Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation

Primary bone marrow diffuse large B-cell lymphoma is an exceedingly rare form of non-Hodgkin lymphoma. It may demonstrate a leukemic presentation, and a proportion of cases have CD5 expression. The prognostic implications of this CD5-positivity remain unknown. Here, we present a 78-year-old man who...

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Main Authors: Mark G. Evans, Sherif A. Rezk, Lauren C. Pinter-Brown, Xiaohui Zhao
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2021/2628100
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author Mark G. Evans
Sherif A. Rezk
Lauren C. Pinter-Brown
Xiaohui Zhao
author_facet Mark G. Evans
Sherif A. Rezk
Lauren C. Pinter-Brown
Xiaohui Zhao
author_sort Mark G. Evans
collection DOAJ
description Primary bone marrow diffuse large B-cell lymphoma is an exceedingly rare form of non-Hodgkin lymphoma. It may demonstrate a leukemic presentation, and a proportion of cases have CD5 expression. The prognostic implications of this CD5-positivity remain unknown. Here, we present a 78-year-old man who presented with circulating peripheral blood lymphoma cells and a hypercellular marrow involved by diffuse large B-cell lymphoma, germinal center B-cell subtype. The patient responded favorably to six cycles of etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab (EPOCH-R) and intrathecal methotrexate. He unfortunately relapsed in several enlarged inguinal lymph nodes and succumbed to the lymphoma approximately one year after diagnosis, demonstrating the particularly aggressive clinical course of his disease.
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spelling doaj-art-2eaa9b81104a456f82b11a30c29d64132025-02-03T01:08:51ZengWileyCase Reports in Hematology2090-65602090-65792021-01-01202110.1155/2021/26281002628100Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic PresentationMark G. Evans0Sherif A. Rezk1Lauren C. Pinter-Brown2Xiaohui Zhao3Department of Hematopathology, Division of Pathology and Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USADepartment of Pathology and Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USADepartment of Medicine, Division of Hematology/Oncology, University of California Irvine (UCI) Medical Center, Orange, CA, USADepartment of Pathology and Laboratory Medicine, University of California Irvine (UCI) Medical Center, Orange, CA, USAPrimary bone marrow diffuse large B-cell lymphoma is an exceedingly rare form of non-Hodgkin lymphoma. It may demonstrate a leukemic presentation, and a proportion of cases have CD5 expression. The prognostic implications of this CD5-positivity remain unknown. Here, we present a 78-year-old man who presented with circulating peripheral blood lymphoma cells and a hypercellular marrow involved by diffuse large B-cell lymphoma, germinal center B-cell subtype. The patient responded favorably to six cycles of etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab (EPOCH-R) and intrathecal methotrexate. He unfortunately relapsed in several enlarged inguinal lymph nodes and succumbed to the lymphoma approximately one year after diagnosis, demonstrating the particularly aggressive clinical course of his disease.http://dx.doi.org/10.1155/2021/2628100
spellingShingle Mark G. Evans
Sherif A. Rezk
Lauren C. Pinter-Brown
Xiaohui Zhao
Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation
Case Reports in Hematology
title Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation
title_full Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation
title_fullStr Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation
title_full_unstemmed Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation
title_short Aggressive CD5-Positive Primary Bone Marrow Diffuse Large B-Cell Lymphoma with Leukemic Presentation
title_sort aggressive cd5 positive primary bone marrow diffuse large b cell lymphoma with leukemic presentation
url http://dx.doi.org/10.1155/2021/2628100
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AT sherifarezk aggressivecd5positiveprimarybonemarrowdiffuselargebcelllymphomawithleukemicpresentation
AT laurencpinterbrown aggressivecd5positiveprimarybonemarrowdiffuselargebcelllymphomawithleukemicpresentation
AT xiaohuizhao aggressivecd5positiveprimarybonemarrowdiffuselargebcelllymphomawithleukemicpresentation