DOI: 10.36347/sjmcr.2014.v02i01.026

Pages: 64-67

Here we have presented a case of ovarian Burkitt lymphoma. A 7 year old girl presented with ascites and fever for last two weeks. On Abdominal computer tomography (CT) a solid right ovarian mass was detected measuring 6 cm in greatest dimension. Omental deposits were also found. This patient underwent oopherectomy. We prepared the scrape smears from the ovarian mass and stained by Leishman-Giemsa, Hematoxylin and Eosin (H&E) and papanicolaou (Pap) stain. Smears showed high cellularity, mostly composed of monomorphic, small, non-cleaved cells. Few of them showed cytoplasmic vacuolation. Occasional macrophages were also noted. A provisional diagnosis of Non- Hodgkin’s lymphoma probably Burkitt’s lymphoma was suggested based on the cytomorphological features. Later histopathological correlation was performed which confirmed the cytological diagnosis of Burkitt’s lymphoma. We concluded that intraoperative scrape cytology can be a cheap yet rapid alternative of costly frozen section method for the diagnosis of ovarian lymphoma.