B-Cell Lymphoblastic Lymphoma in Relapse Presenting as a Uterine Mass: A Case Report and Review of Literature

• Main Authors: Rim Abou Chakra, Bernard Najib, Wael Abdallah, Mira Akiki, Lea El Khoury, Ali Atoui, Malak Moubarak, David Atallah
• Format: Article
• Language: English
• Published: Karger Publishers 2021-06-01
• Series: Case Reports in Oncology
• Subjects: lymphoblastic lymphoma; leiomyosarcoma; uterine mass
• Online Access: https://www.karger.com/Article/FullText/515196

B-cell lymphoblastic lymphoma (LBL) is a highly aggressive malignant proliferation of lymphoblasts of B-origin grouped with acute lymphoblastic leukemia. Multiple studies demonstrated the various sites of involvement in adult LBL. The involvement of the uterus as a site of relapse for such disease is rare. We herein report the case of relapsed B-cell LBL mimicking endometrial sarcoma. The patient is a 56-year-old female patient known to have B-cell LBL on chemotherapy. She presented with abdominal pain and fever. Positron emission tomodensitometry-computed tomography showed the presence of a uterine mass with bilateral iliac lymph node involvement. She underwent surgery with mass removal and pathology showed relapsed B-cell LBL.