Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases

<b>Background:</b> Diagnoses of primary gynecologic (GYN) lymphomas are rare and require a high clinical index of suspicion, with only case reports and case series being presented. The aim of this study is to assess and record the pathological distinction of primary GYN lymphomas at two...

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Main Authors: Haneen Al-Maghrabi, Jaudah Al-Maghrabi
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/8/1016
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author Haneen Al-Maghrabi
Jaudah Al-Maghrabi
author_facet Haneen Al-Maghrabi
Jaudah Al-Maghrabi
author_sort Haneen Al-Maghrabi
collection DOAJ
description <b>Background:</b> Diagnoses of primary gynecologic (GYN) lymphomas are rare and require a high clinical index of suspicion, with only case reports and case series being presented. The aim of this study is to assess and record the pathological distinction of primary GYN lymphomas at two tertiary hospitals. <b>Materials and Methods:</b> We retrieved all cases diagnosed from 2000 to 2024, reviewed histopathology slides, and performed additional extra immunohistochemistry staining for required cases. In addition, follow-up information available up to the point of writing this study was gathered. <b>Results:</b> The records of two hospitals indicated 15 instances of primary GYN lymphoma in patients aged between 18 and 79. Only one patient was human immunodeficiency virus (HIV)-positive. Symptoms in most cases were non-specific, and most of the patients presented with the primary complaint of unexplained bleeding. A total of 13 cases were classified as diffuse large B-cell lymphoma (DLBCL), 1 as acute B-lymphoblastic lymphoma (B-LBL), and 1 as Burkitt lymphoma (BL). <b>Conclusions:</b> Primary lymphoma of the GYN tract is a rare disease, with DLBCL being the most prevalent type in our area. Our review, based on experiences from two large tertiary centers in the western region of Saudi Arabia, aims to contribute to this effort. The reporting of additional cases of primary GYN lymphoma is needed, which may aid in a better understanding of its pathogenesis as well as enhancing diagnosis and treatment outcomes.
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spelling doaj-art-e4d1995868404c96b285c73b87e4e0532025-08-20T02:28:33ZengMDPI AGDiagnostics2075-44182025-04-01158101610.3390/diagnostics15081016Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 CasesHaneen Al-Maghrabi0Jaudah Al-Maghrabi1Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center, Jeddah 23433, Saudi ArabiaDepartment of Pathology, Faculty of Medicine, King Abdulaziz University, Jeddah 23433, Saudi Arabia<b>Background:</b> Diagnoses of primary gynecologic (GYN) lymphomas are rare and require a high clinical index of suspicion, with only case reports and case series being presented. The aim of this study is to assess and record the pathological distinction of primary GYN lymphomas at two tertiary hospitals. <b>Materials and Methods:</b> We retrieved all cases diagnosed from 2000 to 2024, reviewed histopathology slides, and performed additional extra immunohistochemistry staining for required cases. In addition, follow-up information available up to the point of writing this study was gathered. <b>Results:</b> The records of two hospitals indicated 15 instances of primary GYN lymphoma in patients aged between 18 and 79. Only one patient was human immunodeficiency virus (HIV)-positive. Symptoms in most cases were non-specific, and most of the patients presented with the primary complaint of unexplained bleeding. A total of 13 cases were classified as diffuse large B-cell lymphoma (DLBCL), 1 as acute B-lymphoblastic lymphoma (B-LBL), and 1 as Burkitt lymphoma (BL). <b>Conclusions:</b> Primary lymphoma of the GYN tract is a rare disease, with DLBCL being the most prevalent type in our area. Our review, based on experiences from two large tertiary centers in the western region of Saudi Arabia, aims to contribute to this effort. The reporting of additional cases of primary GYN lymphoma is needed, which may aid in a better understanding of its pathogenesis as well as enhancing diagnosis and treatment outcomes.https://www.mdpi.com/2075-4418/15/8/1016Burkitt lymphomadiffuse large B-cell lymphomaimmunohistochemistryprimary gynecologic lymphoma
spellingShingle Haneen Al-Maghrabi
Jaudah Al-Maghrabi
Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases
Diagnostics
Burkitt lymphoma
diffuse large B-cell lymphoma
immunohistochemistry
primary gynecologic lymphoma
title Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases
title_full Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases
title_fullStr Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases
title_full_unstemmed Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases
title_short Primary Lymphoma of the Gynecologic Tract: A Comprehensive Pathologic Analysis of 15 Cases
title_sort primary lymphoma of the gynecologic tract a comprehensive pathologic analysis of 15 cases
topic Burkitt lymphoma
diffuse large B-cell lymphoma
immunohistochemistry
primary gynecologic lymphoma
url https://www.mdpi.com/2075-4418/15/8/1016
work_keys_str_mv AT haneenalmaghrabi primarylymphomaofthegynecologictractacomprehensivepathologicanalysisof15cases
AT jaudahalmaghrabi primarylymphomaofthegynecologictractacomprehensivepathologicanalysisof15cases