دورية أكاديمية

Hodgkin Lymphoma and Hairy Cell Leukemia Arising from Chronic Lymphocytic Leukemia: Case Reports and Literature Review

التفاصيل البيبلوغرافية
العنوان: Hodgkin Lymphoma and Hairy Cell Leukemia Arising from Chronic Lymphocytic Leukemia: Case Reports and Literature Review
المؤلفون: Matteo D’Addona, Valentina Giudice, Luca Pezzullo, Giuseppe Ciancia, Carlo Baldi, Marisa Gorrese, Angela Bertolini, Annapaola Campana, Lucia Fresolone, Paola Manzo, Pio Zeppa, Bianca Serio, Carmine Selleri
المصدر: Journal of Clinical Medicine; Volume 11; Issue 16; Pages: 4674
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: Richter’s transformation, chronic lymphocytic leukemia, non-Hodgkin lymphoma, Hodgkin lymphoma
الوصف: Richter’s syndrome represents the progression of chronic lymphocytic leukemia (CLL) to more aggressive diseases, most frequently diffuse large B-cell lymphoma, while Hodgkin’s lymphoma (HL) and hairy cell leukemia (HCL) are rarely described. The first case involved a 67-year-old man with a diagnosis of a high-risk stage-II CLL treated with rituximab and ibrutinib, developed a HL nodular sclerosis variant after three months of therapy for CLL. After achieving a complete remission for HL and ibrutinib cessation because of drug-related cardiotoxicity, the patient relapsed after five months off-therapy and died due to disease progression after two cycles of brentuximab-vedotin. The second case involved an 83-year-old female with a diagnosis of stage-IV CLL treated with rituximab plus bendamustine who developed a HCL eight years later. Pentostatin was unsuccessfully employed as upfront HCL therapy, and the patient was then switched to rituximab while in remission for CLL. In conclusion, Richter’s transformation risk rate might be higher in patients treated with novel targeted therapies, and multiparametric flow cytometry and lymph node biopsy at relapse could help in early identifying small clones. The treatment of predominant neoplasia is mandatory, and disease-specific drugs are administered; however, clinical efficacy might be lower in these patients.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Hematology; https://dx.doi.org/10.3390/jcm11164674Test
DOI: 10.3390/jcm11164674
الإتاحة: https://doi.org/10.3390/jcm11164674Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.8C293D00
قاعدة البيانات: BASE