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Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 442-444

Ovarian lymphoma in a patient on long-term sulfasalazine for ulcerative colitis

1 Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
2 Department of Medicine, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka

Correspondence Address:
Dr. Athula Kaluarachchi
Faculty of Medicine, University of Colombo, Colombo
Sri Lanka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_886_19

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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.

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