Table 2.
Twenty-three reported cases of EB virus-positive plasma cell tumors
Case | Age (y)/gender | Underlying disease | Treatment of underlying disease | Clinical findings | Type of myeloma | Time from onset of underlying disease to onset of myeloma (y) | Treatment of myeloma | Therapeutic response | Outcome | Reference |
---|---|---|---|---|---|---|---|---|---|---|
1 | 11/F | None | None | Osteolytic lesion | IgA/κ/MM | - | Systemic steroid/RT/DEXA/Thal | Remission | Alive Elective for HSCT | [11] |
2 | 78/M | None | None | Left submaxillary gland mass/osteolytic lesion | Plasmacytoma | - | Ex | Unknown | Unknown | [12] |
3 | 40/M | Unknown | Unknown | Plasmacytoma/no osteolytic lesion | Plasmacytoma Bone marrow invasion plasmablastic | Unknown | Ex/RT | Remission maintained for 75 m | Alive 75 m | [13] |
4 | 27/M | Unknown | Unknown | Osteolytic lesion | IgG/MM nonplasmablastic | Unknown | CT | Remission maintained for 30 m | DOMM 74 m | [13] |
5 | 60/M | Unknown | Unknown | Osteolytic lesion | IgG/MM plasmablastic | Unknown | CT/RT | Remission maintained for 67 m | DOMM 97 m | [13] |
6 | 51/M | Unknown | Unknown | Osteolytic lesion | IgG/MM plasmablastic | Unknown | CT | Not improved | DOMM 5 m | [13] |
7 | Unknown/Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | [14] |
8 | Unknown/Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | [14] |
9 | 47/M | Chronic renal failure | Renal transplantation, CsA/AZA/PSL | Extramedullary mass/no osteolytic lesion | IgG-κ type plasmacytoma high-grade anaplastic plasmacytoma | 12 | Immunosuppressants discont’d/CY/PSL/RT | CR maintained | Died of respiratory tract infection 2 m later | [15] |
10 | 49/F | None | None | Ileum ulcer | Plasmacytoma λ | - | Unknown | Unknown | Unknown | [16] |
11 | 46/M | None | None | Stomach nodular | Plasmacytoma κ | - | Unknown | Unknown | Unknown | [16] |
12 | Unknown/Unknown | Unknown | Unknown | Head and neck extramedullary mass | Unknown | Unknown | Unknown | Unknown | Unknown | [17] |
13 | Unknown/Unknown | Unknown | Unknown | Head and neck extramedullary mass | Unknown | Unknown | Unknown | Unknown | Unknown | [17] |
14 | Unknown/Unknown | Unknown | Unknown | Head and neck extramedullary mass | Unknown | Unknown | Unknown | Unknown | Unknown | [17] |
15 | 52/M | Hepatic failure and renal failure | Hepato-renal transplantation CsA/PSL/ALG/AZA/mPSL | Multiple pelvic soft tissue tumor | IgG-κ type plasmacytoma | 1.4 | CsA discont’d/RT | Complete remission maintained for 24 m | Alive 24 m | [18] |
16 | 30/M | HIV | None | Gingival mass/maxillary soft tissue mass & destructive bone lesion/skin nodules | Anaplastic plasmacytoma κ | 4 | RT | Improved | Died 4 m later | [19] |
17 | 34/M | HIV | None | Short breath Abdominal pain Ascites Dementia | Immature plasma cell λ | 3 | RT | Improved | Died 5 days later | [19] |
18 | 41/M | Hodgkin’s lympho-ma | Curative therapy | Plasmacytoma involving skin and testis | Plasmacytoma κ | 7 | Unknown | Unknown | Unknown | [20] |
19 | 51/Unknown | Unknown | Liver transplantationCsA | Periumbilical plasmacy-toma | Plasmacytoma κ | Unknown | Unknown | Unknown | Unknown | [20] |
20 | 31/M | HIV | Unknown | Fever/confusion/slurred speech/progressive lethargy/polyuria polydypsia/left tonsillar mass/lung mass | IgG/κ IgM/λ Plasmablast Leukemic visceral and meningeal involvement | Unknown | Unknown | Unknown | Died of aspiration pneumonia | [21] |
21 | 1.2/M | Unknown | Organ transplantation/CsA/PSL/AZA | Purulent rhinorrhea/difficulty breathing/recurrent otitis media/nasopharyngeal mass | Nasopharyngeal mass focal infiltration of plasmacells | 0.9 | Ex/immunosuppressant dose reduction | Improved | Unknown | [22] |
22 | 61/F | RA | SASP/MTX/TAC/PSL | None | IgG/κ/MM | 5.4 | MTX discont’d/BD/Auto-PBSCT | CR | Surviving with CR, 12 m | Subject case |
y, year; F, female; RT, radiation therapy; DEXA, dexamethasone; Thal, thalidomide; HSCT, hematopoietic stem cell transplantation; M, male; Ex, excision; m, month; CT, chemotherapy; DOMM, dead of multiple myeloma; CsA, cyclosporine; AZA, azathioprine; CY, cyclophosphamide; ALG, antilymphocyte globulin; mPSL, methylprednisolone; Auto-PBSCT, autologous peripheral blood stem cell transplantation.