Treatment of plasmablastic lymphoma with multiple organ involvement

We herein report the case of a 50-year-old woman who presented with persistent fever and a large mass in her right breast. Haematology, liver function, and other blood test results were abnormal. Computed tomography and positron emission tomography indicated that the lesion had spread to multiple or...

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Bibliographic Details
Published in:Singapore medical journal 2014-12, Vol.55 (12), p.e194-e197
Main Authors: Liang, Rong, Wang, Zhe, Chen, Xie-qun, Bai, Qiang-xian
Format: Article
Language:English
Subjects:
Antineoplastic Combined Chemotherapy Protocols
Breast Neoplasms - diagnosis
Breast Neoplasms - pathology
Case Report
Cyclophosphamide - administration & dosage
Doxorubicin - administration & dosage
Epstein-Barr Virus Infections - diagnosis
Female
Glucocorticoids - administration & dosage
Herpesvirus 4, Human
Humans
Lymphoma, Large B-Cell, Diffuse - diagnosis
Lymphoma, Large B-Cell, Diffuse - drug therapy
Middle Aged
Remission Induction
Tomography, X-Ray Computed
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Summary:We herein report the case of a 50-year-old woman who presented with persistent fever and a large mass in her right breast. Haematology, liver function, and other blood test results were abnormal. Computed tomography and positron emission tomography indicated that the lesion had spread to multiple organs. Immunohistochemical staining confirmed that the patient had plasmablastic lymphoma, an invasive and rare form of diffuse large B-cell lymphoma, and an underlying infection by the Epstein-Barr virus. After three rounds of CHOPE chemotherapy, followed by hyperCVAD and ESHAP, the patient achieved rapid and complete remission. This case is unusual in that the patient presented with a large breast mass and her recovery was extremely rapid.
ISSN:0037-5675
DOI:10.11622/smedj.2014184