Enteropathy-Associated T-Cell Lymphoma Treated With Autologous Hematopoietic Stem-Cell Transplant: A Glimmer of Hope?

Autor: Gahra A; Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India., Katrevula A; Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India., Sekaran A; Pathology, AIG Hospitals, Hyderabad, Telangana, India., Wanve B; Clinical Hematology, AIG Hospitals, Hyderabad, Telangana, India., Reddy Katukuri G; Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India., Lakhtakia S; Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India., Duvvur NR; Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India.
Jazyk: angličtina
Zdroj: ACG case reports journal [ACG Case Rep J] 2024 Oct 10; Vol. 11 (10), pp. e01529. Date of Electronic Publication: 2024 Oct 10 (Print Publication: 2024).
DOI: 10.14309/crj.0000000000001529
Abstrakt: We report a case of primary enteropathy-associated T-cell lymphoma in a 50-year-old man presenting with abdominal pain, chronic diarrhea, and significant weight loss over 6 months. Diagnosis was confirmed through endoscopy, biopsy, and positron emission tomography-computed tomography, staging the disease as stage 1E. The patient underwent initial treatment with the cyclophosphamide, doxorubicin (also known as hydroxydaunorubicin), vincristine (also known as oncovin), etoposide, and prednisolone chemotherapy regimen, followed by high-dose hyper-fractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone chemotherapy and autologous stem cell transplantation. Despite developing febrile neutropenia and septic shock during treatment, the patient achieved disease remission and symptom resolution. This case underscores the potential of autologous stem-cell transplantation as a curative approach for primary enteropathy-associated T-cell lymphoma and highlights the need for further research on its effectiveness.
(© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze: MEDLINE