Papanastasiou L, Skarakis N, Vardaka M, Dimitriadi A, Lampropoulou P, Perpinia A, Vidalakis E, Choreftaki T, Marinakis T, Kounadi T, Vatalas IA, Michalis E. A very rare case of extranodal B-cell non-Hodgkin lymphoma presenting with adrenal and heart involvement.
Leuk Res Rep 2022;
17:100318. [PMID:
35539018 PMCID:
PMC9079230 DOI:
10.1016/j.lrr.2022.100318]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 03/31/2022] [Accepted: 04/25/2022] [Indexed: 11/24/2022] Open
Abstract
We report an extremely rare case of extranodal B-cell NHL: DLBCL (diffuse large B-cell non-Hodgkin lymphoma), stage IVE, presenting with heart and bilateral adrenal involvement. On admission, adrenal and thorax imaging identified large bilateral adrenal masses and a 4.6 cm mass in the right atrium wall. An adrenal biopsy revealed the presence of a DLBCL, with triple expression of bcl2, bcl6, C-MYC(+70%). Following six cycles of systemic immunochemotherapy with R-DA-EPOCH, and high methotrexate dose for CNS prophylaxis a marked decrease of lymphoma infiltration was observed. The selection of the appropriate treatment modality can lead to profound response and improve patient's outcome.
Collapse