1
|
Wang Y, Wen S, Niu Z, Xing L, Wang F, Zhang X. T cell acute lymphoblastic lymphoma complicated with myeloid sarcoma in an adult: A case report. Oncol Lett 2017; 14:8178-8182. [PMID: 29344261 DOI: 10.3892/ol.2017.7187] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Accepted: 04/13/2017] [Indexed: 11/05/2022] Open
Abstract
The present case report describes a rare case of T cell acute lymphoblastic lymphoma (T-LBL) in the lymph node with myeloid sarcoma in the pericardium. A 33-year-old Chinese male was admitted to hospital on 4 July 2015 exhibiting a fever and having experienced wheezing and fatigue for the previous 7 days. Routine pathological, computed tomographic, cytological and immunophenotypic observations revealed a diagnosis of T-LBL in the lymph node on 7 August 2015, without evidence of bone marrow (BM) involvement. The patient received induction chemotherapy for T-LBL and achieved partial remission. The patient was identified to have multiple serous effusion and analysis of pericardial effusion cells revealed the diagnosis of T-LBL with extramedullary myeloid sarcoma (without BM involvement) on 25 November 2015. On 30 December 2015, the patient was identified to exhibit proliferation of primary myeloid cells in the peripheral blood and BM, and an abnormal karyotype in BM cells, indicating that the complicated myeloid sarcoma involved the BM. No matched donor was available so the patient received chemotherapy to manage the disease. The patient was discharged on 31 January 2016 and ceased treatment. The patient succumbed on 19 February 2016 at home. To the best of our knowledge, T-LBL complicated with myeloid sarcoma had not been previously reported in Chinese adult male patients. In addition, the involvement of the BM and aberrant karyotype of the complicated myeloid sarcoma in the patient were rare.
Collapse
Affiliation(s)
- Ying Wang
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China
| | - Shupeng Wen
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China
| | - Zhiyun Niu
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China
| | - Lina Xing
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China
| | - Fuxu Wang
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China
| | - Xuejun Zhang
- Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China
| |
Collapse
|
2
|
Gao X, Li J, Wang L, Lin J, Jin H, Xu Y, Wang N, Zhao Y, Liu D, Yu L, Wang Q. Bilineal Extramedullary Blast Crisis as an Initial Presentation of Chronic Myeloid Leukemia: A Case Report and Literature Review. AMERICAN JOURNAL OF CASE REPORTS 2016; 17:793-798. [PMID: 27784881 PMCID: PMC5085336 DOI: 10.12659/ajcr.899621] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Patient: Male, 49 Final Diagnosis: T-lymphoid/myeloid bilineal blastic transformation of CML Symptoms: Rapidly enlarging mass in left neck Medication: — Clinical Procedure: Biopsy of the left submandibular lymph nodes Specialty: Hematology
Collapse
Affiliation(s)
- Xiaoning Gao
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Jie Li
- Department of Pathology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Lili Wang
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Ji Lin
- Institute of Basic Medicine, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Hongshi Jin
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Yihan Xu
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Nan Wang
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Yu Zhao
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Daihong Liu
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Li Yu
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| | - Quanshun Wang
- Department of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing, China (mainland)
| |
Collapse
|
3
|
Shen ZL, Yin LF, Mao WW, Liang J, Yang L. Philadelphia chromosome-negative non-Hodgkin's lymphoma occurring in Philadelphia chromosome-positive chronic myeloid leukemia: A case report and literature review. Oncol Lett 2016; 11:2909-2912. [PMID: 27073575 DOI: 10.3892/ol.2016.4304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Accepted: 01/04/2016] [Indexed: 12/29/2022] Open
Abstract
The current study reports the case of a patient with Philadelphia chromosome-negative (Ph-) non-Hodgkin's lymphoma (NHL) and chronic phase (CP) Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML) that also possessed characteristic enlarged lymph nodes. A lymph node biopsy resulted in the diagnosis of CP-CML, in addition to T-lymphoblastic cell NHL with negative break point cluster/Abelson tyrosine kinase fusion genes in the lymph node of the patient, which was diagnosed as Ph- NHL. A review of the literature was performed in the present study to investigate the genetic differences between Ph- NHL and Ph+ NHL in patients with CML. The median age of patients with NHL and CML was 41 years. The follow-up time of patients with Ph+ NHL was significantly shorter (mean, <6 months) compared to the follow-up time of patients with Ph- NHL (mean, >15 months). Therefore the present study concludes that Ph+ NHL may be more aggressive compared with Ph+ NHL. The present study suggests that additional studies are required to assess the clinical and genetic characteristics of NHL patients with CML.
Collapse
Affiliation(s)
- Zheng-Lei Shen
- Department of Hematology, Yunnan Tumor Hospital, Kunming, Yunnan 650118, P.R. China
| | - Lie-Fen Yin
- Department of Hematology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650031, P.R. China
| | - Wen-Wen Mao
- Department of Geriatrics, Kunming Second People's Hospital, Kunming, Yunnan 650204, P.R. China
| | - Jin Liang
- Department of Hematology, Yunnan Tumor Hospital, Kunming, Yunnan 650118, P.R. China
| | - Ling Yang
- Department of Hematology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650031, P.R. China
| |
Collapse
|