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International Journal of Hematology

, Volume 79, Issue 3, pp 271–275 | Cite as

Durable remission by sobuzoxane in an hiv-seronegative patient with human herpesvirus 8-negative primary effusion lymphoma

  • Yoriko Inoue
  • Kunihiro Tsukasaki
  • Kazuhiro Nagai
  • Hisashi Soda
  • Masao Tomonaga
Case Report

Abstract

Primary effusion lymphoma (PEL) is recognized as a unique clinicopathological entity associated with human herpesvirus 8 (HHV-8), and it occurs almost exclusively in human immunodeficiency virus (HIV)-infected individuals. In the majority of PEL cases, Epstein-Barr virus (EBV) has been found in the tumor cells as well.We describe here an elderly HIV seronegative female patient with PEL in the pleura and pericardium not associated with HHV-8 or EBV. Cytologic examinations of the pleural effusion revealed large lymphoma cells with immunophenotypes positive for CD8, CD10, CD19, CD20, CD22, CD24, CD45, and HLA-DR but negative for CD30 and surface immunoglobulin. Chromosome analysis showed complicated abnormalities including add(3)(q27). Immunoglobulin gene rearrangement was detected by Southern blotting; however, c-myc, Bcl-2, and Bcl-6 genes were not rearranged.The patient was treated with a modified CHOP (cyclophosphamide, hydroxydoxorubicin, oncovine, and prednisolone) regimen, and achieved remission. Recurrence of PEL in the pericardium as effusion lymphoma was found 3 months after the discontinuation of CHOP. After approximately 1 year of intermittent multiagent salvage therapy for pericardial recurrences, a treatment that resulted in a partial response, 3 cycles of monotherapy with sobuzoxane were administered. At the time of this report the patient had been free from PEL for more than 18 months without chemotherapy.

Key words

Primary effusion lymphoma Human herpesvirus 8 Human immunodeficiency virus Epstein-Barr virus Sobuzoxane 

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Copyright information

© The Japanese Society of Hematology 2004

Authors and Affiliations

  • Yoriko Inoue
    • 1
  • Kunihiro Tsukasaki
    • 1
  • Kazuhiro Nagai
    • 2
  • Hisashi Soda
    • 3
  • Masao Tomonaga
    • 1
  1. 1.Department of Hematology, Molecular Medicine Unit, Atomic Bomb Disease InstituteNagasaki University Graduate School of Biomedical SciencesNagasakiJapan
  2. 2.Transfusion ServiceNagasaki University HospitalNagasakiJapan
  3. 3.Department of Internal MedicineIsahaya Insurance General HospitalNagasakiJapan

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