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Angiotropic lymphoma with endocrine involvement

J H Shanks1, M Harris, A J Howat

  • 1Department of Histopathology, Christie Hospital, Manchester, UK.

Histopathology
|August 1, 1997
PubMed
Summary

Angiotropic high-grade B-cell lymphoma can affect endocrine glands, presenting as adrenal or thyroid issues. Combination chemotherapy shows potential for treating this rare lymphoma.

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Area of Science:

  • Endocrinology
  • Oncology
  • Hematology

Background:

  • Angiotropic lymphoma, a rare vascular malignancy, can infiltrate various organs.
  • Endocrine gland involvement by lymphoma is uncommon but significant.

Observation:

  • Two cases of angiotropic high-grade B-cell lymphoma with prominent endocrine gland manifestation are presented.
  • One patient exhibited unilateral adrenal enlargement due to intravascular lymphoma, responding well to chemotherapy.
  • The second patient, diagnosed post-mortem, showed extensive thyroid and pituitary infiltration, with a cavernous hemangioma colonized by lymphoma cells.

Findings:

  • Marked unilateral adrenomegaly due to intravascular lymphoma.
  • Hypothyroidism and a thyroid nodule associated with angiotropic lymphoma infiltration of the thyroid and pituitary.
  • Successful treatment outcome with combination chemotherapy in one case.

Implications:

  • Highlights the importance of considering endocrine organ involvement in angiotropic lymphoma.
  • Suggests that combination chemotherapy may be an effective treatment modality for this rare condition.
  • Underscores the need for comprehensive diagnostic workup in cases of unexplained endocrine abnormalities and pyrexia.

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