TABLE I.
Patient | Initial diagnosis | Treatment | Outcome | SH2D1A mutation | Relapse diagnosis | Treatment | Outcome | XLP sibling (yes/no) | Diagnosis |
---|---|---|---|---|---|---|---|---|---|
1 | DLBCL (EBNA–) | CHOP 6MP/MTX | CR for 4 years | Gene deletion | DLBCL | CHOP, 6MP/MTX, and HLA-matched sibling HSCT | CCR 14 years | No | n/a |
2 | BL | Total B | CR for 11 years | Exon 1 deletion | FIM | Supportive, rituximab, and haploHSCT | Expired: liver failure EBV in CNS | Probable | NHL |
3 | BL | LMB89 | CR for 4 years | A to G −2 splice acceptor site for intron 1 | BL | LMB89 and haploHSCT | Expired post HSCT, respiratory failure | Yes | n/a |
4 | DLBCL (EBER–) | LMB89 | CR for 3 years | G to A in codon 64 (Trp64stop) | DLBCL (EBER–) | LMB89 and unrelated donorHSCT | Expired post HSCT, pneumonitis | No | n/a |
5 | BL (EBER–) | LMB-89 | CR for 6 years | Gene deletion | BL | LMB96 and unrelated donorHSCT | CCR 1 year post HSCT | No | n/a |
The histological diagnoses included non-Hodgkin lymphoma (NHL), Burkitt lymphoma (BL), DLBCL, and fatal infectious monomucleosis (FIM): in some cases this result was not applicable (n/a).
The responses to therapy included complete response (CR) and continuous complete remission (CCR). Chemotherapy included 6-MP (6-mercaptopurine) and cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP). EBV studies included Epstein–Barr virus-encoded small RNA (EBER) and Epstein–Barr nuclear antigen (EBNA).