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Pathology & Oncology Research

, Volume 17, Issue 3, pp 779–784 | Cite as

Spontaneous Remission in Localized Diffuse Large B-cell Lymphoma

  • László TamásEmail author
  • Eszter Sári
  • Gábor Répássy
  • Péter Szabó
  • Enikő Bagdi
  • László Krenács
  • Judit Demeter
Case Report

Abstract

Diffuse large B-cell lymphoma (DLBCL) is an aggressive neoplastic disease of the lymphatic system, the activated B-cell type of this disease is likely to have a substantially worse prognosis. In this study, we report the favorable outcome of the activated B-cell type of DLBCL, though untreated, 7 years after diagnosis. In 2003, DLBCL localized to the root of tongue was found in the patient complaining of dysphonia and a pharyngeal globus perception but the patient did not agree to get any active hematological treatment. During the following years, the patient did not have any complaints. At the otorhinolaryngological control examination, in 2010, she was complaint-free, had normal laboratory parameters. Moreover a PET-CT scan did not reveal metabolic activity relating to malignancy. The extraordinary disease process can be explained by the spontaneous regression of the activated B-cell type DLBCL. Spontaneous regression of oral lymphoma has been published only exceptionally. To our knowledge, no report of spontaneous regression of activated B-cell type DLBLC has been reported.

Keywords

Diffuse large B-cell lymphoma Spontaneous remission Activated B-cell type DLBLC Root of tongue Untreated lymphoma 

Abbrevations

DLBCL

Diffuse large B-cell lymphoma

IPI

International Prognostic Index

aaIPI

Age adjusted International Prognostic Index

GCB

Germinal center-B-cell type

ABC

Activated B-cell type

Bcl 2

B-cell lymphoma 2

MUM1

Multiple myeloma oncogene 1

Cytokeratin A1-A3

Pankeratin monoclonal antibody

HGAL

Human Germinal Center Associated Lymphoma Protein

EBV

Ebstein-Barr-virus

EBV-LMP1

EBV-Latent membrane protein 1

CBC

complete blood count…

LDH

Lactate dehidrogenase

ORL

Otorhinolaryngeal

CT

Computer Tomography

PET

Positron Emission Tomography

FDG

Fluoro-desoxyglucose

NHL

Non-Hodgkin’s lymphoma

IL-4

Interleukin −4

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Copyright information

© Arányi Lajos Foundation 2011

Authors and Affiliations

  • László Tamás
    • 1
    Email author
  • Eszter Sári
    • 2
  • Gábor Répássy
    • 3
  • Péter Szabó
    • 4
  • Enikő Bagdi
    • 5
  • László Krenács
    • 5
  • Judit Demeter
    • 2
  1. 1.Department of Oto-Rhino-Laryngology, Head and Neck SurgeryJahn Ferenc HospitalBudapestHungary
  2. 2.1st Department of Internal Medicine—Division of HematologySemmelweis UniversityBudapestHungary
  3. 3.Department of Oto-Rhino-Laryngology, Head and Neck SurgerySemmelweis UniversityBudapestHungary
  4. 4.PET-CT Medical Diagnostic Ltd.BudapestHungary
  5. 5.Laboratory of Tumor Pathology and Molecular Diagnostics SzegedSzegedHungary

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