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Nodular splenic immunocytoma

L Balázs, L István, E Marton

    Acta Medica Academiae Scientiarum Hungaricae
    |January 1, 1980
    PubMed
    Summary
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    This study details a rare case of non-Hodgkin lymphoma in a woman, characterized by an enlarged spleen and specific immunoglobulin M (IgM) protein. The findings highlight a borderline lymphoma with mixed features, offering insights into treatment and prognosis.

    Area of Science:

    • Hematology
    • Oncology
    • Pathology

    Background:

    • Non-Hodgkin lymphoma (NHL) encompasses a diverse group of lymphoid malignancies.
    • Splenomegaly and monoclonal gammopathies can be presenting features of certain lymphomas.

    Observation:

    • A 34-year-old woman presented with extreme splenomegaly and monoclonal immunoglobulin M (IgM) paraproteinemia.
    • Histopathological examination of the spleen and hilar lymph nodes revealed a nodular centroblastic-centrocytic malignant lymphoma.

    Findings:

    • The lymphoma contained numerous plasmacytoid cells with monotypic IgM-kappa immunoglobulin.
    • The case exhibited features of both follicular lymphoma and immunocytoma, suggesting a borderline NHL.
    • Unique intracytoplasmic inclusions were observed, supporting the classification of this borderline lymphoma.

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    Implications:

    • This case underscores the importance of recognizing heterogeneous presentations of non-Hodgkin lymphoma.
    • Therapeutic strategies including splenectomy and cytostatic treatment are considered.
    • Tumor nodularity is discussed as a significant prognostic factor in this borderline lymphoma subtype.