Non-Hodgkin′s lymphoma presenting as an ovarian mass

Involvement of the ovary by malignant lymphoma is a well-known late manifestation of disseminated nodal disease. Lymphoma presenting with ovarian mass as an initial manifestation is a rare entity and may cause confusion for the clinician since its presentation might resemble other, much more frequent primary ovarian tumors. We present a case of non-Hodgkin′s lymphoma where the initial presentation was an ovarian tumor. The patient underwent surgery and was receiving chemotherapy when she developed generalized lymphadenopathy. She did not respond well to the therapy, had a progressive disease and expired after 5 months.