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Current treatment of double hit and double expressor lymphoma

Current treatment of double hit and double expressor lymphoma
Current treatment of double hit and double expressor lymphoma

A 60-year-old female presented with abdominal pain and distension. Following computed tomography scans of the abdomen and pelvis, she was taken urgently to the operating room, with the belief that she had appendicitis with perforation. At laparotomy, the findings were consistent with an ovarian carcinoma; there was extensive infiltration of the ovary, bowel, and omental deposits. Cytoreductive surgery was performed including total abdominal hysterectomy and bilateral salpingo-oophorectomy. The final pathology, however, revealed infiltration with medium-sized atypical lymphoid cells positive for CD20, CD10, MYC, BLC2, and BCL6 by immunohistochemistry. MYC and BCL2 translocations were identified by fluorescence in situ hybridization consistent with a diagnosis of high-grade B-cell lymphoma with rearrangements of MYC and BCL2 With the current data available, what is the optimal treatment of this patient?

Journal Article, Review
1520-4391
295-297
Reagan, Patrick M.
3b6a84cc-4034-4d6e-970a-dd3fdb421825
Davies, Andrew
0fe6a40a-10d1-4ade-a7e6-d1dceb2470af
Reagan, Patrick M.
3b6a84cc-4034-4d6e-970a-dd3fdb421825
Davies, Andrew
0fe6a40a-10d1-4ade-a7e6-d1dceb2470af

Reagan, Patrick M. and Davies, Andrew (2017) Current treatment of double hit and double expressor lymphoma. Hematology, ASH Education Program, 2017 (1), 295-297. (doi:10.1182/asheducation-2017.1.295).

Record type: Review

Abstract

A 60-year-old female presented with abdominal pain and distension. Following computed tomography scans of the abdomen and pelvis, she was taken urgently to the operating room, with the belief that she had appendicitis with perforation. At laparotomy, the findings were consistent with an ovarian carcinoma; there was extensive infiltration of the ovary, bowel, and omental deposits. Cytoreductive surgery was performed including total abdominal hysterectomy and bilateral salpingo-oophorectomy. The final pathology, however, revealed infiltration with medium-sized atypical lymphoid cells positive for CD20, CD10, MYC, BLC2, and BCL6 by immunohistochemistry. MYC and BCL2 translocations were identified by fluorescence in situ hybridization consistent with a diagnosis of high-grade B-cell lymphoma with rearrangements of MYC and BCL2 With the current data available, what is the optimal treatment of this patient?

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More information

Published date: 8 December 2017
Keywords: Journal Article, Review

Identifiers

Local EPrints ID: 418615
URI: http://eprints.soton.ac.uk/id/eprint/418615
ISSN: 1520-4391
PURE UUID: 5028dfb8-4b66-41f5-bfc8-e7e99bc3f6ed
ORCID for Andrew Davies: ORCID iD orcid.org/0000-0002-7517-6938

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Date deposited: 12 Mar 2018 17:31
Last modified: 16 Mar 2024 03:58

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Contributors

Author: Patrick M. Reagan
Author: Andrew Davies ORCID iD

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