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Published on: March 30, 2018
Systemic Amyloidosis due to Low-Grade Lymphoma
Ashutosh D Wechalekar1, Raj Chakraborty2, Suzanne Lentzsch2
1National Amyloidosis Centre, University College London (Royal Free Campus), Rowland Hill Street, London NW3 2PF, UK.
Lymphoma-related amyloidosis, a rare condition, typically stems from plasma cell disorders producing specific proteins. Optimal treatment strategies are challenging due to limited clinical trial data, relying on retrospective and small prospective studies.
Area of Science:
- Hematology
- Oncology
- Nephrology
Background:
- Lymphoma-related amyloidosis is a rare clinical entity.
- Systemic light-chain (AL) amyloidosis is often associated with an underlying plasma cell clone.
- This clone produces intact monoclonal immunoglobulin G (IgG) or immunoglobulin A (IgA) proteins.
Purpose of the Study:
- To review and discuss treatment recommendations for lymphoma-related amyloidosis.
- To address the challenges in establishing optimal treatment due to the rarity of the condition.
Main Methods:
- The study is based on a review of existing literature.
- Treatment recommendations are derived from retrospective analyses.
- Data from small, single-center prospective trials were also considered.
Main Results:
- Limited clinical trial data exists for lymphoma-related amyloidosis.
- Optimal treatment determination is hindered by the condition's rarity.
- Current recommendations are based on lower-level evidence.
Conclusions:
- Lymphoma-related amyloidosis requires careful management strategies.
- Treatment decisions rely on retrospective and limited prospective data.
- Further research is needed to establish evidence-based guidelines.
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