Malignant Lymphoma of the pelvis ? A case report

Malignant Lymphoma is uncommon in female genital tract. A rare presentation of Malignant Lymphoma of the vagina has been reported here. A 61 years old woman presented with postmenopausal bleeding of 10 days duration. On examination per vaginum, the patient had firm nodular infiltrative growth involving entire posterior vaginal wall and full thickness of recto-vaginal septum. Bleeding ulcer was seen at the superior part of the growth which is extending up to introitus. Cervix was free. Per rectal examination showed infiltration of anterior rectal wall. There was no lymphadenopathy or hepato-splenomegaly. C.T. Scan of abdomen revealed a large malignant soft tissue tumor involving the walls of vagina and infiltrating the rectum. Histopathology of the tumor revealed Diffuse Histiocytic lymphoma.