Pathology & Oncology Research

, Volume 18, Issue 2, pp 519–522 | Cite as

Primary Uterine NK-Cell Lymphoma, Nasal-Type: A Unique Malignancy of a Prominent Cell Type of the Endometrium

  • Gábor Méhes
  • Katalin Hegyi
  • Tamás Csonka
  • Ferenc Fazakas
  • Zsolt Kocsis
  • Gáspár Radványi
  • István Vadnay
  • Enikő Bagdi
  • László Krenács
Case Report

Abstract

Natural killer (NK) cells host in the human endometrium with dedicated role in reproductive physiology. Interestingly, malignant transformation of these specialized cells has not been presented thus far. Here we report a primary endometrial NK-cell lymphoma of a 48 year-old patient presenting with irregular bleeding. The endometrial curetting showed a dense lymphomatous infiltrate demonstrating highly infiltrative aggressive features with characteristic angiocentric, partially angiodestructive growth pattern and accompanying focal necroses. The lymphoma cells displayed a CD3ε/CD56/TIA-1/granzyme-B-positive and CD5/CD4/CD8/TCRγδ-negative immunophenotype, proved to be positive for Epstein-Barr virus by EBER in situ hybridization, and revealed no clonal T-cell receptor gene rearrangement. The diagnosis of uterine extranodal NK-cell lymphoma, nasal-type was made. Clinically, the disease was limited to the uterus at diagnosis, but progressed rapidly, and the patient died within 5 months due disseminated lymphoma, irrespective of intensive chemotherapy. Genuine NK-cell lymphomas occurring in the uterus as primary site seem to be rare making the therapeutic decisions extremely complicated.

Keywords

Aggressive lymphoma Uterine NK-cells Angiogenesis EBV Dissemination 

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Copyright information

© Arányi Lajos Foundation 2011

Authors and Affiliations

  • Gábor Méhes
    • 1
  • Katalin Hegyi
    • 1
  • Tamás Csonka
    • 1
  • Ferenc Fazakas
    • 1
  • Zsolt Kocsis
    • 2
  • Gáspár Radványi
    • 3
  • István Vadnay
    • 4
  • Enikő Bagdi
    • 5
  • László Krenács
    • 5
  1. 1.Department of PathologyUniversity of DebrecenDebrecenHungary
  2. 2.Department of PathologyCity HospitalKazincbarcikaHungary
  3. 3.Department of HematologySemmelweis HospitalMiskolcHungary
  4. 4.Department of PathologySemmelweis HospitalMiskolcHungary
  5. 5.Laboratory of Tumor Pathology and Molecular DiagnosticsSzegedHungary

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