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Chronic lymphocytic leukaemia masquerading as a labial lump
  1. Wei How Lim1,2,
  2. Eleni Mayson2,3 and
  3. Vincent P Lamaro1,2,4
  1. 1 Department of Gynaecology, St Vincent’s Hospital, Darlinghurst, New South Wales, Australia
  2. 2 UNSW Medicine, St Vincent’s Clinical School, Darlinghurst, New South Wales, Australia
  3. 3 Department of Haematology, The Kinghorn Cancer Centre, Darlinghurst, New South Wales, Australia
  4. 4 Clinic 404, St Vincent’s Clinic, Darlinghurst, New South Wales, Australia
  1. Correspondence to Dr Wei How Lim, weihowlim{at}


We report a case of an 82-year-old woman who presented with a 2-week history of a left labial lump. She had a history of chronic lymphocytic leukaemia (CLL) for several years and remained stable without clinical evidence of disease progression. She was observed with regular blood tests and clinical assessment. She was hypogammaglobulinaemic from the CLL and due to frequent symptomatic infections requiring hospitalisation, was commenced on monthly intravenous immunoglobulin. A tissue biopsy of the labial lump confirmed involved CLL in the genital area and further investigations and management followed.

  • malignant and benign haematology
  • obstetrics and gynaecology
  • pathology

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  • Contributors All three authors were directly involved in the clinical care of the patient illustrated in the manuscript. WHL obtained informed consent from the patient and wrote the manuscript. Both EM and VPL reviewed and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.