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Treatment of grey zone lymphoma using the R-CODOX-M/R-IVAC protocol: Two case reports
Xiao-Yan Yang1, Ling Jiang, Rong-Fei Jia
1Shanghai Xuhui District Center Hospital, Shanghai, China.
Rationale:
We report our experience with 2 patients diagnosed with grey zone lymphoma (GZL). The histopathological characteristics of lymphomatous tissues in these patients ranged between those of diffuse large B-cell lymphoma (DLBCL) and the classical Hodgkin lymphoma.
Patient Concerns:
A 52-year-old female presented to the hospital with a history of lower abdominal pain of metastatic origin for 2 days. She was diagnosed with acute appendicitis and had undergone emergency surgery. A 17-year-old male was admitted to the hospital because of acute left upper abdomen pain.
Diagnoses:
Both patients are diagnosed of GZL primarily based on histopathology.
Interventions:
Both patients were treated with R-CODOX-M/R-IVAC regimen for 4 to 6 cycles.
Outcomes:
The short-term curative effect was complete response; no recurrence was observed as of 32-month follow-up.
Lessons:
R-CODOX-M/IVAC regimen exhibited relatively good curative effect. International Prognostic Index score and lactate dehydrogenase level may correlate with prognosis of these patients.
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