Metastatic mantle cell lymphoma presenting as a vaginal mass. A case report.
BACKGROUND
Vaginal masses are an uncommon finding in well-woman gynecologic examinations. The differential diagnosis includes cysts, leiomyomata, ectopic ureteroceles, infected granuloma, and malignancy.


METHODS
A 74-year-old woman with a history of mantle cell lymphoma was referred for vaginal prolapse. Examination revealed a vaginal mass, with MRI confirming 3 masses. Fine needle aspiration confirmed metastatic mantle cell lymphoma which later regressed with radiation therapy.


CONCLUSIONS
Although vaginal masses are often rare and incidental findings during routine gynecologic examinations, a comprehensive differential diagnosis is required to avoid delays in treatment. Fine needle aspiration should be included as part of the arsenal of diagnostic tools because of its low cost and the ease with which it can be performed in a clinical setting.
Bujor
Alexandra
A
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305, USA. bujora@stanford.edu
Chen
Bertha
B
D000368:Aged; D044963:Biopsy, Fine-Needle; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D020522:Lymphoma, Mantle-Cell / Q000473:pathology* / Q000532:radiotherapy; D014625:Vaginal Neoplasms / Q000532:radiotherapy / Q000556:secondary*