The Incidence of Composite Lymphomas: Case Studies Anddisease Management

Yıl: 2022 Cilt: 6 Sayı: 2 Sayfa Aralığı: 130 - 136 Metin Dili: İngilizce DOI: 10.14744/ejmo.2022.14882 İndeks Tarihi: 06-07-2022

The Incidence of Composite Lymphomas: Case Studies Anddisease Management

Öz:
Objectives: Composite lymphomas (CL), which are a combination of different types of lymphomas in a single patient can occur simultaneously or sequentially. Diagnosis and treatment of CL require a full range of modern approaches. Methods: The study included 37 cases of CL (M:F=2:1), the median age of patients was 64 (38-83 years). All patients underwent a full range of diagnostic procedures, including histopathological, immunohistochemical/immunophenotypic (flow cytometry), cytogenetic/FISH, and molecular tests at the National Research Centre for Hematology, Moscow. Results: Metachronous CL were observed in 17 cases and the most common type of the second lymphoma was diffuse large B-cell lymphoma (DLBCL) or Hodgkin's lymphoma (HL). In 30% of cases, DLBCL developed after HL therapy, and in 30% - after therapy of angioimmunoblastic T-cell lymphoma (AITL). In 20 cases of synchronous CL the most common was B-cell chronic lymphocytic leukemia (B-CLL) combined with hairy cell leukemia (HCL) - 54.5%, large granular lymphocytic leukemia, marginal zone lymphoma (MZL), follicular lymphoma, multiple myeloma, or mycosis fungoides. A combination of HL with other lymphoma was observed in 25% of cases (HL+MZL represent 60% of cases). Conclusion: CL are excellent models for studying the complex process of tumor cells evolution during the course of the disease. Treatment of CL is a non-trivial task and aims to control both diseases.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Swerdlow SH, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, et al. The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood 2016;127:2375–90.
  • 2. Thirumala S, Esposito M, Fuchs A. An unusual variant of composite lymphoma: a short case report and review of the literature. Arch Pathol Lab Med 2000;124:376–78. [CrossRef]
  • 3. Gorodetskiy VR, Probatova NA, Konovalov DM, Ryzhikova NV, Sidorova YV, Sudarikov AB, et al. Composite Epstein-Barr virus-positive mucosa-associated lymphoid tissue lympho and Epstein-Barr virus-negative diffuse large B-cell lymphoma in the parotid salivary gland of a patient with Sjögren's syndrome and rheumatoid arthritis: a case report. J Med Case Rep 2020;14:12. [CrossRef]
  • 4. Gorodetskiy VR, Probatova NA, Radenska-Lopovok SG, Ryzhikova NV, Sidorova YV, Sudarikov AB. Clonal relationship of marginal zone lymphoma and diffuse large B-cell lymphoma in Sjogren's syndrome patients: case series study and review of the literature. Rheumatology International. 2020;40:499– 506. [CrossRef]
  • 5. Küppers R, Dührsen U, Hansmann ML. Pathogenesis, diagnosis, and treatment of composite lymphomas. Lancet Oncol 2014;15:e435–46. [CrossRef]
  • 6. Custer R. Pitfalls in the diagnosis of lymphoma and leukemia from the pathologist’s point of view. Second National Cancer Conference; New York; 1954. p. 554–7.
  • 7. Kim H, Hendrickson R, Dorfman RF. Composite lymphoma. Cancer 1977;40:959–76 [CrossRef]
  • 8. Lassmann S, Gerlach UV, Technau-Ihling K, Werner M, Fisch P. Application of BIOMED-2 primers in fixed and decalcified bone marrow biopsies: analysis of immunoglobulin H receptor rearrangements in B-cell non-Hodgkin's lymphomas. J Mol Diagn 2005;7:582–91. [CrossRef]
  • 9. Bräuninger A, Hansmann ML, Strickler JG, Dummer R, Burg G, Rajewsky K, et al. Identification of common germinal-center B-cell precursors in two patients with both Hodgkin's disease and non-Hodgkin's lymphoma. N Engl J Med 1999;340:1239– 47.
  • 10. Marafioti T, Hummel M, Anagnostopoulos I, Foss HD, Huhn D, Stein H. Classical Hodgkin’s disease and follicular lymphoma originating from the same germinal center B cell. J Clin Oncol 1999;17:3804–09. [CrossRef]
  • 11. Nakamura N, Ohshima K, Abe M, Osamura Y. Demonstration of chimeric DNA of bcl-2 and immunoglobulin heavy chain in follicular lymphoma and subsequent Hodgkin lymphoma from the same patient. J Clin Exp Hematop 2007;47:9–13.
  • 12. Rosenquist R, Roos G, Erlanson M, Küppers R, Bräuninger A, Hansmann ML. Clonally related splenic marginal zone lymphoma and Hodgkin lymphoma with unmutated V gene rearrangements and a 15-yr time gap between diagnoses. Eur J Haematol 2004;73:210–14. [CrossRef]
  • 13. Traverse-Glehen A, Pittaluga S, Gaulard P, Sorbara L, Alonso MA, Raffeld M, et al. Mediastinal gray zone lymphoma: the missing link between classic Hodgkin's lymphoma and mediastinal large B-cell lymphoma. Am J Surg Pathol 2005;29:1411– 21. [CrossRef]
  • 14. Eberle FC, Salaverria I, Steidl C, Summers TA Jr, Pittaluga S, Neriah SB, et al. Gray zone lymphoma: chromosomal aberrations with immunophenotypic and clinical correlations. Mod Pathol 2011;24:1586–97. [CrossRef]
  • 15. Fong D, Kaiser A, Spizzo G, Gastl G, Tzankov A. Hodgkin’s disease variant of Richter’s syndrome in chronic lymphocytic leukaemia patients previously treated with fludarabine. Br J Haematol 2005;129:199–205. [CrossRef]
  • 16. Thomas RK, Wickenhauser C, Kube D, Tesch H, Diehl V, Wolf J, et al. Repeated clonal relapses in classical Hodgkin's lymphoma and the occurrence of a clonally unrelated diffuse large B cell non-Hodgkin lymphoma in the same patient. Leuk Lymphoma 2004;45:1065–9. [CrossRef]
  • 17. Ohno T, Trenn G, Wu G, Abou-Elella A, Reis HE, Chan WC. The clonal relationship between nodular sclerosis Hodgkin’s disease with a clonal Reed-Sternberg cell population and a subsequent B-cell small noncleaved cell lymphoma. Mod Pathol 1998;11:485–90.
  • 18. Parrens M, Vergier B, Fitoussi O, Lahet C, Belleannee G, Marit G, et al. Sequential development of Hodgkin's disease and CD30+ diffuse large B-cell lymphoma in a patient with MALTtype lymphoma: evidence of different clonal origin of single microdissected Reed-Sternberg cells. Am J Surg Pathol 2002;26:1634–42. [CrossRef]
  • 19. Steinhoff M, Assaf C, Anagnostopoulos I, Geilen CC, Stein H, Hummel M. Three coexisting lymphomas in one patient: genetically related or only a coincidence? J Clin Pathol 2006;59:1312–15. [CrossRef]
  • 20. de Leval L, Vivario M, De Prijck B, Zhou Y, Boniver J, Harris NL, et al. Distinct clonal origin in two cases of Hodgkin's lymphoma variant of Richter's syndrome associated With EBV infection. Am J Surg Pathol 2004;28:679–86. [CrossRef]
  • 21. Venkatraman L, Catherwood M, Benson G, Drake M. Hodgkin transformation of small lymphocytic lymphoma: gene usage, mutational status and clonal relationship. Histopathology 2007;51:866–68. [CrossRef]
  • 22. Smirnova SY, Sidorova YV, Ryzhikova NV, Sychevskaya KA, Parovichnikova EN, Sudarikov AB. Evolution of tumor clones in adult acute lymphoblastic leukemia. Acta Naturae 2016;8:100–9. [CrossRef]
  • 23. Sychevskaya KA, Biderman BV, Kravchenko SK, Plastinina L, Smirnova SY, Babayeva F, et al. Clonal evolution of follicular lymphoma cells from onset to relapse. HemaSphere 2018;8:1039.
  • 24. Lee SE, Kang SY, Yoo HY, Kim SJ, Kim WS, Ko YH. Clonal relationships in recurrent B-cell lymphomas. Oncotarget 201
APA Smirnova S, Moiseeva T, Al-Radi L, Sidorova Y, Nikulina L, Plastinina L, Dorokhina E, Biderman B, ZAHARKO E, Kravchenko S, Kovrigina A, Sudarikov A (2022). The Incidence of Composite Lymphomas: Case Studies Anddisease Management. , 130 - 136. 10.14744/ejmo.2022.14882
Chicago Smirnova Svetlana,Moiseeva Tatiana N.,Al-Radi Liubov,Sidorova Yulia,Nikulina Lena,Plastinina Lyubov,Dorokhina E.I.,Biderman Bella,ZAHARKO Ekaterina,Kravchenko Sergey,Kovrigina Alla,Sudarikov Andrey The Incidence of Composite Lymphomas: Case Studies Anddisease Management. (2022): 130 - 136. 10.14744/ejmo.2022.14882
MLA Smirnova Svetlana,Moiseeva Tatiana N.,Al-Radi Liubov,Sidorova Yulia,Nikulina Lena,Plastinina Lyubov,Dorokhina E.I.,Biderman Bella,ZAHARKO Ekaterina,Kravchenko Sergey,Kovrigina Alla,Sudarikov Andrey The Incidence of Composite Lymphomas: Case Studies Anddisease Management. , 2022, ss.130 - 136. 10.14744/ejmo.2022.14882
AMA Smirnova S,Moiseeva T,Al-Radi L,Sidorova Y,Nikulina L,Plastinina L,Dorokhina E,Biderman B,ZAHARKO E,Kravchenko S,Kovrigina A,Sudarikov A The Incidence of Composite Lymphomas: Case Studies Anddisease Management. . 2022; 130 - 136. 10.14744/ejmo.2022.14882
Vancouver Smirnova S,Moiseeva T,Al-Radi L,Sidorova Y,Nikulina L,Plastinina L,Dorokhina E,Biderman B,ZAHARKO E,Kravchenko S,Kovrigina A,Sudarikov A The Incidence of Composite Lymphomas: Case Studies Anddisease Management. . 2022; 130 - 136. 10.14744/ejmo.2022.14882
IEEE Smirnova S,Moiseeva T,Al-Radi L,Sidorova Y,Nikulina L,Plastinina L,Dorokhina E,Biderman B,ZAHARKO E,Kravchenko S,Kovrigina A,Sudarikov A "The Incidence of Composite Lymphomas: Case Studies Anddisease Management." , ss.130 - 136, 2022. 10.14744/ejmo.2022.14882
ISNAD Smirnova, Svetlana vd. "The Incidence of Composite Lymphomas: Case Studies Anddisease Management". (2022), 130-136. https://doi.org/10.14744/ejmo.2022.14882
APA Smirnova S, Moiseeva T, Al-Radi L, Sidorova Y, Nikulina L, Plastinina L, Dorokhina E, Biderman B, ZAHARKO E, Kravchenko S, Kovrigina A, Sudarikov A (2022). The Incidence of Composite Lymphomas: Case Studies Anddisease Management. Eurasian Journal of Medicine and Oncology, 6(2), 130 - 136. 10.14744/ejmo.2022.14882
Chicago Smirnova Svetlana,Moiseeva Tatiana N.,Al-Radi Liubov,Sidorova Yulia,Nikulina Lena,Plastinina Lyubov,Dorokhina E.I.,Biderman Bella,ZAHARKO Ekaterina,Kravchenko Sergey,Kovrigina Alla,Sudarikov Andrey The Incidence of Composite Lymphomas: Case Studies Anddisease Management. Eurasian Journal of Medicine and Oncology 6, no.2 (2022): 130 - 136. 10.14744/ejmo.2022.14882
MLA Smirnova Svetlana,Moiseeva Tatiana N.,Al-Radi Liubov,Sidorova Yulia,Nikulina Lena,Plastinina Lyubov,Dorokhina E.I.,Biderman Bella,ZAHARKO Ekaterina,Kravchenko Sergey,Kovrigina Alla,Sudarikov Andrey The Incidence of Composite Lymphomas: Case Studies Anddisease Management. Eurasian Journal of Medicine and Oncology, vol.6, no.2, 2022, ss.130 - 136. 10.14744/ejmo.2022.14882
AMA Smirnova S,Moiseeva T,Al-Radi L,Sidorova Y,Nikulina L,Plastinina L,Dorokhina E,Biderman B,ZAHARKO E,Kravchenko S,Kovrigina A,Sudarikov A The Incidence of Composite Lymphomas: Case Studies Anddisease Management. Eurasian Journal of Medicine and Oncology. 2022; 6(2): 130 - 136. 10.14744/ejmo.2022.14882
Vancouver Smirnova S,Moiseeva T,Al-Radi L,Sidorova Y,Nikulina L,Plastinina L,Dorokhina E,Biderman B,ZAHARKO E,Kravchenko S,Kovrigina A,Sudarikov A The Incidence of Composite Lymphomas: Case Studies Anddisease Management. Eurasian Journal of Medicine and Oncology. 2022; 6(2): 130 - 136. 10.14744/ejmo.2022.14882
IEEE Smirnova S,Moiseeva T,Al-Radi L,Sidorova Y,Nikulina L,Plastinina L,Dorokhina E,Biderman B,ZAHARKO E,Kravchenko S,Kovrigina A,Sudarikov A "The Incidence of Composite Lymphomas: Case Studies Anddisease Management." Eurasian Journal of Medicine and Oncology, 6, ss.130 - 136, 2022. 10.14744/ejmo.2022.14882
ISNAD Smirnova, Svetlana vd. "The Incidence of Composite Lymphomas: Case Studies Anddisease Management". Eurasian Journal of Medicine and Oncology 6/2 (2022), 130-136. https://doi.org/10.14744/ejmo.2022.14882