Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission

We report a patient with diffuse large B-cell lymphoma of skin, nongerminal center type double hit double expressor, with an initial presentation as a left forearm mass. The patient underwent chemotherapy after initial diagnosis. After chemotherapy regimen, she developed a second mass, followed by C...

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Main Authors: Brenda S. Castillo, Maria L. Rodriguez, Ju-Hsien John Chao, Behyar Zoghi
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2019/3953470
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author Brenda S. Castillo
Maria L. Rodriguez
Ju-Hsien John Chao
Behyar Zoghi
author_facet Brenda S. Castillo
Maria L. Rodriguez
Ju-Hsien John Chao
Behyar Zoghi
author_sort Brenda S. Castillo
collection DOAJ
description We report a patient with diffuse large B-cell lymphoma of skin, nongerminal center type double hit double expressor, with an initial presentation as a left forearm mass. The patient underwent chemotherapy after initial diagnosis. After chemotherapy regimen, she developed a second mass, followed by CNS involvement with neurological defects. At this time, a three line of chemotherapy was used with minimal effects. The patient was deemed terminal and was recommended hospice care. The patient decided to continue with skin and crainospinal radiotherapy and intrathecal chemotherapy; she achieved complete remission. After achieving complete remission, the patient underwent an autologous stem cell transplant with minimal transplant-related toxicity.
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institution Kabale University
issn 2090-6560
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language English
publishDate 2019-01-01
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series Case Reports in Hematology
spelling doaj-art-7f2f6ed82ce143baaa7de12420f74a332025-02-03T01:26:00ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/39534703953470Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to RemissionBrenda S. Castillo0Maria L. Rodriguez1Ju-Hsien John Chao2Behyar Zoghi3Texas Tech University Health Sciences Center Paul L. Foster School of Medicine, El Paso, Texas, USABrown University, Providence, RI, USAMethodist Hospital, Texas Transplant Institute, San Antonio, Texas, USAMethodist Hospital, Texas Transplant Institute, San Antonio, Texas, USAWe report a patient with diffuse large B-cell lymphoma of skin, nongerminal center type double hit double expressor, with an initial presentation as a left forearm mass. The patient underwent chemotherapy after initial diagnosis. After chemotherapy regimen, she developed a second mass, followed by CNS involvement with neurological defects. At this time, a three line of chemotherapy was used with minimal effects. The patient was deemed terminal and was recommended hospice care. The patient decided to continue with skin and crainospinal radiotherapy and intrathecal chemotherapy; she achieved complete remission. After achieving complete remission, the patient underwent an autologous stem cell transplant with minimal transplant-related toxicity.http://dx.doi.org/10.1155/2019/3953470
spellingShingle Brenda S. Castillo
Maria L. Rodriguez
Ju-Hsien John Chao
Behyar Zoghi
Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission
Case Reports in Hematology
title Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission
title_full Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission
title_fullStr Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission
title_full_unstemmed Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission
title_short Primary Cutaneous Diffuse Large B-Cell Lymphoma of the Upper Limb: Double Hit/Double Expressor with CNS Involvement: From Hospice to Remission
title_sort primary cutaneous diffuse large b cell lymphoma of the upper limb double hit double expressor with cns involvement from hospice to remission
url http://dx.doi.org/10.1155/2019/3953470
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AT juhsienjohnchao primarycutaneousdiffuselargebcelllymphomaoftheupperlimbdoublehitdoubleexpressorwithcnsinvolvementfromhospicetoremission
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