Vol 13, No 3-4 (2022)
Case report
Published online: 2023-02-16

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Plasmablastic lymphoma in an HIV-negative patient with complete remission after chemotherapy with DA-EPOCH

Joseph Alburqueque-Melgarejo1, Juan Carlos Roque-Quezada2, Javier Dulanto Moscoso2, Emanuel Salcedo Davila1, Brady Beltrán Gárate3
Hematology in Clinical Practice 2022;13(3-4):123-129.

Abstract

Plasmablastic lymphoma (PBL) is a rare subtype of diffuse large B-cell lymphoma originally described in human immunodeficiency virus (HIV)-positive patients. However, recent reports have described this neoplasia in HIV-negative patients. This neoplasia usually arises in extranodal tissues, such as the gastrointestinal tract, abdominal cavity and retroperitoneum. Here a case is presented of an HIV-negative patient with a history of stage II rectal cancer for which he received chemotherapy and radiotherapy with a complete response. However, in the following years, the patient presented clinical deterioration and the presence of an exophytic mass with fistulous tracts. For this reason, the patient underwent a new biopsy of the rectum which showed a plasmablastic lymphoma of the rectum, with an extensive local compromise that presented complete remission after 6 cycles of chemotherapy with a DA-EPOCH regimen.

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References

  1. Luria L, Nguyen J, Zhou J, et al. Manifestations of gastrointestinal plasmablastic lymphoma: a case series with literature review. World J Gastroenterol. 2014; 20(33): 11894–11903.
  2. Lopes AJ. Plasmablastic lymphoma of the anal canal in an HIV-infected patient. Am J Case Reports. 2014; 15: 543–549.
  3. Li YJ, Li JW, Chen KL, et al. HIV-negative plasmablastic lymphoma: report of 8 cases and a comprehensive review of 394 published cases. Blood Res. 2020; 55(1): 49–56.
  4. Lin Li, Zhang X, Dong M, et al. Human immunodeficiency virus-negative plasmablastic lymphoma. Medicine. 2017; 96(7): e6171.
  5. Lopez-Iniguez A, Llamas-Covarrubias MA, Navarro-Blackaller G, et al. Rectal plasmablastic lymphoma in HIV/AIDS: two cases. World J Oncol. 2013; 4(1): 54–57.
  6. AlMohamedi RS, AlRajban W, AlRikabi A, et al. Plasmablastic lymphoma of the rectum: case report of a rare location and literature review. J Surg Case Rep. 2022; 2022(2): rjac030.
  7. Tajudeen M, Dutta S, Jain A, et al. A rare case of HIV-associated plasmablastic lymphoma of anal canal. Cureus. 2021; 13(9): e17782.
  8. Brahmania M, Sylwesterowic T, Leitch H. Plasmablastic lymphoma in the ano-rectal junction presenting in an immunocompetent man: a case report. J Med Case Rep. 2011; 5: 168.
  9. Escudero SG, Redondo GA, Férnandez GMA, et al. Plasmablastic lymphoma: case and review of the literature. Clin Oncol. 2021; 6: 1862.
  10. Rajagopal AS, Copson E, Addis B, et al. Plasmablastic lymphoma: a case of rectal disease with spinal cord compression. Leuk Lymphoma. 2006; 47(12): 2670–2673.
  11. Pérez-Mendoza A, Zárate-Guzmán AM, Lázaro-Pacheco IB, et al. Plasmablastic lymphoma of the rectum, a rare cause of lower gastrointestinal bleeding: A case report. Revista de Gastroenterología de México (English Edition). 2019; 84(4): 519–520.
  12. Lopez A, Abrisqueta P. Plasmablastic lymphoma: current perspectives. Blood Lymphat Cancer. 2018; 8: 63–70.
  13. Castillo JJ, Bibas M, Miranda RN. The biology and treatment of plasmablastic lymphoma. Blood. 2015; 125(15): 2323–2330.
  14. Harmon CM, Smith LB. Plasmablastic lymphoma: a review of clinicopathologic features and differential diagnosis. Arch Pathol Lab Med. 2016; 140(10): 1074–1078.
  15. Castillo JJ, Reagan JL. Plasmablastic lymphoma: a systematic review. ScientificWorldJournal. 2011; 11: 687–696.
  16. Major A, Smith SM. DA-R-EPOCH vs R-CHOP in DLBCL: how do we choose? Clin Adv Hematol Oncol. 2021; 19(11): 698–709.
  17. Castillo JJ, Guerrero‐Garcia T, Baldini F, et al. Bortezomib plus EPOCH is effective as frontline treatment in patients with plasmablastic lymphoma. Br J Haematol. 2018; 184(4): 679–682.



Hematology in Clinical Practice