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一名HIV阳性患者发生的累及肾脏的浆母细胞淋巴瘤:病例报告并文献复习

Plasmablastic Lymphoma Involving Kidney in an HIV Positive Patient: A Case Report with Review of the Literature.

作者信息

Sapkota Sulav, Priyadarshini Mona, Hazarika Diganta, Swamy Shivakumar, Naik Radheshyam

机构信息

Department of Hematology and Medical Oncology, HCG Hospital, Bengaluru, Karnataka, India.

Department of Gynae-Oncology, HCG Hospital, Bengaluru, Karnataka, India.

出版信息

Indian J Nephrol. 2021 Mar-Apr;31(2):176-178. doi: 10.4103/ijn.IJN_277_18. Epub 2021 Feb 8.

DOI:10.4103/ijn.IJN_277_18
PMID:34267442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8240923/
Abstract

Plasmablastic lymphoma (PBL) is an aggressive lymphoma commonly associated with HIV infection. It most commonly presents in the oral cavity and rarely involves the kidney. Herein, we report a case of HIV positive male with renal involvement of PBL. The patient presented with unilateral severe hydronephrosis with unaltered renal functions. Despite aggressive management, there was an early relapse and the patient died within 2 years of the diagnosis. Despite the recent advances in the therapy of HIV-associated aggressive lymphomas, patients with PBL have a poor prognosis. Multimodal treatment with chemotherapy, newer targeted and biological agents, along with hematopoietic stem cell transplantation is essential for the treatment of PBL.

摘要

浆母细胞淋巴瘤(PBL)是一种侵袭性淋巴瘤,通常与HIV感染相关。它最常出现在口腔,很少累及肾脏。在此,我们报告一例HIV阳性男性发生肾脏受累的PBL病例。该患者表现为单侧严重肾积水,肾功能未改变。尽管进行了积极治疗,但仍早期复发,患者在诊断后2年内死亡。尽管在HIV相关侵袭性淋巴瘤的治疗方面有了最新进展,但PBL患者的预后仍然很差。采用化疗、新型靶向和生物制剂以及造血干细胞移植的多模式治疗对于PBL的治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e377/8240923/954e74f62e7f/IJN-31-176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e377/8240923/8cec77de824c/IJN-31-176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e377/8240923/954e74f62e7f/IJN-31-176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e377/8240923/8cec77de824c/IJN-31-176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e377/8240923/954e74f62e7f/IJN-31-176-g002.jpg

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本文引用的文献

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Chimeric antigen receptor modified T cell therapy for B cell malignancies.嵌合抗原受体修饰的T细胞疗法治疗B细胞恶性肿瘤
Int J Hematol. 2014 Feb;99(2):132-40. doi: 10.1007/s12185-013-1490-x. Epub 2013 Dec 14.
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Brentuximab vedotin demonstrates activity in a patient with plasmablastic lymphoma arising from a background of chronic lymphocytic leukemia.本妥昔单抗在一名源于慢性淋巴细胞白血病背景的浆母细胞淋巴瘤患者中显示出活性。
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人类免疫缺陷病毒阳性和人类免疫缺陷病毒阴性的浆母细胞淋巴瘤患者的临床和病理差异。
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Mod Pathol. 2005 Jun;18(6):806-15. doi: 10.1038/modpathol.3800355.
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Diffuse large B-cell lymphomas with plasmablastic differentiation represent a heterogeneous group of disease entities.伴有浆母细胞分化的弥漫性大B细胞淋巴瘤代表了一组异质性疾病实体。
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Plasmablastic lymphomas of the oral cavity: a new entity associated with the human immunodeficiency virus infection.口腔浆母细胞淋巴瘤:一种与人类免疫缺陷病毒感染相关的新实体。
Blood. 1997 Feb 15;89(4):1413-20.