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Mane S, Phatak S, Dhok A, Shaikh AS. Primary Testicular Non-Hodgkin's Lymphoma With Bilateral Adrenal Metastasis: A Rare Presentation. Cureus 2023; 15:e43766. [PMID: 37727197 PMCID: PMC10506857 DOI: 10.7759/cureus.43766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2023] [Indexed: 09/21/2023] Open
Abstract
Primary testicular lymphoma is the common testicular neoplasm in patients aged more than 65 years. It accounts for a small number of cases of adult testicular malignancies. Though the metastasis to bone marrow, liver, and central nervous system are well known, metastasis to adrenal glands is a very rare entity. It can be mistaken as a germ cell tumor or a dual malignancy. To rule out other causes, a multidisciplinary approach is required. Here, we present a rare case of primary testicular Non-Hodgkin's lymphoma with bilateral adrenal metastasis.
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Affiliation(s)
- Sanket Mane
- Radiodiagnosis, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, IND
| | - Suresh Phatak
- Radiodiagnosis, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, IND
| | - Avinash Dhok
- Radiodiagnosis, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, IND
| | - Azhar S Shaikh
- Radiodiagnosis, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, IND
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2
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Aminde JA, Adze NE, Dedino GA, Aminde LN. Acute kidney injury as initial presentation of renal lymphoma: Diagnostic and therapeutic challenges in a resource-limited setting. SAGE Open Med Case Rep 2019; 7:2050313X19845251. [PMID: 31065357 PMCID: PMC6487745 DOI: 10.1177/2050313x19845251] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 03/27/2019] [Indexed: 01/05/2023] Open
Abstract
Non-Hodgkin’s lymphoma is reportedly common in Africa; however, there is limited data on renal involvement. Acute kidney injury only at presentation is rare for lymphoproliferative malignancies. A 7-year old presented to our facility with a 2-week history of progressive abdominal distension and pain, examination revealed anasarca and hypertension. On further evaluation, there were bilateral nephromegaly, acute kidney injury (AKI) and cytomorphological findings suggestive of lymphoma. Patient management was mostly supportive, and evolution was unfavourable leading to his demise. We discuss diagnostic and therapeutic challenges due to unavailability of state-of-the-art facilities in resource-constrained settings.
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Affiliation(s)
- Jeannine Anyingu Aminde
- Faculty of Health Sciences, University of Buea, Buea, Cameroon.,Etoug-Ebe Baptist Hospital, Yaounde, Cameroon
| | - Nkweta Eugene Adze
- Baptist Institute of Health Sciences, Mbingo, Cameroon.,Mbingo Baptist Hospital, Mbingo, Cameroon
| | | | - Leopold Ndemnge Aminde
- Clinical Research Education, Networking and Consultancy (CRENC), Douala, Cameroon.,School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia
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3
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Marcucci M, Marcucci G, Cordeiro MS, León JE, Araujo JP, de Oliveira JX, Santos KCP. Mantle cell lymphoma: involvement of nodal and extranodal sites in the head and neck, with multifocal oral lesions. Autops Case Rep 2017; 7:26-31. [PMID: 29043207 PMCID: PMC5634431 DOI: 10.4322/acr.2017.030] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Accepted: 08/16/2017] [Indexed: 11/23/2022] Open
Abstract
Mantle cell lymphoma (MCL) is a malignant B-cell neoplasm, which comprises monomorphic and small- to medium-sized mantle zone-derived lymphoid cells. It is characterized by chromosomal translocation t(11;14)(q13;q32) and CCND1 truncation, resulting in cell cycle deregulation. It is an aggressive type of non-Hodgkin lymphoma with a propensity to present with extranodal involvement. This study shows the case of an 80-year-old Caucasian male who complained of a 2-month progressive swelling on the right side of his face. The magnetic resonance imaging exam showed multifocal involvement of the head and neck, including oral manifestations, bilateral parotid glands, palate, tongue, and floor of the mouth. An incisional biopsy of the tumor mass was performed. The morphological and immunophenotypic findings were consistent with the diagnosis of MCL. The patient died 4 months later, without any chance of undergoing a therapeutic approach. Although MCL is a rare condition, it should be subjected to a differential diagnosis when affecting the maxillofacial area. Imaging exams and both immunohistochemical and morphological analyses are needed to reach the correct diagnosis. Here, we present an unusual MCL with multifocal involvement of the head and neck.
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Affiliation(s)
- Marcelo Marcucci
- Hospital Heliópolis, Department of Stomatology. São Paulo, SP, Brazil
| | - Gilberto Marcucci
- University of São Paulo (USP), School of Dentistry, Department of Stomatology, Discipline of Clinical Stomatology. São Paulo, SP, Brazil
| | - Mirna Scalon Cordeiro
- Triângulo University Center, School of Dentistry, Department of Stomatology, Discipline of Oral Radiology. Uberlândia, MG, Brazil
| | - Jorge Esquiche León
- University of São Paulo (USP), School of Dentistry of Ribeirão Preto, Department of Stomatology Public Oral Health and Forensic Dentistry, Discipline of Oral Pathology. Ribeirão Preto, SP, Brazil
| | - Juliane Piragine Araujo
- University of São Paulo (USP), School of Dentistry, Department of Stomatology, Discipline of Radiology. São Paulo, SP, Brazil
| | - Jefferson Xavier de Oliveira
- University of São Paulo (USP), School of Dentistry, Department of Stomatology, Discipline of Radiology. São Paulo, SP, Brazil
| | - Karina Cecília Panelli Santos
- University of São Paulo (USP), School of Dentistry, Department of Stomatology, Discipline of Radiology. São Paulo, SP, Brazil
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4
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Gleeson JP, Woods GB, Watson GA, Ryan J, Doyle E, Quinn F, O'Keane JC, McCaffrey JA. Synchronous diffuse large B cell lymphomas of the endometrium and breast: a staging dilemma. Ir J Med Sci 2017; 186:867-73. [PMID: 28470353 DOI: 10.1007/s11845-017-1599-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Accepted: 03/24/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND A 66 years old presented with abnormal postmenopausal vaginal bleeding and was diagnosed with an endometrial lymphoma (diffuse large B cell type, DLBCL). A left breast lesion was found on PET CT which was subsequently biopsy-proven as a separate stage IE DLBCL, but she had no lymph node, bone marrow or spleen involvement. AIMS This study aimed to review the available literature and discuss the management and staging of synchronous extra-nodal DLBCL's. RESULTS Our patient was staged as having synchronous stage IE DLBCL's of the endometrium and breast. Subsequent molecular analysis (IgH gene rearrangement analysis) on both lesions, confirmed the two lesions to be clonally unrelated. CONCLUSIONS Staging of synchronous extra-nodal lymphomas, particularly when they arise in rare sites such as the endometrium and breast, is difficult and previously unreported. We present our rationale for defining our patient's disease as synchronous stage IE DLBCL's.
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Erdoğmuş Ş, Aktürk S, Kendi Çelebi Z, Kiremitçi S, Kaygusuz G, Altınbaş NK, Üstüner E, Keven K. Diffuse Large B-Cell Lymphoma Presenting with Bilateral Renal Masses and Hematuria: A Case Report. Turk J Haematol 2016; 33:159-62. [PMID: 27095511 PMCID: PMC5100730 DOI: 10.4274/tjh.2015.0238] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Renal involvement is most often seen in conjunction with multisystemic, disseminated lymphoma either by direct extension from a retroperitoneal mass or via hematogenous spread. Primary lymphoma of the kidney is not a common entity and it is a controversial issue on account of the absence of lymphatic tissues in the normal kidney. In this case report, we describe a 19-year-old male with hematuria, acute kidney injury, and bilateral renal masses due to massive lymphomatous infiltration of the kidneys, which was diagnosed as diffuse large B-cell non-Hodgkin lymphoma by Tru-Cut biopsy.
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Affiliation(s)
- Şiyar Erdoğmuş
- Ankara University Faculty of Medicine, Department of Nephrology, Ankara, Turkey, Phone : +90 312 508 21 68, E-mail :
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6
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Mandal PK, Baul S, Dolai TK. Primary bone lymphoma with multifocal osteolytic lesions: a rare case report with review of literature. Blood Res 2015; 50:256-60. [PMID: 26770955 PMCID: PMC4705053 DOI: 10.5045/br.2015.50.4.256] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Revised: 01/28/2015] [Accepted: 11/12/2015] [Indexed: 11/17/2022] Open
Affiliation(s)
| | - Shuvraneel Baul
- Department of Hematology, NRS Medical College, Kolkata, India
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7
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Dhull VS, Sharma P, Singla S, Khangembam BC, Bal C, Kumar R. Lymphomatous Involvement of Epididymis: Detection and Response Assessment With 18F-FDG PET/CT. Clin Nucl Med 2013; 38:e271-2. [DOI: 10.1097/rlu.0b013e318266cdb0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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8
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Dhull VS, Sharma P, Singla S, Faizi NA, Thulkar S, Bal C, Kumar R. Extensive Extranodal Involvement of Rare Sites in Non Hodgkin's Lymphoma Detected on (18)F- FDG PET-CT: A Case Report. Nucl Med Mol Imaging 2012; 47:125-9. [PMID: 24900093 DOI: 10.1007/s13139-012-0183-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2012] [Revised: 10/16/2012] [Accepted: 10/23/2012] [Indexed: 11/30/2022] Open
Abstract
We present a case of a 23 year-old male treated for Hodgkin's lymphoma who developed diffuse large B-cell lymphoma (DLBCL) 8 years after achieving remission. (18)F-fluorodeoxyglucose positron emission tomography computed tomography ((18)F-FDG PET-CT) was done, which revealed extensive extranodal involvement of bilateral atria, bilateral kidneys, ileo-caecal junction and left testis along with mesenteric and retroperitoneal lymph nodal involvement. Renal and cardiac lesions were not detected by contrast-enhanced CT. Simultaneous lymphomatous involvement of rare sites such as heart, kidneys and testis in a single patient has not been reported before.
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Affiliation(s)
- Varun Singh Dhull
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Punit Sharma
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Suhas Singla
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Nauroze Asghar Faizi
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India ; Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
| | - Sanjay Thulkar
- Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
| | - Chandersekhar Bal
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Rakesh Kumar
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
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9
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Yin Y, Qing F, Li X, DU B, Li N, Li Y. Non-Hodgkin's lymphoma of the testicle and bilateral adrenals detected by (18)F-FDG PET/CT. Exp Ther Med 2011; 2:817-820. [PMID: 22977581 DOI: 10.3892/etm.2011.300] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2011] [Accepted: 05/11/2011] [Indexed: 11/05/2022] Open
Abstract
Lymphoma, particularly non-Hodgkin's lymphoma, may occur in sites other than the lymph nodes, i.e., extranodal lymphoma, which occurs in approximately 40% of total lymphoma cases. However, simultaneous detection of multiple extranodal involvements at presentation is quite uncommon. Here, we report a rare case of a 55-year-old Chinese man with non-Hodgkin's lymphoma of the left testicle and bilateral adrenals as determined by (18)F-FDG PET/CT imaging. FDG PET/ CT has been successfully employed for lymphoma diagnosis, initial staging, restaging and therapy follow-up. It is useful for assessing both nodal and extranodal involvements. In the present case of lymphoma with involvement of the testicle and bilateral adrenals, (18)F-FDG PET/CT played an important role in the diagnosis and assessment of therapeutic response.
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Affiliation(s)
- Yafu Yin
- Department of Nuclear Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, P.R. China
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Abstract
Non-Hodgkin's lymphoma belongs to a group of lymphoid neoplasia that is diverse in the manner of presentation, response to therapy and progress. The most common region for extranodal lymphoma is the gastrointestinal tract while for oral cavity buccal vestibule, posterior hard palate or gingiva is the common site. The maxilla is affected more commonly than the mandible. The oral picture being the sole manifestation highlights the importance of bearing this entity in the differential diagnosis of swelling in the jaws.
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Affiliation(s)
- Shaji Thomas
- Department of Oral & Maxillofacial Surgery, People's College of Dental Sciences and Research Centre, Bhopal, India
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11
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Reuter S, Rahbar K, Busch V, Hillebrand U, Velden J, Pavenstädt H, Schober O, Stegger L. Acute Renal Failure Due to Primary Bilateral Renal Large B-Cell Lymphoma: Diagnostics and Follow-Up by FDG-PET/CT. Clin Nucl Med 2009; 34:722-4. [DOI: 10.1097/rlu.0b013e3181b53a59] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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12
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Papaxoinis G, Fountzilas G, Rontogianni D, Dimopoulos M, Pavlidis N, Tsatalas C, Pectasides D, Xiros N, Economopoulos T. Low-grade mucosa-associated lymphoid tissue lymphoma: a retrospective analysis of 97 patients by the Hellenic Cooperative Oncology Group (HeCOG). Ann Oncol 2008; 19:780-6. [DOI: 10.1093/annonc/mdm529] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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13
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Bal A, Gupta A, Sodhi KS, Das A, Singh S. Multifocal extranodal non-Hodgkin lymphoma involving both the lungs and brain in a child with primary immunodeficiency. J Pediatr Hematol Oncol 2008; 30:317-9. [PMID: 18391703 DOI: 10.1097/MPH.0b013e318161aa3b] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Immunodeficiency is associated with increased susceptibility to infections and B-cell lymphoproliferative disorders, which range from polyclonal proliferations to monoclonal lymphomas. In primary immunodeficiencies, the true incidence of lymphoproliferative disorders has been estimated between 1.4% and 24%. Recurrent or chronic infections resulting in continuous antigen exposure result in abnormal B-cell proliferation and ultimately lymphoma. Immunosuppression leads to increase in likelihood of Epstein-Barr virus-associated malignancies. We report a case of the child with multifocal extranodal non-Hodgkin lymphoma involving both the lungs and brain in a case of primary immunodeficiency.
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Kim B, Oh SY, Lee S, Kwon HC, Kim SH, Hong SH, Kim SS, Kim HJ. Unusual presentation of large B cell lymphoma- bone and stomach- treated with autologous transplantation. Cancer Res Treat 2007; 39:181-4. [PMID: 19746186 DOI: 10.4143/crt.2007.39.4.181] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2007] [Accepted: 11/12/2007] [Indexed: 11/21/2022] Open
Abstract
Extranodal presentation of diffuse large B cell lymphoma (DLBL) is frequently observed in the gastrointestinal tract, CNS, bone, testes and liver. However, the simultaneous detection of multiple extranodal involvement at presentation is quite an uncommon occurrence. In this study, we report on a patient with an uncommon presentation of DLBL, and he had symptoms of left knee joint pain and hematemesis, characterized by bone and stomach involvement. Computed tomography and fluorodeoxyglucose-positron emission tomography (FDG-PET) scanning revealed a rapid, extensive spread to the bones and soft tissues. Subsequent histopathological examination verified the bony and gastric CD20-positive DLBL localization. We diagnosed this case as DLBL of stage IV with an international prognostic index of 3, and classified him into the high intermediate risk group. This patient was treated via chemotherapy with an R-CHOP regimen. After achieving a partial response, the patient received autologous peripheral blood stem cell transplantation. The patient attained partial remission, as shown on the FDG-PET scan, and he displayed improvement of his left femur pain.
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Affiliation(s)
- Bokyung Kim
- Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea
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Papaxoinis G, Papageorgiou S, Rontogianni D, Kaloutsi V, Fountzilas G, Pavlidis N, Dimopoulos M, Tsatalas C, Xiros N, Economopoulos T. Primary gastrointestinal non-Hodgkin's lymphoma: a clinicopathologic study of 128 cases in Greece. A Hellenic Cooperative Oncology Group study (HeCOG). Leuk Lymphoma 2007; 47:2140-6. [PMID: 17071488 DOI: 10.1080/10428190600709226] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
The aim of this retrospective study was to illustrate the clinicopathologic data and the treatment results in patients with primary gastrointestinal tract non-Hodgkin's lymphoma (GI NHL). Among 810 patients with NHL, 128 cases (15.8%) were diagnosed as primary GI tract NHL. There were 79 males and 49 females with median age of 62 years. The most common primary site was the stomach (68%). Overall, 67.2% of the patients were in stages I - II, and 32.8% in stages III - IV. Simultaneous involvement of the GI tract and other extranodal sites was observed in 26 patients (20%). Extranodal marginal zone B-cell lymphoma (MZBL) (i.e., low-grade lymphoma of mucosa-associated lymphoid tissue type) accounted for 48.4% of lymphomas. Aggressive lymphomas (diffuse large B-cell lymphoma [DLBL]) accounted for 44.5%. Eighty-three patients (67.5%) achieved complete response (CR), either by surgery (43/43 patients, 17 with DLBL and 25 with MZBL) or by primary chemotherapy (40/64 patients, 22 with DLBL and 17 with MZBL). Sixty-two patients remain in CR; 33/43 after surgical resection (13/17 with DLBL and 20/25 patients with MZBL), and 29/40 after only chemotherapy (18/22 with DLBL and 10/17 with MZBL). The major prognostic factor for outcome in the present study was the stage of the disease. Patients with localized lymphoma (stage I and II) had significantly longer DFS and OS (DFS and OS at 3-year: 83% and 87%, respectively) than patients with extended disease (stage III and IV) (DFS and OS at 3-year: 46% and 60%, respectively) (P < 0.0001). The International Prognostic Index (IPI) for patients with aggressive lymphomas was prognostic only for DFS (79% for low-risk patients [IPI score 0 - 1] vs 49% for higher risk groups [IPI score >1] at 3-year, P = 0.0131).
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Affiliation(s)
- George Papaxoinis
- Second Department of Internal Medicine, Athens University, University General Hospital Attikon, Haidari, Greece.
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Airaghi L, Greco I, Carrabba M, Barcella M, Baldini IM, Bonara P, Goldaniga M, Baldini L. Unusual presentation of large B cell lymphoma: a case report and review of literature. ACTA ACUST UNITED AC 2006; 28:338-42. [PMID: 16999726 DOI: 10.1111/j.1365-2257.2006.00816.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Diffuse large B cell lymphoma (DLBCL) is the largest subtype of non-Hodgkin's lymphomas (NHLs) and is characterized by relatively frequent extranodal presentation. In these cases, the most common extranodal localizations are stomach, CNS, bone, testis and liver. Simultaneous detection of multiple extranodal involvement at presentation is quite uncommon, with the majority of these cases characterized by gastric or intestinal disease localization. Retrospective analysis concerning multifocal extranodal NHLs never pointed out disease features such as those described here. We report a patient with an unusual presentation of DLBCL, characterized by adrenal and renal involvement, associated with symptoms and signs of the cold agglutinin disease and a hypercoagulable state. Subsequently, computed tomography (CT) and fluorodeoxyglucose-positron emission tomography (FDG-PET) scanning disclosed a rapidly extensive spread to nodes and bones. Cytofluorimetric analysis of a renal specimen showed medium-to-large lympho-monocytoid elements positive for CD20 with monoclonal expression of immunoglobulin kappa light chain. Histopathological examination confirmed a renal CD20 positive DLBCL localization.
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MESH Headings
- Adrenal Gland Neoplasms/diagnosis
- Adrenal Gland Neoplasms/pathology
- Anemia, Hemolytic, Autoimmune/etiology
- Biopsy, Needle
- Bone Marrow Examination
- Female
- Humans
- Kidney Neoplasms/diagnosis
- Kidney Neoplasms/pathology
- Lymphoma, B-Cell/diagnosis
- Lymphoma, B-Cell/pathology
- Lymphoma, Large B-Cell, Diffuse/diagnosis
- Lymphoma, Large B-Cell, Diffuse/pathology
- Middle Aged
- Paresthesia/etiology
- Positron-Emission Tomography
- Thrombophilia/etiology
- Tomography, X-Ray Computed
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Affiliation(s)
- L Airaghi
- First Division of Internal Medicine, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli and Regina Elena, Milan, Italy.
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Current Awareness in Hematological Oncology. Hematol Oncol 2006. [DOI: 10.1002/hon.752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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