Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma

A 71-year-old man was diagnosed with an aggressive mantle cell lymphoma and was started on six cycles of R-CHOP chemotherapy. Approximately two weeks after starting his first cycle of chemotherapy, he complained of severe right lower quadrant abdominal pain, and an abdominal CT scan demonstrated an...

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Main Authors: Michael Linden, Ajay Gopal, Kerstin Edlefsen
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2012/868151
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author Michael Linden
Ajay Gopal
Kerstin Edlefsen
author_facet Michael Linden
Ajay Gopal
Kerstin Edlefsen
author_sort Michael Linden
collection DOAJ
description A 71-year-old man was diagnosed with an aggressive mantle cell lymphoma and was started on six cycles of R-CHOP chemotherapy. Approximately two weeks after starting his first cycle of chemotherapy, he complained of severe right lower quadrant abdominal pain, and an abdominal CT scan demonstrated an enlarged appendix with evidence of contained perforation. The man underwent open appendectomy for acute appendicitis and recovered. The appendectomy specimen was submitted for routine pathological analysis. There was histologic evidence of perforation in association with an inflammatory infiltrate with fibrin adhered to the serosal surface; scattered small lymphoid aggregates were present on the mucosal surface. Although the lymphoid aggregates in the submucosa and lamina propria were rather unremarkable by routine histologic examination, immunohistochemistry revealed the lymphocytes to be predominantly Cyclin D1-overexpressing B cells. To our knowledge, this is the first reported case of acute appendicitis in association with appendiceal involvement by mantle cell lymphoma.
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spelling doaj-art-6dfc554101ca49f49d460d492ff135042025-02-03T01:03:02ZengWileyCase Reports in Hematology2090-65602090-65792012-01-01201210.1155/2012/868151868151Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell LymphomaMichael Linden0Ajay Gopal1Kerstin Edlefsen2Department of Laboratory Medicine and Pathology, University of Minnesota, MMC 806, Minneapolis, MN 55455, USADepartment of Medicine, University of Washington, Seattle, WA 98195, USASeattle Cancer Care Alliance, Seattle, WA 98109, USAA 71-year-old man was diagnosed with an aggressive mantle cell lymphoma and was started on six cycles of R-CHOP chemotherapy. Approximately two weeks after starting his first cycle of chemotherapy, he complained of severe right lower quadrant abdominal pain, and an abdominal CT scan demonstrated an enlarged appendix with evidence of contained perforation. The man underwent open appendectomy for acute appendicitis and recovered. The appendectomy specimen was submitted for routine pathological analysis. There was histologic evidence of perforation in association with an inflammatory infiltrate with fibrin adhered to the serosal surface; scattered small lymphoid aggregates were present on the mucosal surface. Although the lymphoid aggregates in the submucosa and lamina propria were rather unremarkable by routine histologic examination, immunohistochemistry revealed the lymphocytes to be predominantly Cyclin D1-overexpressing B cells. To our knowledge, this is the first reported case of acute appendicitis in association with appendiceal involvement by mantle cell lymphoma.http://dx.doi.org/10.1155/2012/868151
spellingShingle Michael Linden
Ajay Gopal
Kerstin Edlefsen
Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma
Case Reports in Hematology
title Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma
title_full Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma
title_fullStr Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma
title_full_unstemmed Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma
title_short Acute Appendicitis in a Man Undergoing Therapy for Mantle Cell Lymphoma
title_sort acute appendicitis in a man undergoing therapy for mantle cell lymphoma
url http://dx.doi.org/10.1155/2012/868151
work_keys_str_mv AT michaellinden acuteappendicitisinamanundergoingtherapyformantlecelllymphoma
AT ajaygopal acuteappendicitisinamanundergoingtherapyformantlecelllymphoma
AT kerstinedlefsen acuteappendicitisinamanundergoingtherapyformantlecelllymphoma