Spontaneous remission of low-grade B-cell non-Hodgkin's lymphoma following withdrawal of methotrexate in a patient with rheumatoid arthritis: case report and review of the literature

被引:30
作者
Baird, RD [1 ]
van Zyl-Smit, RN
Dilke, T
Scott, SE
Rassam, SMB
机构
[1] Queen Marys Hosp, Dept Haematol, Sidcup DA14 6LR, Kent, England
[2] Queen Marys Hosp, Dept Rheumatol, Sidcup DA14 6LR, Kent, England
[3] Barnard Med Practice, Sidcup, Kent, England
关键词
lymphoma; methotrexate; toxicity; spontaneous regression; rheumatoid arthritis;
D O I
10.1046/j.1365-2141.2002.03619.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 69-year-old woman, who had suffered from deforming rheumatoid arthritis since the age of 40 years, had been treated with methotrexate for 3 years. She presented with a 7 week history of neck lymphadenopathy. Biopsy revealed low-grade marginal-zone B-cell non-Hodgkin's lymphoma. Computerized tomography and bone marrow biopsy confirmed stage IIIA disease. Spontaneous complete remission of the lymphoma was achieved 14 months after withdrawing immune suppression with methotrexate.
引用
收藏
页码:567 / 568
页数:2
相关论文
共 12 条
[1]   Study of eight cases of cancer in 426 rheumatoid arthritis patients treated with methotrexate [J].
Bologna, C ;
Picot, MC ;
Jorgensen, C ;
Viu, P ;
Verdier, R ;
Sany, J .
ANNALS OF THE RHEUMATIC DISEASES, 1997, 56 (02) :97-102
[2]   MALIGNANCIES AFTER RENAL-TRANSPLANTATION - THE EDTA-ERA REGISTRY EXPERIENCE [J].
BRUNNER, FP ;
LANDAIS, P ;
SELWOOD, NH .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 1995, 10 :74-80
[3]  
Dawson TM, 2001, J RHEUMATOL, V28, P47
[4]   SPONTANEOUS REGRESSION IN NON-HODGKINS LYMPHOMA - CLINICAL AND PATHOGENETIC CONSIDERATIONS [J].
DROBYSKI, WR ;
QAZI, R .
AMERICAN JOURNAL OF HEMATOLOGY, 1989, 31 (02) :138-141
[5]  
Duquesnoy B, 1994, Rev Rhum Ed Fr, V61, p194S
[6]  
GATTIKER HH, 1980, CANCER, V45, P2627, DOI 10.1002/1097-0142(19800515)45:10<2627::AID-CNCR2820451023>3.0.CO
[7]  
2-0
[8]   Lymphoma in patients with rheumatoid arthritis - What is the evidence of a link with methotrexate? [J].
Georgescu, L ;
Paget, SA .
DRUG SAFETY, 1999, 20 (06) :475-487
[9]  
Le Goff P, 1998, REV RHUM, V65, P283
[10]   Spontaneous regression of lymphoproliferative disorders in patients treated with methotrexate for rheumatoid arthritis and other rheumatic diseases [J].
Salloum, E ;
Cooper, DL ;
Howe, G ;
Lacy, J ;
Tallini, G ;
Crouch, J ;
Schultz, M ;
Murren, J .
JOURNAL OF CLINICAL ONCOLOGY, 1996, 14 (06) :1943-1949