Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature

Human immune deficiency virus- (HIV-) infected individuals present a higher risk of developing malignancies. Herein, we are presenting an unusual case of an untreated HIV+ patient, who developed two distinct lymphoproliferative disorders in a period of 4 years: a primary cutaneous T-cell lymphoma (P...

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Main Authors: Clara Bertuzzi, Elena Sabattini, Francesco Bacci, Claudio Agostinelli, Gian Gaetano Ferri
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2019/8959145
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author Clara Bertuzzi
Elena Sabattini
Francesco Bacci
Claudio Agostinelli
Gian Gaetano Ferri
author_facet Clara Bertuzzi
Elena Sabattini
Francesco Bacci
Claudio Agostinelli
Gian Gaetano Ferri
author_sort Clara Bertuzzi
collection DOAJ
description Human immune deficiency virus- (HIV-) infected individuals present a higher risk of developing malignancies. Herein, we are presenting an unusual case of an untreated HIV+ patient, who developed two distinct lymphoproliferative disorders in a period of 4 years: a primary cutaneous T-cell lymphoma (PCTCL) and a diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), the latter developed while commencing combined antiretroviral therapy (cART). The two lymphomas also showed peculiar features: PCTCL are rarely described in HIV+ setting and particularly at such a low clinical stage, and the DLBCL showed uncommon cytology, non-GCB phenotype, EBER negativity, and absence of c-MYC translocation, all atypical features in this clinical context. This report not only confirms the increased risk of lymphoma for HIV+ patients and HIV infection being one of the major risk factors for lymphoid disorders but draws the attention on the possible occurrence of unusual features, suggesting that HIV serology should always be investigated in the clinical suspicion of lymphoma.
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series Case Reports in Hematology
spelling doaj-art-cbbd32af5f29441d9af56faf9645a4b12025-02-03T01:27:54ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/89591458959145Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the LiteratureClara Bertuzzi0Elena Sabattini1Francesco Bacci2Claudio Agostinelli3Gian Gaetano Ferri4Hematopathology Unit, Sant’Orsola University Hospital, Bologna, ItalyHematopathology Unit, Sant’Orsola University Hospital, Bologna, ItalyHematopathology Unit, Sant’Orsola University Hospital, Bologna, ItalyHematopathology Unit, Sant’Orsola University Hospital, Bologna, ItalyENT and Audiology Unit, Department of Experimental, Diagnostic and Specialty Medicine, Sant’ Orsola Hospital, University of Bologna, Bologna, ItalyHuman immune deficiency virus- (HIV-) infected individuals present a higher risk of developing malignancies. Herein, we are presenting an unusual case of an untreated HIV+ patient, who developed two distinct lymphoproliferative disorders in a period of 4 years: a primary cutaneous T-cell lymphoma (PCTCL) and a diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), the latter developed while commencing combined antiretroviral therapy (cART). The two lymphomas also showed peculiar features: PCTCL are rarely described in HIV+ setting and particularly at such a low clinical stage, and the DLBCL showed uncommon cytology, non-GCB phenotype, EBER negativity, and absence of c-MYC translocation, all atypical features in this clinical context. This report not only confirms the increased risk of lymphoma for HIV+ patients and HIV infection being one of the major risk factors for lymphoid disorders but draws the attention on the possible occurrence of unusual features, suggesting that HIV serology should always be investigated in the clinical suspicion of lymphoma.http://dx.doi.org/10.1155/2019/8959145
spellingShingle Clara Bertuzzi
Elena Sabattini
Francesco Bacci
Claudio Agostinelli
Gian Gaetano Ferri
Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature
Case Reports in Hematology
title Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature
title_full Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature
title_fullStr Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature
title_full_unstemmed Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature
title_short Two Different Extranodal Lymphomas in an HIV+ Patient: A Case Report and Review of the Literature
title_sort two different extranodal lymphomas in an hiv patient a case report and review of the literature
url http://dx.doi.org/10.1155/2019/8959145
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