Sapkota Sulav, Priyadarshini Mona, Hazarika Diganta, Swamy Shivakumar, Naik Radheshyam
Department of Hematology and Medical Oncology, HCG Hospital, Bengaluru, Karnataka, India.
Department of Gynae-Oncology, HCG Hospital, Bengaluru, Karnataka, India.
Indian J Nephrol. 2021 Mar-Apr;31(2):176-178. doi: 10.4103/ijn.IJN_277_18. Epub 2021 Feb 8.
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.
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。