Unusual case of plasmablastic Non-Hodgkin’s lymphoma located in the liver.

First case reported in an AIDS patient 

Autores: Metta Humberto, Corti Marcelo, Maranzana Aldo, Schtirbu Ricardo, Narbaitz Marina, De Dios Soler Marcela

Resumen

Plasmablastic lymphoma is a rare and a relatively new entity that was first described in the jaws and the oral cavity of HIV-AIDS patients. We report a case of plasmablastic lymphoma involving the liver in an AIDS patient. Plasmablastic lymphoma is considered a diffuse large B-cell lymphoma with a unique phenotype and predilection for the oral cavity. The case presented had a unique hepatic lesion, localized in the left lobe of the liver. Diagnosis was confirmed by hepatic biopsy guided by Computerized Tomography scan and histopathology. The smears showed a dense infiltrate composed by atypical lymphocytes with numerous plasmocytes expressing the plasma cell markers MUM-1 and CD138 and negative for the B-cell markers CD3, CD20 and CD45. Immunohistochemical and in situ hibridization revealed the Epstein-Barr virus genome in the atypical cells. Polymerase chain reaction was negative for HHV-8 RNA.

Palabras clave: Plasmablastic lymphoma liver Human Immunodeficiency Virus Acquired Immunodeficiency Syndrome.

2009-11-27   |   668 visitas   |   Evalua este artículo 0 valoraciones

Vol. 8 Núm.3. Julio-Septiembre 2009 Pags. 242-245 Ann Hepatol 2009; 8(3)