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Stable remission after administration of rituximab in a patient with primary hepatic marginal zone B-cell lymphoma.
Gockel, H R; Heidemann, J; Lugering, A; Mesters, R M; Parwaresch, R; Domschke, W; Lugering, N.
Afiliación
  • Gockel HR; Department of Medicine B, University of Muenster, Muenster, Germany. gockelh@gmx.de
Eur J Haematol ; 74(5): 445-7, 2005 May.
Article en En | MEDLINE | ID: mdl-15813921
We describe a case of primary hepatic marginal zone B-cell lymphoma in a 36-year-old Caucasian male with a history of chronic hepatitis B infection. Immunohistochemically, extensive infiltration by a CD20-positive, CD5- negative and CD10-negative lymphoid cell population displaying a follicular arrangement was detected. Molecular analysis of immunoglobulin heavy chain gene rearrangements confirmed the clonal expansion of lymphoma cells. Fourteen months after surgical treatment, the tumour recurred in close proximity to the liver hilus, hampering further surgery. Therefore, we implemented a therapy using the monoclonal anti-CD20-antibody rituximab in a dose of 375 mg/m(2), administered four times once a week. Six, 10, 18, and 26 months later the recurrent lymphoma could no longer be detected as shown by abdominal ultrasonography and CT. This case report demonstrates the difficulties of treating this extremely rare liver disease and shows its response to rituximab therapy.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfoma de Células B / Neoplasias Hepáticas / Anticuerpos Monoclonales / Antineoplásicos Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Eur J Haematol Asunto de la revista: HEMATOLOGIA Año: 2005 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfoma de Células B / Neoplasias Hepáticas / Anticuerpos Monoclonales / Antineoplásicos Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Eur J Haematol Asunto de la revista: HEMATOLOGIA Año: 2005 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido