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原始滤泡性中心细胞淋巴瘤转化弥漫大 B 细胞淋巴瘤 1 例报告

Blastoid mantle cell lymphoma presenting as acute leukemia: a case report.

机构信息

Department of Medical Oncology, Alexis Multispeciality Hospital, Nagpur, Maharashtra, India.

Department of Radiology, Alexis Multispeciality Hospital, Nagpur, Maharashtra, India.

出版信息

Pan Afr Med J. 2021 Jun 28;39:150. doi: 10.11604/pamj.2021.39.150.28903. eCollection 2021.

DOI:10.11604/pamj.2021.39.150.28903
PMID:34527166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8418181/
Abstract

Blastoid variant of mantle cell lymphoma (MCL) is an aggressive and incurable form of B-cell lymphoma. Various chemo-immunotherapy regimens have been used with a limited success. Autologous stem cell transplant (ASCT) is being increasingly recommended in first remission for patients with blastoid variant MCL. Here, we describe the case of a 45-year-old lady suffering from blastoid variant of MCL. Patient was administered R-CHOP and underwent autologous stem cell transplant (ASCT). Currently, patient is disease-free and is on a regular follow up for 26 months now. This is an extremely rare case documented in the Indian literature with a long survival post-transplant.

摘要

母细胞性淋巴瘤(MCL)的 blastoid 变体是一种侵袭性且无法治愈的 B 细胞淋巴瘤。已经使用了各种化疗免疫疗法,但收效有限。自体干细胞移植(ASCT)越来越多地被推荐用于 blastoid 变体 MCL 的首次缓解期患者。在这里,我们描述了一位 45 岁女性患有 blastoid 变体 MCL 的病例。患者接受了 R-CHOP 治疗,并进行了自体干细胞移植(ASCT)。目前,患者无疾病且在移植后 26 个月定期随访。这是印度文献中记录的一个极其罕见的病例,移植后生存时间较长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41d/8418181/be553d8b142d/PAMJ-39-150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41d/8418181/241772cdfc5c/PAMJ-39-150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41d/8418181/be553d8b142d/PAMJ-39-150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41d/8418181/241772cdfc5c/PAMJ-39-150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b41d/8418181/be553d8b142d/PAMJ-39-150-g002.jpg

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本文引用的文献

1
Mantle Cell Lymphoma: Which Patients Should We Transplant?套细胞淋巴瘤:哪些患者适合进行移植?
Curr Hematol Malig Rep. 2019 Aug;14(4):239-246. doi: 10.1007/s11899-019-00520-0.
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Blastoid and pleomorphic mantle cell lymphoma: still a diagnostic and therapeutic challenge!原始滤泡性和多形性套细胞淋巴瘤:仍然是诊断和治疗的挑战!
Blood. 2018 Dec 27;132(26):2722-2729. doi: 10.1182/blood-2017-08-737502. Epub 2018 Nov 1.
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Update on mantle cell lymphoma.套细胞淋巴瘤的最新进展。
Blood. 2018 Oct 18;132(16):1647-1656. doi: 10.1182/blood-2018-03-791392. Epub 2018 Aug 28.
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The 2016 revision of the World Health Organization classification of lymphoid neoplasms.《世界卫生组织淋巴组织肿瘤分类(2016年修订版)》
Blood. 2016 May 19;127(20):2375-90. doi: 10.1182/blood-2016-01-643569. Epub 2016 Mar 15.
5
Prognostic Value of Ki-67 Index, Cytology, and Growth Pattern in Mantle-Cell Lymphoma: Results From Randomized Trials of the European Mantle Cell Lymphoma Network.Ki-67 指数、细胞学和生长模式在套细胞淋巴瘤中的预后价值:来自欧洲套细胞淋巴瘤网络的随机试验结果。
J Clin Oncol. 2016 Apr 20;34(12):1386-94. doi: 10.1200/JCO.2015.63.8387. Epub 2016 Feb 29.
6
The Mantle Cell Lymphoma International Prognostic Index (MIPI) is superior to the International Prognostic Index (IPI) in predicting survival following intensive first-line immunochemotherapy and autologous stem cell transplantation (ASCT).套细胞淋巴瘤国际预后指数(MIPI)在预测强化一线免疫化疗和自体干细胞移植(ASCT)后的生存方面优于国际预后指数(IPI)。
Blood. 2010 Feb 25;115(8):1530-3. doi: 10.1182/blood-2009-08-236570. Epub 2009 Dec 23.
7
A new prognostic index (MIPI) for patients with advanced-stage mantle cell lymphoma.一种用于晚期套细胞淋巴瘤患者的新预后指数(MIPI)。
Blood. 2008 Jan 15;111(2):558-65. doi: 10.1182/blood-2007-06-095331. Epub 2007 Oct 25.
8
Histopathology, cell proliferation indices and clinical outcome in 304 patients with mantle cell lymphoma (MCL): a clinicopathological study from the European MCL Network.304例套细胞淋巴瘤(MCL)患者的组织病理学、细胞增殖指数及临床结局:一项来自欧洲MCL网络的临床病理研究
Br J Haematol. 2005 Oct;131(1):29-38. doi: 10.1111/j.1365-2141.2005.05716.x.
9
CD5- mantle cell lymphoma.CD5阳性套细胞淋巴瘤。
Am J Clin Pathol. 2002 Aug;118(2):216-24. doi: 10.1309/TE56-A43X-29TT-5H8G.