HIV Associated Non-Hodgkin’s Lymphoma of the Ovary

Bangera, Yogesh K.; Shetty, Darshit P.; Sethu, Saritha; Pai, Pushpalatha

doi:10.1007/s13224-011-0074-z

Cited by 4 publications

(5 citation statements)

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“…They document that several patients from low- and middle-income countries (LMICs) could not afford standard NHL combination chemotherapy and highly active antiretroviral therapy (HAART). Bangera et al [ 17 ] present a similar case where the patient underwent surgical de-bulking but refused chemotherapy. Both these patients with HIV-associated NHL succumbed to death within a year of diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Projected trends of NHL burden in India show a steady progression from 2012 through 2035 [ 4 ]. Affordability of the current standard of NHL management is challenging for many patients in India; in our hospital, we had one patient who could not afford rituximab based regimen, and in our literature review, there were two patients with HIV-associated primary ovarian NHL, both succumbed to the disease without treatment [ 16 , 17 ]. In April 2004, the government of India, under the National AIDS Control Program (NACO), initiated free anti-retroviral drugs [ 20 ] for all HIV/acquired immunodeficiency syndrome (AIDS) patients.…”

Section: Discussionmentioning

confidence: 99%

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Primary Ovarian Non-Hodgkin’s Lymphoma: An 18-year Retrospective Institutional Study and Review of Literature from India

Rajendran¹,

Kini²,

Prasad³

2023

Cureus

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Background: Primary lymphomas of the female reproductive tract are rare and the ovarian extranodal presentation of non-Hodgkin's lymphoma (NHL) accounts for only 0.5% of all NHLs and 1.5% of all ovarian malignancies. Methods: We retrospectively reviewed the institutional medical oncology database for newly diagnosed NHL cases between 1999 and 2017. We aimed to study the clinical characteristics, pathology, and outcome of primary ovarian non-Hodgkin’s lymphoma (NHL) cases presented to our institution. Results: We identified three patients (3.7% of extranodal NHLs and 0.85% of all NHL patients) with primary ovarian NHL from 350 NHL patient records. They underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy followed by six to eight cycles of (rituximab, adriamycin, cyclophosphamide, vincristine, prednisolone (R-CHOP/CHOP), and they attained complete remission. Conclusion: Given the heterogeneity of cancer incidence in India and the absence of state-wise cancer registries, our study argues a pressing need to develop a national representative registry for NHL for accurate incidence, mortality, and survival data. Additionally, fertility preservation is an important issue that must be discussed with women of fertile age and the parents of children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary Ovarian Non-Hodgkin’s Lymphoma: An 18-year Retrospective Institutional Study and Review of Literature from India

Rajendran¹,

Kini²,

Prasad³

2023

Cureus

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“…A highly friable right ovarian mass was found and hysterectomy and bilateral salpingoophorectomy was done. Patient came back with a recurrence day 17 post operatively and she refused further treatment [9]. The incidence of NHL in patients with HIV infection greatly exceeds that of the general population.…”

Section: Discussionmentioning

confidence: 99%

Large B cell lymphoma presenting as an adnexal mass in an HIV positive patient: a case report

Hukuimwe¹,

Ziruma²,

Gidiri³

et al. 2019

Pan Afr Med J

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We present a 34-year-old HIV positive woman who presented with a 2-month history of abdominal pain, abdominal distension, night sweats and fever. She had a firm, immobile and irregular abdominopelvic mass of about 30 weeks uterine size. Investigations showed a haemoglobin of 6.5g/dl, (NR 12-14) cancer antigen 125 of 44U/ml (NR 0-35), serum beta human chorionic gonadotropin (HCG) of 0.258mIU/ml (NR 0-5) and alpha fetoprotein of 7ng/ml (NR <10). Her CD4 count was 63cells/mm3. At laparotomy there was a left ovarian mass and the rest of the abdomen and omentum looked grossly normal, leading to the conclusion that the primary was in the ovaries. A total abdominal hysterectomy, bilateral adnexectomy and infracolic omentectomy were done. Sigmoidectomy and Hartmann's procedure were also performed. Histology of the specimens showed a large B cell lymphoma. She has since been commenced on chemotherapy and antiretroviral therapy and has been doing well.

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“…Nakazuru et al [11] reported an unusual case of a HIV-associated duodenal lymphoma, which presented with melena. Gynaecological occurrences of lymphoma in HIV positive patients are less common although there is a case report of a HIV-associated lymphoma of the ovary [12] . The origin of the lymphoma in this case was unclear, although gastrointestinal seems the most likely.…”

Section: Discussionmentioning

confidence: 99%

Right iliac fossa lymphoma in an HIV positive patient: A diagnostic dilemma

Sinnott

Natin

Foster

2016

International Journal of Surgery Case Reports

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HighlightsAn association has been established between HIV and lymphoma.Lymphoma can present with non-specific or unusual symptoms.Lymphoma can also present in patients with well-controlled HIV.Lymphoma in HIV patients is an important differential but is often diagnosed at a late stage in the UK.It is important that suspicion of lymphoma is raised in patients with HIV.It is important that a multidisciplinary approach to diagnosis is taken early on to allow prompt management of this condition

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HIV Associated Non-Hodgkin’s Lymphoma of the Ovary

Cited by 4 publications

References 3 publications

Primary Ovarian Non-Hodgkin’s Lymphoma: An 18-year Retrospective Institutional Study and Review of Literature from India

Primary Ovarian Non-Hodgkin’s Lymphoma: An 18-year Retrospective Institutional Study and Review of Literature from India

Large B cell lymphoma presenting as an adnexal mass in an HIV positive patient: a case report

Right iliac fossa lymphoma in an HIV positive patient: A diagnostic dilemma

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