Urinary Frequency as a Presentation of Bulky Malignant Lymphoma in the Pelvis. (25th February 2013)

• Record Type: Journal Article
• Authors: Takase, Yasukazu; Kodama, Koichi; Motoi, Isamu; Terasaki, Yasushi; Saito, Katsuhiko
• Other Names: Chiang P. H. Academic Editor.; Gearhart J. P. Academic Editor.; Marte A. Academic Editor.
• Is Part Of: Case reports in urology. Volume 2013(2013)
• Publication Date: 2013-02-25
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2013/106820
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : Malignant lymphomas may originate from any area of the body and cause a variety of symptoms. However, a malignant lymphoma causing urinary symptoms is uncommon. We report a unique case of a 77-year-old woman who presented with a persistent pollakiuria. Radiographic imaging showed a large pelvic mass (13 × 13 × 11 cm) remarkably compressing and invading the bladder wall and accompanied with bilateral hydronephrosis. Urinary cytology revealed malignant lymphoma, and a final diagnosis of malignant lymphoma was made on the basis of transvaginal needle biopsy. Urinary cytology facilitated the definite diagnosis, following which we initiated a rapid and successful treatment with cyclophosphamide, doxorubicin, vincristine, and prednisone with rituximab.