[Angioimmunoblastic T-cell lymphoma occurring four months after autologous peripheral blood stem cell transplantation with high-dose chemotherapy for follicular lymphoma]

Rinsho Ketsueki. 2005 Sep;46(9):1065-70.
[Article in Japanese]

Abstract

A 62-year-old Japanese woman was diagnosed as having follicular lymphoma (FL, grade 3, CS IIIA, IPI high-intermediate risk) in May 1998. After eight courses of CHOP therapy, she achieved a complete remission (CR). In November 1998, her FL relapsed, and she achieved a second CR after two courses of MINE therapy. High-dose etoposide was used for autologous peripheral stem cell mobilization. In May 1999, she underwent high-dose chemotherapy with autologous peripheral blood stem cell transplantation (auto-PBSCT). Four months after the auto-PBSCT, bilateral cervical lymphadenopathy developed. Histopathological findings from a biopsied cervical lymph node showed angioimmunoblastic T-cell lymphoma (AILT). The patient was treated with modified CVP therapy, and she is alive with no evidence of lymphoma five years after auto-PBSCT. Clinical and histopathological findings showed that the FL and AILT in this case were not concomitant. It is thought that in this case, the AILT developed as a post-transplant lymphoproliferative disorder after auto-PBSCT for the FL.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antineoplastic Agents, Phytogenic / administration & dosage
  • Antineoplastic Agents, Phytogenic / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cyclophosphamide / administration & dosage
  • Etoposide / administration & dosage
  • Etoposide / adverse effects*
  • Female
  • Humans
  • Immunoblastic Lymphadenopathy / drug therapy
  • Immunoblastic Lymphadenopathy / etiology*
  • Lymphoma, Follicular / complications
  • Lymphoma, Follicular / therapy*
  • Lymphoma, T-Cell / drug therapy
  • Lymphoma, T-Cell / etiology*
  • Middle Aged
  • Peripheral Blood Stem Cell Transplantation / adverse effects*
  • Prednisone / administration & dosage
  • Pulse Therapy, Drug
  • Time Factors
  • Transplantation, Autologous
  • Treatment Outcome
  • Vincristine / administration & dosage

Substances

  • Antineoplastic Agents, Phytogenic
  • Vincristine
  • Etoposide
  • Cyclophosphamide
  • Prednisone

Supplementary concepts

  • COP protocol 2