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Vince, A; Begovac, J; Kessler, H; Rabenau, HF; Poljak, M; Siftar, Z; Zidovec, S; Jeren, T.
AIDS-related body cavity-based lymphoma. A case report.
Acta Cytol. 2001; 45(3):420-424 Doi: 10.1159/000327642 (- Case Report)
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Co-authors Med Uni Graz
Kessler Harald
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Abstract:
BACKGROUND: Body cavity-based lymphomas are rare malignancies in human immunodeficiency virus (HIV)-infected patients, but because of their unusual clinical, morphologic and immunophenotypic features, they are recognized as a distinct subgroup of lymphomas connected to human herpesvirus 8 (HHV-8) infection. CASE: A 39-year-old, HIV-positive, homosexual man was admitted to the hospital because of a left-sided pleural effusion that contained malignant lymphoid cells. He responded partially to a low-dose cyclophosphamide/doxorubycin/vincristine/prednisone regimen and died five months after the diagnosis of lymphoma. On cytology, the sediments contained exclusively large, round, neoplastic, lymphoid cells with abundant basophilic cytoplasm and large, round nuclei with prominent nucleoli. Many cells had immunoblastic features, and some had plasmocytoid differentiation. Mitotic figures were numerous. On flow cytometry, the homogeneous population of large cells expressed CD45, CD38, HLA-DR and CD7 positivity. Other specific T-, B- and NK-cell markers tested negative. Polymerase chain reaction demonstrated Epstein-Barr virus (EBV) and HHV-8 in the malignant effusion. CONCLUSION: Primary effusion from lymphoma with molecular evidence of HHV-8 and EBV coinfection represents a distinct clinical and morphologic entity in AIDS patients. However, immunophenotypic markers of malignant clones can be diverse in different cases.
Find related publications in this database (using NLM MeSH Indexing)
AIDS-Related Opportunistic Infections - complications
Acquired Immunodeficiency Syndrome - complications
Adult - complications
Cell Nucleus - ultrastructure
Epstein-Barr Virus Infections - complications
Herpesviridae Infections - complications
Herpesvirus 4, Human - genetics
Herpesvirus 8, Human - genetics
Humans - genetics
Immunophenotyping - genetics
Lymphoma - complications
Male - complications
Pleural Effusion, Malignant - complications

Find related publications in this database (Keywords)
AIDS
lymphoma
body cavities
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