Table 1.
Current Case 1 | Current Case 2 | Lit Case 1 | Lit Case 2 | Lit Case 3 | Lit Case 4 | Lit Case 5 | Lit Case 6 | |
---|---|---|---|---|---|---|---|---|
Reported by | Du et al., 2002 | Du et al., 2002 | Du et al., 2002 | D’antonio Antonio et al., 2007 | Oh et al., 2012 | Taris et al., 2014 | ||
Age (years)/sex |
84/Female | 58/ Male | 41/Male | 61/Male | 63/Female | 60/Male | 75/Male | 49/Female |
Clinical presentation |
Multifocal bulky lymphadenopathy involving left common femoral (largest node, 5 × 3.7 cm), common, external, and internal iliac chain lymph nodes and right axillary lymph nodes |
10-year-history of localized right axillary mass, extending to chest wall, slowly growing (26 ×16 × 11 cm). Mild splenomegaly, no B symptoms |
Axillary (6 × 6 × 6 cm) and cervical lymph node enlargement for 6 years; staging revealed right perirenal lymphadenopathy; bone marrow trephine and aspirate were normal |
Submandibular and inguinal lymph node enlargement for 4 years; staging showed slightly enlarged spleen and right “paratracheal” lymphadenopathy |
Presented with left leg swelling and paraesthesia; enlarged paraaortic lymph node (5 × 4 × 3.5 cm) |
Cervical lymphadenopathy (2.8 ×1.2 cm); no other lymphadenopathy; post-operative radiological studies and bilateral bone marrow biopsies were normal |
Incidental (3 × 2.5 × 1.5 cm) mass in the neck; enlarged, solid, enhancing lymph node with an increased FDG uptake in left submandibular area; 1.5 cm partially cystic lymph node in left cervical level II area; bilateral bone marrow trephine and aspirate were normal |
Right jugulo-cervical isolated nodal mass, slowly evolving for 4 months; no systemic symptoms; 9 nodes including two nodes (greater than 3.5 cm × 3 cm) |
Viral serology |
KSHV+ EBV+ HCV− HIV− |
KSHV+ EBV+ HIV+ | KSHV+ EBV+ HCV+ HIV− |
KSHV+ EBV+ HIV− | Not available | KSHV+ EBV+ HIV− |
KSHV+ EBV+ HIV− | KSHV+ EBV+ HIV− HBV− HCV− HTLV1− HTLV2− |
Treatment | 6 cycles of CHOP | Resection | 6 cycles of CHOP | Surgical excision and radiotherapy |
Not available | 4 cycles of CHOP | Surgical excision and radiotherapy |
|
Outcome | Complete remission after 6 months |
Subsequent EBV+ DLBCL (HHV8−) Patient expired, exact date unknown. |
Complete remission for 7 years |
Complete remission for 15 years |
NA | No clinical evidence of relapse after 2 years |
Remained disease- free for 19 months |
Complete remission for more than 1 year |
B-cell antigens |
CD20− PAX5− CD79a− CD138− BCL6− CD10−, MUM1+, EMA+ focal, CD30− |
CD20− PAX5− BCL6− MUM1+, CD10− CD30− |
CD20− CD79a− CD138− CD38−BCL6− CD10− CD27− CD30− |
CD20− CD79a− CD138− CD38+ BCL6− CD10− EMA− CD27− CD30+ |
CD20− CD79a− CD138− CD38+ BCL6− CD10− EMA− CD27− BCL2− CD30− |
CD20− CD79a− CD138− BCL6− CD10− CD22− BCL2− CD19− CD45− CD30− |
CD20− CD79a− CD138+ CD10− EMA+ CD30− |
CD20− PAX5− CD79a− CD138− CD38+ weak, EMA+ MUM1+ BOB1+ OCT2+ BCL2+ CD30− |
T/NK cell & other antigens |
CD56− ALK1− CD3+ partial, CD5− CD43+ partial, CD7− CD4− CD8− |
CD3+ partial, CD5− CD4− CD8− CD2− |
ND | ND | ND | ND | CD3− CD5− CD43+ CD15− CD21− CD23− CD45− CD56− CD68− S100− |
ALK1− CD3− CD15− CD21− CD23− CD45− CD56− CD68− S100− |
Viral Antigens |
vIL-6+ LANA+ EBER+ LMP1− EBNA2− BZLF1− |
vIL-6+ LANA+ EBER+ LMP1− EBNA2− BZLF1− |
largely vIL-6+ LANA+ EBER+ |
largely vIL-6+ LANA+ EBER+ |
largely vIL-6+ LANA+ EBER+ |
LANA+ EBER+ | HHV8+ EBER+ | HHV8+ EBER+ |
Ig light chain |
None | None | lambda | lambda | kappa | kappa | kappa | lambda |
Ig heavy chain |
Not done | Not done | IgM+ D+ | IgA+ | IgM− IgD− IgG− IgA− |
IgM+ | Not done | Not done |
IG Clonality by PCR |
Polyclonal for both B and T cell gene rearrangements |
No amplification | Weak dominant band in a polyclonal background |
PCR failed | Polyclonal | Polyclonal | Not done | Polyclonal |