Article: Asian variant intravascular large B-cell lymphoma with highly suspected central nervous system involvement: A case report.
World journal of clinical cases
2023 Volume 11, Issue 33, Page(s) 8058–8064
Abstract: Background: Intravascular large B-cell lymphoma (IVLBCL) is a rare subtype of extranodal lymphoma. In particular, the Asian variant of IVLBCL is characterized by hemophagocytic lymphohistiocytosis along with bone marrow involvement. However, central ... ...
Abstract | Background: Intravascular large B-cell lymphoma (IVLBCL) is a rare subtype of extranodal lymphoma. In particular, the Asian variant of IVLBCL is characterized by hemophagocytic lymphohistiocytosis along with bone marrow involvement. However, central nervous system (CNS) involvement is uncommon in this variant compared to the Western variant. Here, we report a case of typical Asian variant IVLBCL with highly suspected CNS involvement and discuss the nature of the disease and its genetic aberration. Case summary: A 67-year-old female patient complained of gradually worsening cognitive impairment. While hospitalized, she developed a high fever and showed marked bicytopenia. Intracranial imaging revealed a suspected leptomeningeal disease. Although no malignant cells were found in the cerebrospinal fluid (CSF), the protein and lactate dehydrogenase levels in CSF were increased. Bone marrow examination revealed an increased number of hemophagocytic histiocytes, and Conclusion: Suspicion of IVLBCL and immediate diagnosis lead to timely treatment. Moreover, careful CNS examination at diagnosis is recommended. |
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Language | English |
Publishing date | 2023-11-27 |
Publishing country | United States |
Document type | Case Reports |
ISSN | 2307-8960 |
ISSN | 2307-8960 |
DOI | 10.12998/wjcc.v11.i33.8058 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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