Rare Association of a Rare Lymphoma

Authors

  • Rodolfo Gomes Serviço de Medicina Interna, Hospital Beatriz Ângelo, Loures, Portugal
  • Joana Fiipa Serviço de Medicina Interna, Hospital Beatriz Ângelo, Loures, Portugal
  • Inês Mendes Serviço de Medicina Interna, Hospital Beatriz Ângelo, Loures, Portugal
  • Gonçalo Gerardo Serviço de Anatomia Patológica, Hospital da Luz, Lisboa, Portugal
  • Bárbara Sousa Picado Serviço de Medicina Interna
  • Fernando Martos Gonçalves Serviço de Medicina Interna, Hospital Beatriz Ângelo, Loures, Portugal

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https://doi.org/10.60591/crspmi.5

Keywords:

Lymphohistiocytosis, Hemophagocytic, Lymphoma, Large B-Cell, Diffuse, Pancytopenia

Abstract

Intravascular large B-cell lymphoma is a rare entity, characterized by growth of lymphoma cells in the lumina of small vessels of various organs. Its large clinical variability and difficulty in diagnosis leads to a poor prognosis, mainly if there is central nervous system involvement and/or it is an Asian variant associated with hemophagocytic syndrome. We present a 52-year-old Caucasian male admitted to investigate pancytopenia and B symptoms. After an extensive study, a liver nodule was biopsied and allowed the rare diagnosis of an Asian variant intravascular large B cell lymphoma. Intercurrent neurological involvement is a factor usually refractory to systemic chemotherapy.

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Published

2023-03-31

How to Cite

Gomes, R., Fiipa, J., Mendes, I., Gerardo, G., Sousa Picado, B., & Martos Gonçalves, F. (2023). Rare Association of a Rare Lymphoma. SPMI Case Reports, 1(1), 4–9. https://doi.org/10.60591/crspmi.5

Issue

Section

Casos Clínicos

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