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DISSEMINATED B CELL LYMPHOMA OF THE URETHRA- A CAUSE OF UPPER BACK PAIN AND ACUTE URINARY RETENTION OF A FEMALE



Abstract

Introduction: Primary manifestation of Non Hodgkin’s lymphoma in the urinary tract has been sporadically reported [1,2,3,4,5]. 2.7% of extra nodal Non Hodgkin Lymphoma manifest in urinary tract and commonly disseminate in the vertebrae. We report an unusual presentation of primary B cell lymphoma, presenting as upper back pain and acute retention of urine in a female. To our knowledge it has never been repoted in the literature.

Material: Illustrative Case report of a 63 years non smoker retired old female presented to us with a history of acute urinary retention and back pain.

Discussion: Upper back pain and urinary retention in a female is very uncommon presentation. It may be associated with sinister pathology. In our case study extra nodal manifestation of B cell lymphoma in the female urethra with dissemination and its rare clinical presentation is unique early diagnosis and multidisciplinary involvement is essential.

Correspondence should be addressed to Ms Alison McGregor, c/o BOA, SBPR at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.

Reference:

1 Inuzuka S, et al Primary malignant lymphoma of the female urethra. Anticancer Res.2003 May–Jun; 23(3C): 2925–7. Google Scholar

2 Masuda A, et al. Primary mucosa-associated lymphoid tissue (MALT) lymphoma arising from the male urethra. case report and review of the literature. Pathol Res Pract. 2002; 198(8):571–5. Google Scholar

3 Lemos N, Melo CR, Soares IC, Lemos RR, Lemos FR. Plasmacytoma of the urethra treated by excisional biopsy. Scand J Urol Nephrol.2000 Feb; 34(1):75–6 Google Scholar

4 Shimizu Y, Ogawa O, Terachi T, Okada Y, Yoshida O. A case of primary urethral lymphoma presenting as a huge mass surrounding the female urethra Hinyokika Kiyo. 1997 Mar; 43(3):229–32 Google Scholar