-embryo transfer procedures after a series of examinations and surgeries.
Rationale: Primary extranodal marginal zone B-cell lymphomas of the fallopian tube is extremely rare. It is a great challenge for fertility and gynecology doctors to manage such cases and also fulfil the reproductive demands of these young women. Patient concerns: A 30-year-old woman consulted for a 5-year primary infertility. Diagnosis: According to the Ann Arbor staging system, a stage IE extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue lymphoma was diagnosed for this patient based on tumor pathology, bone marrow biopsy, hysteroscopy and whole-body positron emission tomography imaging. She also had endometriosis based on laparoscopy. Interventions: The patient underwent a laparoscopic bilateral salpingostomy without additional surgery or radiotherapy and chemotherapy for fertility preservation, and received 5 months of long-acting gonadotropin releasing hormone agonist treatment for endometriosis. Outcomes: Two years after the surgery, the patient delivered a healthy neonate through in vitro fertilization-embryo transfer procedures. The patient is now 3 years post-op and 1 year post-delivery, long-term follow-up suggested that the patient remained cancer-free up till now. Lessons: More care should be taken when the newly diagnosed mass is combined with a rather high serum CA-125 level. Although endometriosis and ovarian cancer are more common, lymphoma cannot be ruled out.
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