An Endotracheal Plasmablastic Lymphoma
We describe an exceptionally rare case of a male patient with newly diagnosed advanced human immunodeficiency virus (HIV) infection, who presented with a plasmablastic lymphoma involving the right maxillary alveolar ridge with associated cervical lymphadenopathy. On a staging positron emission tomog...
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| Published in | Respiration Vol. 98; no. 6; pp. 546 - 550 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Basel, Switzerland
S. Karger AG
01.12.2019
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| Online Access | Get full text |
| ISSN | 0025-7931 1423-0356 1423-0356 |
| DOI | 10.1159/000503586 |
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| Abstract | We describe an exceptionally rare case of a male patient with newly diagnosed advanced human immunodeficiency virus (HIV) infection, who presented with a plasmablastic lymphoma involving the right maxillary alveolar ridge with associated cervical lymphadenopathy. On a staging positron emission tomography computed tomography (PET-CT) scan, he was incidentally found to have an endotracheal tumour involving the anterolateral aspect of the mid-trachea. The tumour appeared to be well-vascularised at bronchoscopy and was confirmed as well-differentiated plasmablastic lymphoma. Plasmablastic lymphoma is a rare form of non-Hodgkin lymphoma and is associated with HIV. Tracheal involvement to the extent seen in our patient is exceptionally rare, and, to the best of our knowledge, has never been described. |
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| AbstractList | We describe an exceptionally rare case of a male patient with newly diagnosed advanced human immunodeficiency virus (HIV) infection, who presented with a plasmablastic lymphoma involving the right maxillary alveolar ridge with associated cervical lymphadenopathy. On a staging positron emission tomography computed tomography (PET-CT) scan, he was incidentally found to have an endotracheal tumour involving the anterolateral aspect of the mid-trachea. The tumour appeared to be well-vascularised at bronchoscopy and was confirmed as well-differentiated plasmablastic lymphoma. Plasmablastic lymphoma is a rare form of non-Hodgkin lymphoma and is associated with HIV. Tracheal involvement to the extent seen in our patient is exceptionally rare, and, to the best of our knowledge, has never been described. We describe an exceptionally rare case of a male patient with newly diagnosed advanced human immunodeficiency virus (HIV) infection, who presented with a plasmablastic lymphoma involving the right maxillary alveolar ridge with associated cervical lymphadenopathy. On a staging positron emission tomography computed tomography (PET-CT) scan, he was incidentally found to have an endotracheal tumour involving the anterolateral aspect of the mid-trachea. The tumour appeared to be well-vascularised at bronchoscopy and was confirmed as well-differentiated plasmablastic lymphoma. Plasmablastic lymphoma is a rare form of non-Hodgkin lymphoma and is associated with HIV. Tracheal involvement to the extent seen in our patient is exceptionally rare, and, to the best of our knowledge, has never been described. Keywords: Plasmablastic lymphoma, Endotracheal tumour, PET-CT scan We describe an exceptionally rare case of a male patient with newly diagnosed advanced human immunodeficiency virus (HIV) infection, who presented with a plasmablastic lymphoma involving the right maxillary alveolar ridge with associated cervical lymphadenopathy. On a staging positron emission tomography computed tomography (PET-CT) scan, he was incidentally found to have an endotracheal tumour involving the anterolateral aspect of the mid-trachea. The tumour appeared to be well-vascularised at bronchoscopy and was confirmed as well-differentiated plasmablastic lymphoma. Plasmablastic lymphoma is a rare form of non-Hodgkin lymphoma and is associated with HIV. Tracheal involvement to the extent seen in our patient is exceptionally rare, and, to the best of our knowledge, has never been described.We describe an exceptionally rare case of a male patient with newly diagnosed advanced human immunodeficiency virus (HIV) infection, who presented with a plasmablastic lymphoma involving the right maxillary alveolar ridge with associated cervical lymphadenopathy. On a staging positron emission tomography computed tomography (PET-CT) scan, he was incidentally found to have an endotracheal tumour involving the anterolateral aspect of the mid-trachea. The tumour appeared to be well-vascularised at bronchoscopy and was confirmed as well-differentiated plasmablastic lymphoma. Plasmablastic lymphoma is a rare form of non-Hodgkin lymphoma and is associated with HIV. Tracheal involvement to the extent seen in our patient is exceptionally rare, and, to the best of our knowledge, has never been described. |
| Audience | Academic |
| Author | Bassa, Fatima Opperman, Johan Bots, Eva M.T. Koegelenberg, Coenraad F.N. |
| AuthorAffiliation | a Division of Pulmonology, Department of Medicine, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa b Pulmonology Department, Erasmus Medical Centre, Rotterdam, The Netherlands c Division of Anatomical Pathology, Department of Pathology, National Health Laboratory Service and Stellenbosch University, Cape Town, South Africa d Division of Haematology, Department of Medicine, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa |
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| Cites_doi | 10.21037/acs.2018.02.01 10.2169/internalmedicine.8269-16 10.1093/annonc/mdh399 10.1002/cncr.21334 10.1097/QAI.0b013e3181bf5544 10.1053/hupa.2002.124723 10.1182/blood-2014-11-599951 10.1097/00000478-200401000-00003 10.1634/theoncologist.2009-0304 10.1016/j.transci.2011.01.007 10.1093/cid/cix392 10.1016/S1473-3099(08)70067-7 10.1017/S0022215112002149 10.1182/blood-2014-10-567479 |
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| Keywords | Plasmablastic lymphoma Endotracheal tumour PET-CT scan |
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| References | Abayomi EA, Somers A, Grewal R, Sissolak G, Bassa F, Maartens D, et al.. Impact of the HIV epidemic and Anti-Retroviral Treatment policy on lymphoma incidence and subtypes seen in the Western Cape of South Africa, 2002-2009: preliminary findings of the Tygerberg Lymphoma Study Group. Transfus Apheresis Sci. 2011Apr;44(2):161–6. 10.1016/j.transci.2011.01.007214023101473-0502 Diaz-Mendoza J, Debiane L, Peralta AR, Simoff M. Tracheal tumors; Curr Opin Pulm Med.2019;25:000-000 Burgi A, Brodine S, Wegner S, Milazzo M, Wallace MR, Spooner K, et al.. Incidence and risk factors for the occurrence of non-AIDS-defining cancers among human immunodeficiency virus-infected individuals. Cancer. 2005Oct;104(7):1505–11. 10.1002/cncr.21334161040380008-543X Engels EA, Yanik EL, Wheeler W, Gill MJ, Shiels MS, Dubrow R, et al.; North American AIDS Cohort Collaboration on Research and Design of the International Epidemiologic Databases to Evaluate AIDS; North American AIDS Cohort Collaboration on Research and Design of the International Epidemiologic Databases to Evaluate AIDS. Cancer-Attributable Mortality Among People With Treated Human Immunodeficiency Virus Infection in North America. Clin Infect Dis. 2017Aug;65(4):636–43. 10.1093/cid/cix392290172691058-4838 Minami D, Ando C, Sato K, Moriwaki K, Sugahara F, Nakasuka T, et al.. Multiple Mucosa-associated Lymphoid Tissue Lymphoma of the Trachea. Intern Med. 2017Nov;56(21):2907–11. 10.2169/internalmedicine.8269-16289435360918-2918 Stephenson K, Peer S, Govender D, Fagan JJ. Plasmablastic lymphoma of the larynx: report of two cases. J Laryngol Otol. 2013Jan;127(1):96–9. 10.1017/S0022215112002149229899260022-2151 Arvey A, Ojesina AI, Pedamallu CS, Ballon G, Jung J, Duke F, et al.. The tumor virus landscape of AIDS-related lymphomas. Blood. 2015May;125(20):e14–22. 10.1182/blood-2014-11-599951258278320006-4971 Riedel DJ, Gonzalez-Cuyar LF, Zhao XF, Redfield RR, Gilliam BL. Plasmablastic lymphoma of the oral cavity: a rapidly progressive lymphoma associated with HIV infection. Lancet Infect Dis. 2008Apr;8(4):261–7. 10.1016/S1473-3099(08)70067-7183532671473-3099 Carbone A. AIDS-related non-Hodgkin’s lymphomas: from pathology and molecular pathogenesis to treatment. Hum Pathol. 2002Apr;33(4):392–404. 10.1053/hupa.2002.124723120556730046-8177 Teruya-Feldstein J, Chiao E, Filippa DA, Lin O, Comenzo R, Coleman M, et al.. CD20-negative large-cell lymphoma with plasmablastic features: a clinically heterogenous spectrum in both HIV-positive and -negative patients. Ann Oncol. 2004Nov;15(11):1673–9. 10.1093/annonc/mdh399155200700923-7534 Mantina H, Wiggill TM, Carmona S, Perner Y, Stevens WS. Characterization of Lymphomas in a high prevalence HIV setting. J Acquir Immune Defic Syndr. 2010Apr;53(5):656–60. 10.1097/QAI.0b013e3181bf5544201606521525-4135 Castillo JJ, Winer ES, Stachurski D, Perez K, Jabbour M, Milani C, et al.. Prognostic factors in chemotherapy-treated patients with HIV-associated Plasmablastic lymphoma. Oncologist. 2010;15(3):293–9. 10.1634/theoncologist.2009-0304201678391083-7159 Madariaga ML, Gaissert HA. Secondary tracheal tumors: a systematic review. Ann Cardiothorac Surg. 2018Mar;7(2):183–96. 10.21037/acs.2018.02.01297074962225-319X Castillo JJ, Bibas M, Miranda RN. The biology and treatment of plasmablastic lymphoma. Blood. 2015Apr;125(15):2323–30. 10.1182/blood-2014-10-567479256363380006-4971 Cioc AM, Allen C, Kalmar JR, Suster S, Baiocchi R, Nuovo GJ. Oral plasmablastic lymphomas in AIDS patients are associated with human herpesvirus 8. Am J Surg Pathol. 2004Jan;28(1):41–6. 10.1097/00000478-200401000-00003147078620147-5185 ref13 ref12 ref14 ref11 ref10 ref2 ref1 ref8 ref7 ref9 ref4 ref3 ref6 ref5 |
| References_xml | – reference: Mantina H, Wiggill TM, Carmona S, Perner Y, Stevens WS. Characterization of Lymphomas in a high prevalence HIV setting. J Acquir Immune Defic Syndr. 2010Apr;53(5):656–60. 10.1097/QAI.0b013e3181bf5544201606521525-4135 – reference: Carbone A. AIDS-related non-Hodgkin’s lymphomas: from pathology and molecular pathogenesis to treatment. Hum Pathol. 2002Apr;33(4):392–404. 10.1053/hupa.2002.124723120556730046-8177 – reference: Teruya-Feldstein J, Chiao E, Filippa DA, Lin O, Comenzo R, Coleman M, et al.. CD20-negative large-cell lymphoma with plasmablastic features: a clinically heterogenous spectrum in both HIV-positive and -negative patients. Ann Oncol. 2004Nov;15(11):1673–9. 10.1093/annonc/mdh399155200700923-7534 – reference: Stephenson K, Peer S, Govender D, Fagan JJ. Plasmablastic lymphoma of the larynx: report of two cases. J Laryngol Otol. 2013Jan;127(1):96–9. 10.1017/S0022215112002149229899260022-2151 – reference: Castillo JJ, Bibas M, Miranda RN. The biology and treatment of plasmablastic lymphoma. Blood. 2015Apr;125(15):2323–30. 10.1182/blood-2014-10-567479256363380006-4971 – reference: Madariaga ML, Gaissert HA. Secondary tracheal tumors: a systematic review. Ann Cardiothorac Surg. 2018Mar;7(2):183–96. 10.21037/acs.2018.02.01297074962225-319X – reference: Minami D, Ando C, Sato K, Moriwaki K, Sugahara F, Nakasuka T, et al.. Multiple Mucosa-associated Lymphoid Tissue Lymphoma of the Trachea. Intern Med. 2017Nov;56(21):2907–11. 10.2169/internalmedicine.8269-16289435360918-2918 – reference: Castillo JJ, Winer ES, Stachurski D, Perez K, Jabbour M, Milani C, et al.. Prognostic factors in chemotherapy-treated patients with HIV-associated Plasmablastic lymphoma. Oncologist. 2010;15(3):293–9. 10.1634/theoncologist.2009-0304201678391083-7159 – reference: Diaz-Mendoza J, Debiane L, Peralta AR, Simoff M. Tracheal tumors; Curr Opin Pulm Med.2019;25:000-000 – reference: Cioc AM, Allen C, Kalmar JR, Suster S, Baiocchi R, Nuovo GJ. Oral plasmablastic lymphomas in AIDS patients are associated with human herpesvirus 8. Am J Surg Pathol. 2004Jan;28(1):41–6. 10.1097/00000478-200401000-00003147078620147-5185 – reference: Burgi A, Brodine S, Wegner S, Milazzo M, Wallace MR, Spooner K, et al.. Incidence and risk factors for the occurrence of non-AIDS-defining cancers among human immunodeficiency virus-infected individuals. Cancer. 2005Oct;104(7):1505–11. 10.1002/cncr.21334161040380008-543X – reference: Engels EA, Yanik EL, Wheeler W, Gill MJ, Shiels MS, Dubrow R, et al.; North American AIDS Cohort Collaboration on Research and Design of the International Epidemiologic Databases to Evaluate AIDS; North American AIDS Cohort Collaboration on Research and Design of the International Epidemiologic Databases to Evaluate AIDS. Cancer-Attributable Mortality Among People With Treated Human Immunodeficiency Virus Infection in North America. Clin Infect Dis. 2017Aug;65(4):636–43. 10.1093/cid/cix392290172691058-4838 – reference: Abayomi EA, Somers A, Grewal R, Sissolak G, Bassa F, Maartens D, et al.. Impact of the HIV epidemic and Anti-Retroviral Treatment policy on lymphoma incidence and subtypes seen in the Western Cape of South Africa, 2002-2009: preliminary findings of the Tygerberg Lymphoma Study Group. Transfus Apheresis Sci. 2011Apr;44(2):161–6. 10.1016/j.transci.2011.01.007214023101473-0502 – reference: Arvey A, Ojesina AI, Pedamallu CS, Ballon G, Jung J, Duke F, et al.. The tumor virus landscape of AIDS-related lymphomas. Blood. 2015May;125(20):e14–22. 10.1182/blood-2014-11-599951258278320006-4971 – reference: Riedel DJ, Gonzalez-Cuyar LF, Zhao XF, Redfield RR, Gilliam BL. Plasmablastic lymphoma of the oral cavity: a rapidly progressive lymphoma associated with HIV infection. Lancet Infect Dis. 2008Apr;8(4):261–7. 10.1016/S1473-3099(08)70067-7183532671473-3099 – ident: ref1 doi: 10.21037/acs.2018.02.01 – ident: ref2 doi: 10.2169/internalmedicine.8269-16 – ident: ref14 doi: 10.1093/annonc/mdh399 – ident: ref3 doi: 10.1002/cncr.21334 – ident: ref5 doi: 10.1097/QAI.0b013e3181bf5544 – ident: ref7 doi: 10.1053/hupa.2002.124723 – ident: ref9 doi: 10.1182/blood-2014-11-599951 – ident: ref12 doi: 10.1097/00000478-200401000-00003 – ident: ref13 doi: 10.1634/theoncologist.2009-0304 – ident: ref8 doi: 10.1016/j.transci.2011.01.007 – ident: ref4 doi: 10.1093/cid/cix392 – ident: ref11 doi: 10.1016/S1473-3099(08)70067-7 – ident: ref6 doi: 10.1017/S0022215112002149 – ident: ref10 doi: 10.1182/blood-2014-10-567479 |
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| Title | An Endotracheal Plasmablastic Lymphoma |
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