Primary Cervical Lymphoma Mimicking Deep Endometriosis

A 47 year-old female presented with abdominal pain and was found to have a torus uterinus mass causing bilateral hydronephrosis and acute renal failure with a creatinine of 2.98. Bimanual exam revealed a posterior vaginal mass extending to the parametria with obliteration of the posterior cul-de-sac (POD). Speculum exam and Pap smear were normal. Cystoscopy with ureteral biopsy, endometrial biopsy, cervical punch biopsy, and image guided biopsy did not yield a diagnosis. Magnetic resonance imaging (MRI) showed ill-defined T2 hypointense parametrial and torus uterinus soft tissue with regional invasion involving the distal ureters (Figure 1).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecologic Surgery Source Type: research