Table 1.
Patient | This case | 1 | 2 | 3 |
---|---|---|---|---|
Age | 58 | 77 | 52 | 44 |
Sex | M | M | F | M |
Site and stage at initial presentation | Submand LN + abd LN, ascites Stage III |
Generalized LN + BM Stage IV |
LN Stage III |
LN + BM Stage IV |
Temporal sequence of transformation | Concomitant | Concomitant | Concomitant | Concomitant |
Histology | Composite Lymphoma |
Composite follicular + Burkitt's | Composite Follicular + Burkitt's | Composite Lymphoma |
Cytogenetics at transformation | t(14;18) by PCR + MYC translocation by FISH |
t(14;18) + t(8;14) | t(14;18) in follicular area t(14;18) + t(8;14) in transformed area |
t(14;18) + t(8;14) |
Treatment | Chemo | Chemo | Chemo → CR | Chemo → CR |
Outcome | Primary refractory died 13 months after Dx | Primary refractory and died 4 months after diagnosis | Relapsed 3 months later with partial response to salvage chemo | CNS relapse 6 months later and died |
Reference | 17 | 18 | 19 |
Abbreviations: F: female; M: male; LN: lymph node; FISH: fluorescent in-situ hybridization; NA: not available; BM: bone marrow;CNS central nervous system;
Dx: diagnosis; CR: complete remission; PR: partial remission; NR: non-remission;