Open AccessOvarian lymphoma in a patient on long-term sulfasalazine for ulcerative colitis
Author(s) -
Athula Kaluarachchi,
B G I K Bambaranda,
U G Jayawardena,
H J De Silva,
S M A Matwani,
U Rameshkumar
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_886_19
Subject(s) - medicine , ulcerative colitis , lymphoma , sulfasalazine , chemotherapy , pancolitis , chop , abdominal pain , radiology , gastroenterology , surgery , colonoscopy , disease , colorectal cancer , cancer
We report a case of ovarian lymphoma in a 59 year old woman with ulcerative colitis for over 20 years. She presented with intermittent high fever and right sided abdominal pain for 3 weeks. An ultrasound scan and CT scan revealed a right adnexal mass measuring 71 X 54 mm which was well defined with a thick wall and internal septations and enlarged pelvic and para aortic lymph nodes. The patient underwent bilateral salpingo oophorectomy and omentectomy. Histology confirmed a diffuse large B cell Non Hodgkin's lymphoma and she was referred for chemotherapy. After 6 cycles of chemotherapy she showed a good response. Lymphoma of the gastrointestinal tract arising in a background of ulcerative colitis has been known to occur, ovarian lymphoma with a background of ulcerative colitis has not been reported.