Abstract
Patients with systemic lupus erythematosus (SLE) appear to have an increased risk of developing malignancies, especially lymphomas. We report the development of a systemic ALK-negative T-cell anaplastic large cell lymphoma, stage IIB, in a 53-yr-old Caucasian female with a 12-yr history of stable SLE. The patient responded poorly to chemotherapy and died 2 yr after diagnosis. Lymphomas that develop in patients with SLE and other autoimmune diseases are virtually always of B-cell origin. To our knowledge this is the first report of a T-cell anaplastic large cell lymphoma in a patient with SLE. This article discusses the association of SLE and lymphoma, with an emphasis on T-lymphoproliferative states.
Similar content being viewed by others
References
Canoso, J.J., Cohen, S. (1974). Malignancy in a series of 70 patients with systemic lupus erythematosus. Arthritis Rheum. 17:383–388.
LopezDoupla, M., et al. (1993). Malignancy in systemic lupus erythematosus: a report of five cases in a series of 96 patients. Lupus 2:377–380.
Petterson, T., Pukkala, E., Teppo, L., Friman, C. (1994). Increase risk of cancer in patients with systemic lupus erythematosus. Ann. Rheum. Dis. 51:437–439.
Abu-Shakra, M., Gladman, D.D., Urowitz, M.B. (1996). Malignancy in systemic lupus erythematosus. Arthritis Rheum. 39:1050–1054.
Mellemkjaer, L., et al. (1997). Non-Hodgkin’s lymphomas and other cancers among a cohort of patients with systemic lupus erythematosus. Arthritis Rheum. 40:761–768.
Vinccis, P., et al. (2000). Haematopoietic cancer and medical history: a multicentre case control study. J. Epidemiol. Community Health 54:431–436.
Cibere, J., Sibley, J., Haga, M. (2001). Systemic lupus erythematosus and the risk of malignancy. Lupus 10:394–400.
Xu, Y. Wiernik, P.H. (2000). Systemic lupus erythematosus and B-cell hemathologic neoplasm. Lupus 10:841–850.
Kaji, T., et al. (1991). T-zone lymphoma in association with systemic lupus erythematosus. J Med. 22:225–241.
Miyanishi, S., Ohno, H. (1992). Characterization of a novel T-cell lymphoma cell line established from a patient with systemic lupus erythematosus-associated lymphoma. Cancer Genet. Cytogent. 59:199–205.
Tsutsumi, Y., Deng, Y., Uchiama, M., Kawano, K., Ikeda, Y. (1991). OPD4-positive T-cell lymphoma of the liver in systemic lupus erythematosus. Acta Pathol. Jpn. 41:829–833.
Sutton, E., Malatjalian, D., Hayne, O.A., Hanly, J.G. (1989). Liver lymphoma in systemic lupus erythematosus. J. Rheumatol. 16:1584–1588.
Linch, D.C., et al. (2000). A randomized British National lymphoma Investigation trial of CHOP vs. a weekly multiagent regimen (PACEBOM) in patients with histologically aggressive non-Hodgkin’s lymphoma. Ann. Oncol. 11 (suppl 1): S87-S89.
Rodriguez, M.A., et al (1995). Results of a salvage treatment for relapsing lymphoma: MINE consolidation with ESHAP. J. Clin. Oncol. 13:1734–1741.
Mellors, R.C. (1966). Autoimmune and immunoprolifertaive diseases of NZW/B mice and hybrids. Int. Rev. Exp. Pathol. 5:217–219.
Fallini, B., et al. (1999). ALK+ lymphoma: clinico-pathological findings and outcome. Blood 93:2697–2706.
Gascoyne, R.D., et al. (1999). Prognostic significance of the anaplastic lymphoma kinase (ALK) protein expression in adults with anaplastic large cell lymphoma. Blood 93:3913–3921.
Stein, H., et al. (2000). CD30+ anaplastic large cell lymphoma: a review of its histopathologic, genetic and clinical features Blood 96:3681–3695.
James, J.A., et al. (1997). An increased prevalence of Epstein-Barr virus infection in young patients suggests a possible etiology for systemic lupus erythematosus. J. Clin. Invest. 100:3019–3026.
Zhou, T., Bluethmannn, H., Eldridge J., Berry, K., Mountz, J.D. (1993). Origin of CD4-CD8-B220 T cells in MRL-1pr/1pr mice:clues from a T cell receptor beta transgenic mouse. J. Immunol. 150:3651–3667.
Wu, J., Zhou T., He, J., Mountz, J.D. (1993). Autoimmune disease in mice due to integration of an endogenous retrovirus in an apoptosis gene. J. Exp. Med. 178:461–468.
Di Cristofano, A., et al. (1999). Impaired Fas response and autoimmunity in Pten +/- mice. Science 96:1563–1568.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Suvajdzic, N., Stojanovic-Milenkovic, R., Tomasevic, Z. et al. ALK-negative T-cell anaplastic large cell lymphoma associated with systemic lupus erythematosus. Med Oncol 20, 409–412 (2003). https://doi.org/10.1385/MO:20:4:409
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1385/MO:20:4:409