{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T13:32:16Z","timestamp":1782567136304,"version":"3.54.5"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,12]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2018-227328","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T12:55:26Z","timestamp":1547470526000},"page":"bcr-2018-227328","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Chronic lymphocytic leukaemia masquerading as a labial lump"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9331-4639","authenticated-orcid":false,"given":"Wei How","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Gynaecology, St Vincent\u2019s Hospital, Darlinghurst, New South Wales, Australia"},{"name":"UNSW Medicine, St Vincent\u2019s Clinical School, Darlinghurst, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Mayson","sequence":"additional","affiliation":[{"name":"UNSW Medicine, St Vincent\u2019s Clinical School, Darlinghurst, New South Wales, Australia"},{"name":"Department of Haematology, The Kinghorn Cancer Centre, Darlinghurst, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent P","family":"Lamaro","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, St Vincent\u2019s Hospital, Darlinghurst, New South Wales, Australia"},{"name":"UNSW Medicine, St Vincent\u2019s Clinical School, Darlinghurst, New South Wales, Australia"},{"name":"Clinic 404, St Vincent\u2019s Clinic, Darlinghurst, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,14]]},"reference":[{"key":"2025082709581534000_12.1.bcr-2018-227328.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60456-0"},{"key":"2025082709581534000_12.1.bcr-2018-227328.2","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.12458"},{"key":"2025082709581534000_12.1.bcr-2018-227328.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2004.05982.x"},{"key":"2025082709581534000_12.1.bcr-2018-227328.4","doi-asserted-by":"crossref","first-page":"17008","DOI":"10.1038\/nrdp.2017.8","article-title":"Chronic lymphocytic leukaemia","volume":"3","author":"Kipps","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"2025082709581534000_12.1.bcr-2018-227328.5","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3802\/jgo.2012.23.3.205","article-title":"Unusual involvement of cervix and vulva in a case of chronic lymphocytic leukemia","volume":"23","author":"Udupa","year":"2012","journal-title":"J Gynecol Oncol"},{"key":"2025082709581534000_12.1.bcr-2018-227328.6","first-page":"344","article-title":"Colposcopic and cytologic detection of chronic lymphocytic leukemia in the vagina: a case report","volume":"56","author":"Katsnelson","year":"2011","journal-title":"J Reprod Med"},{"key":"2025082709581534000_12.1.bcr-2018-227328.7","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/0090-8258(89)90118-2","article-title":"Colposcopic and cytologic detection of chronic lymphocytic leukemia","volume":"34","author":"Mikhail","year":"1989","journal-title":"Gynecol Oncol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:58:24Z","timestamp":1756313904000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,14]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bcr-2018-227328"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227328","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}