Presentation
B-cell immunoglobulin gene rearrangement and T-cell receptor gene rearrangement studies using the polymerase chain reaction method indicated that a monoclonal immunoglobulin kappa light chain population was present and that the T-cell population was not [ncbi.nlm.nih.gov]
Harris AC, Ben-Ezra JM, Contos MJ, Kornstein MJ (1996) Malignant lymphoma can present as hepatobiliary disease. Cancer 78: 2011-2019. [omicsonline.org]
Especially THRLBCL-like NLPHL, a diffuse form of NLPHL, often presents a histopathologic pattern similar to THRLBCL. The present study therefore aimed to find markers, which can be applied in the differential diagnosis between NLPHL and THRLBCL. [thieme-connect.com]
B-Cell Lymphopenia. ( 28575178 ) Kunder C....Ohgami R.S. 2017 11 T-Cell/Histiocyte-Rich Large B-Cell Lymphoma Presented as T-Lymphoid Hyperplasia Involving the Central Nervous System. ( 28451478 ) Kubota M....Komori T. 2017 12 T-cell/histiocyte-rich [malacards.org]
Entire Body System
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Intermittent Fever
CASE REPORT A 47-year-old white male presented to our hospital with a 4-month history of intermittent fever (99–103 F), chills, sweating, weakness, and a 25-lb weight loss. He denied any significant medical history. [nature.com]
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Heat Intolerance
intolerance, recurrent rashes, abdominal pain, and a general feeling of illness If the brain is involved, then neurological symptoms such as the following may be observed: Confusion Tinnitus (ringing in the ears) Hearing and visual impairment If the [dovemed.com]
Face, Head & Neck
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Facial Numbness
numbness If the abdomen is affected, it can cause intestinal obstruction that results in urine outflow obstruction and kidney damage Blood loss may occur due to frequent or heavy bleeding, giving rise to severe anemia The leukemic cells can overgrow [dovemed.com]
Urogenital
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Kidney Failure
Hence, measures to protect the individual’s fertility must be considered, before starting chemotherapy Tumor lysis syndrome: This can occur due to chemotherapy treatment and can result in kidney failure, if not recognized promptly How is T-Cell/Histiocyte-Rich [dovemed.com]
Neurologic
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Meningism
She was normothermic without signs of meningeal irritation. Brain magnetic resonance imaging (MRI) demonstrated multiple lesions in the central nervous system (CNS). She was admitted for further evaluations and treatment as described below. [cureus.com]
Due to this, individuals are more vulnerable to infections; there is an increased risk of developing serious complications from such infections If the condition spreads to the brain and central nervous system, it can give rise to: Inflammation of the meninges [dovemed.com]
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Abulia
[…] also possible that it is under recognized because a low density distribution of lymphoma cells in PCNSL has previously been described. 6 Case Report The patient was a 73-year-old white man who presented to us with a two-month history of progressive abulia [pagepress.org]
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Apraxia
[…] possible that it is under recognized because a low density distribution of lymphoma cells in PCNSL has previously been described. 6 Case Report The patient was a 73-year-old white man who presented to us with a two-month history of progressive abulia, apraxia [pagepress.org]
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Altered Mental Status
A 66-year-old woman with a history of rheumatoid arthritis was referred to our hospital after hospitalization at a nearby general care facility for altered mental status and weakness. [cureus.com]
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Nystagmus
When the patient was transferred to our hospital, she was weak and drowsy, and the neurological assessment was remarkable for spontaneous nystagmus and severe quadriparesis with positive pyramidal signs. [cureus.com]
Workup
Infectious workups were nonspecific for serum or CSF. Cytological analysis of the CSF revealed no atypical cells. [cureus.com]
Serum
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Normocytic Normochromic Anemia
His complete blood cell count was significant for normocytic/normochromic anemia (hemoglobin: 9.8 g/dL, hematocrit: 30%, MCV: 81 fL, MCH: 27 pg, MCHC: 33 g/dL) and leukocytosis (white blood cell count: 19,000/mm 3 ) with neutrophilia (72%), monocytosis [nature.com]
Other Pathologies
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Lymphocytic Infiltrate
A, at low power, normal nodal architecture is replaced by a diffuse lymphocytic infiltrate (hematoxylin and eosin staining [H&E], 40 ). [nature.com]
Treatment
The patient remains in remission more than a year after completion of treatment. [ncbi.nlm.nih.gov]
Recurring tumors have worse prognosis compared to tumors that do not recur Response to treatment: Tumors that respond to treatment have better prognosis compared to tumors that do not respond to treatment Progression of the condition makes the outcome [dovemed.com]
She was admitted for further evaluations and treatment as described below. Hematological results were normal without any blast cells. [cureus.com]
In our patient, the response to high-dose methotrexate appeared to be excellent, although he was only able to get one treatment due to nephrotoxicity. [pagepress.org]
Prognosis
The prognosis of the condition is generally guarded The prognosis depends upon a set of several factors, which include: Stage of tumor: With lower-stage tumors, when the tumor is confined to site of origin, the prognosis is usually excellent with appropriate [dovemed.com]
Germany Question: In contrast to the commonly indolent clinical behavior of nodular lymphocyte predominant Hodgkin lymphoma (NLPHL), T cell/histiocyte rich large B cell lymphoma (THRLBCL) is frequently diagnosed in advanced clinical stages and has a poor prognosis [thieme-connect.com]
This B-cell lymphoma is usually aggressive with a prognosis more close to DLBCL than NLPHL (Younes et al., 2014). [atlasgeneticsoncology.org]
[…] to improve the prognosis so that it is nearly as favourable as the GBC variant. [nhlcyberfamily.org]
Some studies, using the updated Kiel Classification's definition of immunoblastic lymphoma ( 90% immunoblasts), show a worse prognosis for this type. [pleiad.umdnj.edu]
Etiology
(Etiology) Lymphocytes are a type of white blood cells that are responsible for providing immunity in the human body. B-cells and T-cells are the two different types of lymphocytes. [dovemed.com]
Epidemiology
Hepatomegaly Malaise Pain in the chest, abdomen, or bone s (for no known reason) Skin rash or itchy skin Splenomegaly Weight loss (for no known reason) Diagnostic Exams Flow cytometry Immunohistochemistry Immunophenotyping Progression and Transformation None Epidemiology [seer.cancer.gov]
Epidemiology THRLBCL usually affects middle aged men (Hartmann et al., 2015). Figure 1. [atlasgeneticsoncology.org]
Epidemiology DLBCL constitute 30-40% of the adult non-Hodgkin's lymphoma cases in western countries (higher incidence in developing countries). The median age is 70-80 years of age; however, can be seen in children. [wiki.clinicalflow.com]
OUTLINE EPIDEMIOLOGY CHARACTERIZATION SYNONYMS INCIDENCE/ PREVALENCE AGE Proliferation rate and outcome in children with T-cell rich B-cell lymphoma: a clinicopathologic study from the NHL-BFM-study group. [thedoctorsdoctor.com]
Pathophysiology
Thus, no indication was found that the tumor cells of the three types of lymphomas show a disease-specific gene expression pattern, which would have supported a distinct pathogenesis and pathophysiology of the tumor cells. [journals.plos.org]
Prevention
How can T-Cell/Histiocyte-Rich Large B-Cell Lymphoma of Skin be Prevented? The cause of T-Cell/Histiocyte-Rich Large B-Cell Lymphoma of Skin is currently unknown. Hence, there are no known methods to prevent the tumor from occurring. [dovemed.com]
Furthermore, the brain biopsy was performed after two courses of high-dose corticosteroid administration because we expected that steroid therapy would prevent disease progression. [cureus.com]
If you are considered to be at high risk of the lymphoma relapsing in your CNS, you might be given preventative treatment – ‘ CNS prophylaxis ’. [lymphomas.org.uk]
For some types of DLBCL, intrathecal chemotherapy may be used to treat or try to prevent lymphoma cells from spreading to the brain and spinal cord. This means that the chemotherapy is injected directly into the cerebrospinal fluid (CSF). [lymphoma.ca]
Tumor cells prevent mouse dendritic cell maturation induced by TLR ligands. Cancer Immunol Immunother 2007 ; 56 : 1237 –50. View Abstract [clincancerres.aacrjournals.org]