Transformation of follicular lymphoma to double-hit lymphoma during adjuvant chemotherapy for concurrent ovarian carcinoma

The frequency of multiple primary malignant neoplasms (MPMN) is increasing due to population aging. Since consensus guidelines for the treatment of MPMN are lacking, treatment strategies are determined by disease status on a per-patient basis. In this report, we describe a case of MPMN with follicul...

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Veröffentlicht in:International journal of hematology 2019-09, Vol.110 (3), p.375-380
Hauptverfasser: Narazaki, Taisuke, Nakashima, Yasuhiro, Tsukamoto, Yasuhiro, Tsuda, Mariko, Masuda, Toru, Kimura, Daisaku, Takamatsu, Akiko, Ohshima, Koichi, Shiratsuchi, Motoaki, Ogawa, Yoshihiro
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container_issue 3
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container_title International journal of hematology
container_volume 110
creator Narazaki, Taisuke
Nakashima, Yasuhiro
Tsukamoto, Yasuhiro
Tsuda, Mariko
Masuda, Toru
Kimura, Daisaku
Takamatsu, Akiko
Ohshima, Koichi
Shiratsuchi, Motoaki
Ogawa, Yoshihiro
description The frequency of multiple primary malignant neoplasms (MPMN) is increasing due to population aging. Since consensus guidelines for the treatment of MPMN are lacking, treatment strategies are determined by disease status on a per-patient basis. In this report, we describe a case of MPMN with follicular lymphoma (FL) grade 1 that transformed to double-hit lymphoma during adjuvant chemotherapy for concurrent ovarian carcinoma. A 64-year-old woman was diagnosed with MPMN of FL and endometrioid carcinoma by staging laparotomy and lymph node biopsy. She received four cycles of adjuvant chemotherapy (carboplatin and paclitaxel) for endometrioid carcinoma, but during chemotherapy, the FL grade 1 transformed to double-hit lymphoma. We speculate that adjuvant chemotherapy for endometrioid carcinoma may have triggered the transformation of FL in the present case.
doi_str_mv 10.1007/s12185-019-02656-4
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subjects Aging
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Biopsy
Carboplatin
Carboplatin - administration & dosage
Carboplatin - adverse effects
Carcinoma, Endometrioid - diagnostic imaging
Carcinoma, Endometrioid - drug therapy
Case Report
Chemotherapy
Chemotherapy, Adjuvant - adverse effects
Endometrial cancer
Female
Hematology
Humans
Lymph nodes
Lymphoma
Lymphoma, Follicular - chemically induced
Lymphoma, Follicular - diagnostic imaging
Medical treatment
Medicine
Medicine & Public Health
Middle Aged
Neoplasms
Neoplasms, Second Primary - chemically induced
Neoplasms, Second Primary - diagnostic imaging
Oncology
Ovarian cancer
Ovarian carcinoma
Ovarian Neoplasms - diagnostic imaging
Ovarian Neoplasms - drug therapy
Paclitaxel
Paclitaxel - administration & dosage
Paclitaxel - adverse effects
title Transformation of follicular lymphoma to double-hit lymphoma during adjuvant chemotherapy for concurrent ovarian carcinoma
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