101
|
Teo E, Brennan C, Cooper JE, Roberts-Thomson IC. Images of interest. Gastrointestinal: white small bowel, macroglobulinemia and splenic marginal-zone lymphoma. J Gastroenterol Hepatol 2005; 20:1620. [PMID: 16174087 DOI: 10.1111/j.1440-1746.2005.04118.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
|
102
|
Polisson RP, Crocker JT, Mueller PR, Harris NL, Duncan LM. Case records of the Massachusetts General Hospital. Case 29-2005. A 68-year-old man with periorbital swelling, rash, and weakness. N Engl J Med 2005; 353:1275-84. [PMID: 16177254 DOI: 10.1056/nejmcpc059025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
MESH Headings
- Aged
- Blood Chemical Analysis
- Dermatomyositis/diagnosis
- Dermatomyositis/etiology
- Diagnosis, Differential
- Edema/etiology
- Exanthema/etiology
- Eye Diseases/etiology
- Humans
- Lymphoma, B-Cell/complications
- Lymphoma, B-Cell/diagnosis
- Lymphoma, B-Cell/pathology
- Lymphoma, Large B-Cell, Diffuse/complications
- Lymphoma, Large B-Cell, Diffuse/diagnosis
- Lymphoma, Large B-Cell, Diffuse/pathology
- Male
- Muscle Weakness/etiology
- Muscle, Skeletal/pathology
- Radiography
- Skin/pathology
- Spleen/diagnostic imaging
- Spleen/pathology
- Splenic Neoplasms/complications
- Splenic Neoplasms/diagnosis
- Splenic Neoplasms/pathology
- Ultrasonography
Collapse
|
103
|
Krapohl BD, Kömürcü F, Deutinger M. Spleen rupture due to metastasis of thin melanoma (Breslow thickness of 0.75 mm). Melanoma Res 2005; 15:135. [PMID: 15846148 DOI: 10.1097/00008390-200504000-00009] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
104
|
Erçin C, Gürbüz Y, Hacihanefioğlu A, Turgut Karakaya A. Multiple littoral cell angioma of the spleen in a case of myelodysplastic syndrome. Hematology 2005; 10:141-4. [PMID: 16019460 DOI: 10.1080/10245330400026121] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Littoral cell angioma (LCA) of the spleen is a relatively recently described rare entity, which is associated with haemophagocytosis. In this case report, we will present a case of myelodysplastic syndrome with multiple LCA of the spleen. The patient presented with pancytopenia and multiple haemangiomas were observed in spleen during diagnostic abdominal ultrasound. She required a transfusion of one to two units of packed blood every 4-6 weeks and she eventually underwent a splenectomy in order to decrease the transfusion requirement. Although the patient's pancytopenia improved after surgery, the patient did not achieve a normal haemoglobin level in the two years following the splenectomy. Following further studies, bone marrow aspiration was undertaken and demonstrated minimal dysplasia in erythroid series including nuclear abnormalities, irregular cytoplasmic borders and irregular staining of the cytoplasm. The patient was diagnosed as myelodysplastic syndrome. As LCA of the spleen and myelodysplastic syndrome may both cause cytopenia their co-existence may complicate the clinical presentation leading to an incomplete or inappropriate diagnosis. In cases of haematological disorders with an atypical course, the radiological examination of the spleen should be considered and the possibility of angiomas must be included to the differential diagnosis.
Collapse
|
105
|
Chen JH, Chan DC, Lee HS, Liu HD, Hsieh CB, Yu JC, Liu YC, Chen CJ. Spontaneous splenic rupture associated with hepatosplenic gammadelta T-cell lymphoma. J Formos Med Assoc 2005; 104:593-6. [PMID: 16193182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023] Open
Abstract
Spontaneous splenic rupture is an uncommon but life-threatening complication of hematologic malignancies, despite the frequent involvement of the spleen in these diseases. It has been reported in patients with acute and chronic leukemia, Hodgkin's disease, non-Hodgkin's lymphoma, and histiocytic lymphoma. A 50-year-old previously healthy man presented with acute symptoms of spontaneous splenic rupture. Emergency splenectomy with liver biopsy was performed. The clinicopathologic features suggested a hepatosplenic gammadelta T-cell lymphoma (HSgammadeltaTL). Here, we report a rare case of spontaneous splenic rupture associated with HSgammadeltaTL, unspecified in the World Health Organization classification.
Collapse
|
106
|
Colović N, Miljić P, Colović M, Milosević-Jovcić N. Multiple M components in two patients with splenic lymphoma with villous lymphocytes. Ann Hematol 2005; 85:51-4. [PMID: 16007426 DOI: 10.1007/s00277-005-1074-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2005] [Accepted: 06/14/2005] [Indexed: 10/25/2022]
Abstract
Splenic lymphoma with villous lymphocytes (SLVL) is a rare lymphoproliferative disorder characterized by the presence of typical lymphoid cells with villous projections and monoclonal immunoglobulin (M-Ig) in about 30% of patients. The simultaneous presence of more than one M-Ig in SLVL has not been reported. We present two patients with SLVL, each with three serum M components associated with the presence of rheumatoid factor (RF) and antiphospholipid antibodies (APLA) together with fatal thromboembolic events. Both patients presented with splenomegaly and typical bone marrow cytology with 30-50% infiltration of lymphoid cells that had the characteristics of villous lymphocytes. Immunohistochemistry of bone marrow histology showed CD20++, CD43-/+, CD5-, IgM+, lambda+ and kappa-. In serum, two M-IgM lambda components were combined with M-IgG lambda in case 1 and with M-IgA lambda in case 2. In both cases, M-IgM displayed RF as well as lupus anticoagulant activity and free monoclonal lambda (lambda) light chains were present. In addition to M-IgM, in case 1 M-IgG also behaved like an APLA. One patient was splenectomized. Both patients suffered thromboembolic complications and died 3 and 8 months after presentation with signs of massive pulmonary thromboembolism.
Collapse
|
107
|
Kulah B, Ozmen MM, Ozer MV, Oruç MT, Coskun F. Outcomes of emergency surgical treatment in malignant bowel obstructions. HEPATO-GASTROENTEROLOGY 2005; 52:1122-7. [PMID: 16001644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
BACKGROUND/AIMS Malignant bowel obstructions are still a challenging problem for surgeons and carry high morbidity and mortality risk. The aim of this study was to review the presentation and outcomes of malignant bowel obstructions and to identify the risk factors related with poor prognosis. METHODOLOGY One hundred and twenty-five patients underwent emergency surgical treatment for malignant obstructions between January 1997 and January 2002. Data included age, sex, past medical history, presenting symptoms; physical findings on admission, American Society of Anesthesiologists (ASA) class, operative details, postoperative complications, length of hospitalization and hospital mortality were reviewed retrospectively. RESULTS Seventy-three (58%) of the patients have poor performance status on admission. Potentially curative resection was performed in 74 (60%) patients. Surgical treatment was palliative in 43 (34%) patients. Extended bowel resections were utilized in 20 (16%) patients. Our hospital mortality rate was 21%, and postoperative morbidity rate was 31%. Coexisting cardiopulmonary diseases, presence of generalized perforation, poor general condition and extended bowel resections appeared to be related with unfavorable outcomes. CONCLUSIONS Emergency surgical treatment for malignant obstruction may be curative in selected patients with good performance status.
Collapse
|
108
|
Bruna J, Martínez-Yelamos S, Alonso E, Romagosa V, Arruga J, Arruga J, Domingo A, Rojas-Marcos I, Petit J, Rubio F. Meningeal Lymphomatosis as the First Manifestation of Splenic Marginal Zone Lymphoma. Int J Hematol 2005; 82:63-5. [PMID: 16105762 DOI: 10.1532/ijh97.e0501] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Meningeal lymphomatosis (ML) as the first manifestation of a splenic marginal zone lymphoma (SMZL) is rare. The descriptions of only 2 cases with this complication, one of which had ML as the first manifestation, have been published to date. We describe a 53-year-old man, an ex-smoker, who presented with transitory episodes of bilateral loss of visual acuity. On examination, only papilledema and splenomegalia were observed. The hemogram showed a predominance of lymphocytes with a villous morphology. Cytochemical staining and an immunophenotypic analysis revealed a positive reaction to tartrate-sensitive acid phosphatase and B-lineage markers (CD19+, CD20+, CD79b+, surface immunoglobulin 3 expression, immunoglobulin D+, CD5-, CD23-, CD10-, CD25-, CD103-, and CD11c-). Magnetic resonance imaging of the brain showed tumoral infiltration in both optic nerves and in the cervicodorsal meninges. The cerebrospinal fluid examination revealed significant pleocytosis, and all lymphocytes had a phenotype identical to that of the peripheral blood, confirming the presence of ML. The bone marrow section also showed lymphocytes with an immunophenotype identical to that of the peripheral blood.A splenectomy confirmed the SMZL diagnosis. Treatment with corticosteroids and intrathecal chemotherapy was administrated; however, the response was not good, and the patient died. In this report, we discuss the other 2 cases and ML in B-cell chronic lymphoproliferative disorders.
Collapse
|
109
|
Barrena S, Almeida J, Yunta M, López A, Díaz-Mediavilla J, Orfao A, Lazo PA. Discrimination of biclonal B-cell chronic lymphoproliferative neoplasias by tetraspanin antigen expression. Leukemia 2005; 19:1708-9. [PMID: 15973446 DOI: 10.1038/sj.leu.2403858] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
MESH Headings
- Adult
- Antigens, Neoplasm/biosynthesis
- Antigens, Neoplasm/genetics
- B-Lymphocytes/metabolism
- B-Lymphocytes/pathology
- Clone Cells
- Female
- Humans
- Leukemia, Lymphocytic, Chronic, B-Cell/complications
- Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis
- Leukemia, Lymphocytic, Chronic, B-Cell/genetics
- Lymphoproliferative Disorders/complications
- Lymphoproliferative Disorders/diagnosis
- Lymphoproliferative Disorders/genetics
- Membrane Proteins/biosynthesis
- Membrane Proteins/genetics
- Splenic Neoplasms/complications
- Splenic Neoplasms/diagnosis
- Splenic Neoplasms/genetics
Collapse
|
110
|
El Mezni F, Zeddini A, Ismail O, Braham E. [Splenic marginal zone lymphoma. One case report]. LA TUNISIE MEDICALE 2005; 83:366-8. [PMID: 16156414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Splenic marginal zone lymphoma is very rare B lymphoma, characterized by an indolent clinical course. We report the case of a 68-year-old woman with morphologic and immuno-phenotyping findings consistent with splenic marginal zone lymphoma. The patient had a splenomegaly and pancytopenia. The diagnosis was pathological based on a specimen provided by splenectomy. Two year after surgery, the patient had a normal blood count in the absence of any further treatment.
Collapse
|
111
|
Sivelli R, Piccolo D, Soliani P, Franzini C, Ziegler S, Sianesi M. [Rupture of the spleen in angiosarcoma: a case report and review of the literature]. CHIRURGIA ITALIANA 2005; 57:377-80. [PMID: 16231829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Splenic angiosarcoma is a rare neoplasm originating from endothelial cells of the blood vessels. Its incidence is about 0.14-0.25 per million. We report the case of a patient admitted in a state of hypovolaemic shock with haemoperitoneum due to rupture of the spleen. Splenectomy was performed with evacuation of the haemorrhagic effusion. The blood was aspirated and in part instilled during the operation through intraoperative blood salvage due to the large haemoperitoneum. Histological examination revealed a splenic angiosarcoma. Splenic angiosarcoma should be suspected in cases of splenomegaly with unknown anaemia and no lymphoma, leukaemia or myelofibrosis, because of its neoplastic aggressiveness and its invariably fatal outcome. It is important to perform a splenectomy before splenic rupture owing to its negative impact on long-term survival.
Collapse
|
112
|
Kedmi M, Fridlander T, Ilan Y, Shibolet O. Large solitary splenic diffuse large B cell lymphoma in a hepatitis C virus-infected patient. THE ISRAEL MEDICAL ASSOCIATION JOURNAL : IMAJ 2005; 7:346-7. [PMID: 15909475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
MESH Headings
- Abdomen/diagnostic imaging
- Antineoplastic Combined Chemotherapy Protocols/therapeutic use
- Arthralgia/complications
- Biopsy/methods
- Cyclophosphamide/therapeutic use
- Doxorubicin/therapeutic use
- Female
- Fever/complications
- Hepatitis C/complications
- Humans
- Lymphoma, B-Cell/complications
- Lymphoma, B-Cell/diagnosis
- Lymphoma, B-Cell/drug therapy
- Lymphoma, Large B-Cell, Diffuse/complications
- Lymphoma, Large B-Cell, Diffuse/diagnosis
- Lymphoma, Large B-Cell, Diffuse/drug therapy
- Middle Aged
- Prednisone/therapeutic use
- Spleen/diagnostic imaging
- Spleen/pathology
- Splenic Neoplasms/complications
- Splenic Neoplasms/diagnosis
- Splenic Neoplasms/drug therapy
- Tomography, X-Ray Computed/methods
- Ultrasonography
- Vincristine/therapeutic use
- Weight Loss/physiology
Collapse
|
113
|
Stelter L, le Coutre P, Stroszczynski C. Peritoneale Manifestation eines Plasmozytoms. ROFO-FORTSCHR RONTG 2005; 177:580-1. [PMID: 15838767 DOI: 10.1055/s-2005-857906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
114
|
Zieren J, Paul M, Scharfenberg M, Müller JM. The spontaneous splenic rupture as first manifestation of mantle cell lymphoma, a dangerous rarity. Am J Emerg Med 2005; 22:629-31. [PMID: 15666284 DOI: 10.1016/j.ajem.2004.09.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
|
115
|
Kim HG, Park IS, Lee JI, Jeong S, Lee JW, Kwon KS, Lee DH, Kim PS, Kim HG, Shin YW, Kim YS, Ahn IS, Lee KY. Littoral cell angioma (LCA) associated with liver cirrhosis. Yonsei Med J 2005; 46:184-8. [PMID: 15744827 PMCID: PMC2823050 DOI: 10.3349/ymj.2005.46.1.184] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
A littoral cell angioma (LCA) is a rare benign vascular tumor of the spleen. A 60-year-old man, with multiple nodules in imaging study and liver cirrhosis graded as Child-Pugh classification class A, was transferred for splenomegaly. A thrombocytopenia was found on hematological evaluation. Because there was no evidence of hematological and visceral malignancy, a splenectomy was performed for a definitive diagnosis. The histological and immunohistochemical features of the splenic specimens were consistent with a LCA. After the splenectomy, the thrombocytopenia recovered to the normal platelet count. There has been no previous report of a LCA combined with liver cirrhosis. Herein, the first case of a LCA in Korea, diagnosed and treated by a splenectomy, is reported.
Collapse
|
116
|
Lachachi F, Abita T, Durand Fontanier S, Maisonnette F, Descottes B. [Spontaneous splenic rupture due to splenic metastasis of lung cancer]. ACTA ACUST UNITED AC 2005; 129:521-2. [PMID: 15556583 DOI: 10.1016/j.anchir.2004.09.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
We report the case of a patient who underwent splenectomy for spontaneous rupture of the spleen due to splenic metastasis. Pathologic examination revealed diffuse infiltration by carcinoma. Chest X-ray revealed a right lung superior lobe tumor, related to poorly differentiated carcinoma. Total splenectomy is a good option for diagnosis and treatment of splenic metastases.
Collapse
|
117
|
Steininger H, Pfofe D, Marquardt L, Sauer H, Markwat R. Isolated diffuse hemangiomatosis of the spleen: case report and review of literature. Pathol Res Pract 2005; 200:479-85. [PMID: 15310152 DOI: 10.1016/j.prp.2004.04.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Small localized hemangiomas are common neoplasms of the spleen. Isolated diffuse splenic hemangiomatosis, however, is very rare. This lesion can be accompanied by severe hypersplenism and other complications. We report on a case with significant splenomegaly caused by diffuse hemangiomatosis, which was an incidental finding without any clinical disorders. After splenectomy, the normal parenchyma was found to be widely replaced by multiple spongy nodules. Histologically, cavernous vessels were distributed throughout the whole organ, with endothelial cells expressing vimentin, factor VIII and CD 31, but not CD8. Splenic sinus lining cells exhibited a strongly positive reaction with CD8, which became faint and disrupted in highly dilated sinuses in the vicinity of cavernous vessels. In some areas, there seemed to be a gradual transition from cystically dilated splenic sinuses to cavernous vessels. The differential diagnosis must consider other splenic vascular tumors, such as littoral cell angioma, lymphangioma, peliosis of the spleen, and hamartoma. The pathogenesis of diffuse splenic hemangiomatosis is controversial, and a malformative or neoplastic origin is under debate. A derivation from splenic sinusoidal cells was suggested by some authors, but was rejected by others. Our findings cannot exclude a neoplastic origin from splenic sinuses but, finally, the etiology and pathogenesis of this vascular lesion remain uncertain.
Collapse
|
118
|
Gaur S, Cooley J, Aish L, Weinstein R. Lymphoma-associated paraneoplastic angioedema with normal C1-inhibitor activity: does danazol work? Am J Hematol 2004; 77:296-8. [PMID: 15495244 DOI: 10.1002/ajh.20195] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
A patient with splenic marginal zone lymphoma presented with severe, symptomatic acquired angioedema. Unlike previously reported cases, his serum levels of complement and C1 inhibitor (C1-INH) were not decreased. Nonetheless, he responded clinically to treatment with an attenuated androgen and, after therapeutic splenectomy, has been maintained asymptomatic without androgen therapy for 5 years. Thus stimulation of C1-INH synthesis may overcome paraneoplastic angioedema in patients with lymphoproliferative disorders despite the absence of typical evidence for a quantitative or qualitative defect in C1-INH. Androgens should not be withheld despite a normal level of C1-INH and complement in symptomatic patients.
Collapse
|
119
|
Moloney M, O'Kelly O, Hennessy T, McCarthy D, Wallis F, Gupta R. Primary splenic histiocytoma associated with peripheral neutrophilia. Lancet Oncol 2004; 5:693-4. [PMID: 15522658 DOI: 10.1016/s1470-2045(04)01612-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
120
|
Opeskin K, Ellis D, Burke M. Anaplastic lymphoma kinase-positive anaplastic large cell lymphoma presenting with spontaneous splenic rupture. Pathology 2004; 36:94-6. [PMID: 14757568 DOI: 10.1080/00313020310001643598] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
121
|
Fadare O, Hileeto D, Mariappan MR. Pathologic Quiz Case: Multiple Splenic Lesions in a Bacteremic Patient. Arch Pathol Lab Med 2004; 128:1183-5. [PMID: 15387696 DOI: 10.5858/2004-128-1183-pqcmsl] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
122
|
Franco V, Iannitto E, Tripodo C, Florena AM. Re: "Splenic marginal zone B-cell lymphoma associated with primary Sjögren's syndrome". Clin Rheumatol 2004; 24:187; author reply 188. [PMID: 15365879 DOI: 10.1007/s10067-004-0993-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
123
|
Saadoun D, Suarez F, Lefrere F, Valensi F, Mariette X, Aouba A, Besson C, Varet B, Troussard X, Cacoub P, Hermine O. Splenic lymphoma with villous lymphocytes, associated with type II cryoglobulinemia and HCV infection: a new entity? Blood 2004; 105:74-6. [PMID: 15353484 DOI: 10.1182/blood-2004-05-1711] [Citation(s) in RCA: 153] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Hepatitis C virus (HCV) has been associated with the development of B-cell non-Hodgkin lymphomas. We recently reported the regression of splenic lymphoma with villous lymphocytes (SLVL) in patients with HCV after antiviral treatment, demonstrating a direct role of HCV in lymphomagenesis. This study expands our previous results in 18 patients with chronic HCV and SLVL. Mixed cryoglobulinemia (MC) was present in all cases and was symptomatic in 13 (72%). All patients were treated with interferon alone or in association with ribavirin. Hematologic and virologic responses were correlated. Fourteen (78%) patients achieved a sustained complete hematologic response after clearance of HCV RNA. Two patients had a virologic partial response and achieved a complete hematologic response. Two virologic nonresponders achieved partial hematologic response. Regardless of the response, monoclonal immunoglobulin gene rearrangement persisted after treatment. This study underscores the role of HCV in the lymphomagenesis and the benefit of antiviral treatment for patients presenting with HCV-driven lymphoproliferations.
Collapse
|
124
|
Tan YM, Chuah KL, Wong WK. Littoral cell angioma of the spleen. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2004; 33:524-6. [PMID: 15329769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
INTRODUCTION Littoral cell angioma is a recently described vascular tumour of the spleen with an unknown aetiology. CLINICAL PICTURE We present a case of a 36-year-old lady who had a successful living-related renal transplantation 13 years ago. On follow-up, she was investigated for pyrexia of unknown origin (PUO) and was found to have a large solitary hypodense splenic lesion. TREATMENT Splenectomy was carried out because an underlying infective or neoplastic cause for this patient on long-term immunosuppression could not be excluded. The operation and subsequent clinical course was uneventful and the patient's fever settled postoperatively. The histological and immunohistochemical features of the tumour were consistent with a littoral cell angioma. CONCLUSION Littoral cell angioma is a vascular tumour of the spleen. This case illustrates that it can be a cause of PUO and should be considered in the differential diagnosis of splenic hypodense lesions.
Collapse
|
125
|
Nishiyama S, Miyawaki S. Splenic marginal zone B-cell lymphoma associated with primary Sj�gren?s syndrome. Clin Rheumatol 2004; 23:242-5. [PMID: 15168154 DOI: 10.1007/s10067-003-0838-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2003] [Accepted: 10/16/2003] [Indexed: 10/26/2022]
Abstract
We describe a 67-year-old woman with primary Sjögren's syndrome who developed a splenic marginal zone B-cell lymphoma, and complained of a dry mouth and Raynaud's phenomenon. She had splenomegaly, swollen lymph nodes and monoclonal IgM-kappa cryoglobulin. After splenectomy, Raynaud's phenomenon had improved with the decrease of cryoglobulin. This is the first case of primary Sjögren's syndrome with splenic marginal zone B-cell lymphoma to be reported.
Collapse
|