An Autopsy Case of Epstein-Barr Virus-Associated Diffuse Large B-Cell Lymphoma of the Central Nervous System in an Immunocompromised Host

被引:2
作者
Park, Sun-Young [1 ]
Kim, Seong Ik [1 ]
Kim, Hannah . [1 ]
Lee, Yoojin [1 ]
Park, Sung-Hye [1 ]
机构
[1] Seoul Natl Univ, Coll Med, Seoul Natl Univ Hosp, Dept Pathol, 103 Daehak Ro, Seoul 03080, South Korea
关键词
Autopsy; Central nervous system; Lymphoma; Epstein-Barr virus; Immunocompromised host;
D O I
10.4132/jptm.2017.01.23
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Lymphomas arising in the central nervous system (CNS) of immunocompromised hosts are most commonly non-Hodgkin's lymphomas and are highly associated with Epstein-Barr virus (EBV). Here we report an autopsy case of EBV-associated CNS diffuse large B-cell lymphoma (DLBCL) in a host suffering from systemic lupus erythematosus who underwent immunosuppressive therapy. After autopsy, EBV-associated CNS DLBCL as well as pulmonary mixed aspergillosis and Pneumocystis jirovecii pneumonia were added to the cause of clinical manifestations of complicated pneumonia and cerebral hemorrhage in this immunocompromised patient. In conclusion, complex disease processes were revealed by autopsy in this case, indicating that the clinicopathological correlations observed through autopsy can improve our understanding of disease progression and contribute to the management of similar patients in the future.
引用
收藏
页码:51 / 55
页数:5
相关论文
共 15 条
[1]   Primary CNS lymphoma in HIV positive and negative patients: comparison of clinical characteristics, outcome and prognostic factors [J].
Bayraktar, Soley ;
Bayraktar, Ulas D. ;
Ramos, Juan C. ;
Stefanovic, Alexandra ;
Lossos, Izidore S. .
JOURNAL OF NEURO-ONCOLOGY, 2011, 101 (02) :257-265
[2]   EBV and HIV-Related Lymphoma [J].
Bibas, Michele ;
Antinori, Andrea .
MEDITERRANEAN JOURNAL OF HEMATOLOGY AND INFECTIOUS DISEASES, 2009, 1 (02)
[3]   The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications [J].
Campo, Elias ;
Swerdlow, Steven H. ;
Harris, Nancy L. ;
Pileri, Stefano ;
Stein, Harald ;
Jaffe, Elaine S. .
BLOOD, 2011, 117 (19) :5019-5032
[4]   Primary Central Nervous System Lymphoma [J].
Doucet, Stephane ;
Kumthekar, Priya ;
Raizer, Jeffrey .
CURRENT TREATMENT OPTIONS IN ONCOLOGY, 2013, 14 (02) :185-197
[5]   Primary central nervous system Epstein-Barr virus-positive diffuse large B-cell lymphoma of the elderly: a clinicopathologic study of five cases [J].
El Jamal, Siraj ;
Li, Shiyong ;
Bajaj, Renu ;
Wang, Zixuan ;
Kenyon, Lawrence ;
Glass, Jon ;
Pang, Changlee S. ;
Bhagavathi, Sharathkumar ;
Peiper, Stephen C. ;
Gong, Jerald Z. .
BRAIN TUMOR PATHOLOGY, 2014, 31 (04) :265-273
[6]   New approaches in primary central nervous system lymphoma [J].
Fraser, Eleanor ;
Gruenberg, Katherine ;
Rubenstein, James L. .
CHINESE CLINICAL ONCOLOGY, 2015, 4 (01)
[7]  
Hunt KE, 2008, ARCH PATHOL LAB MED, V132, P118, DOI 10.1043/1543-2165(2008)132[118:DLBL]2.0.CO
[8]  
2
[9]   Significance of Bcl-2 and Bcl-6 immunostaining in Non Hodgkin's lymphoma [J].
Mahmoud, Hanan Mohamed ;
El-Sakhawy, Yasmin Nabil .
HEMATOLOGY REPORTS, 2011, 3 (03) :80-85
[10]   Primary CNS Lymphoma [J].
Phillips, Elizabeth H. ;
Fox, Christopher P. ;
Cwynarski, Kate .
CURRENT HEMATOLOGIC MALIGNANCY REPORTS, 2014, 9 (03) :243-253