Impact of highly effective antiretroviral therapy on the risk for

Impact of highly effective antiretroviral therapy on the risk for Hodgkin lymphoma among people with human immunodeficiency virus infection. Curr Opin Oncol 2012; 24: 531–536. 62 Cheson BD, Horning SJ, Coiffier B et al. Report of an international workshop to standardize response criteria for non-Hodgkin’s

lymphomas. NCI Sponsored International Working Group. J Clin Oncol 1999; 17: 1244–1253. 63 Cheson BD, Pfistner B, Juweid ME et al. Revised response criteria for malignant lymphoma. J Clin Oncol 2007; 25: 579–586. 64 Brust D, Polis M, Davey R et al. Fluorodeoxyglucose imaging in healthy subjects with HIV infection: impact of disease stage and therapy on pattern of nodal activation. AIDS 2006; 20: 495–503. 65 Goshen E, Davidson T, Avigdor A et al. PET/CT in the evaluation LBH589 molecular weight of lymphoma in patients Selumetinib with HIV-1 with suppressed viral loads. Clin Nucl Med 2008; 33: 610–614. 66 Brusamolino E, Bacigalupo A, Barosi G et al. Classical Hodgkin’s lymphoma in adults: guidelines of the Italian Society of Hematology, the Italian Society of Experimental Hematology, and the Italian Group for Bone Marrow Transplantation on initial work-up, management, and follow-up. Haematologica 2009; 94: 550–565. 67 Guadagnolo BA, Punglia RS, Kuntz KM et al. Cost-effectiveness analysis of computerized tomography in the routine follow-up of patients after primary treatment for Hodgkin’s disease. J Clin Oncol 2006;

24: 4116–4122. The first description of Castleman’s disease appeared as a case record of the Massachusetts General Hospital in the New England Journal of Medicine in 1954 [1]. Benjamin Castleman,

pathologist at Massachusetts General Hospital, subsequently described 13 cases of asymptomatic localized mediastinal masses demonstrating lymph node hyperplasia resembling thymoma in 1956 [2]. Multicentric Castleman’s disease (MCD) is a relatively rare Amine dehydrogenase lymphoproliferative disorder that classically presents with fevers, anaemia and multifocal lymphadenopathy, and is now most commonly diagnosed in individuals infected with HIV type 1. Castleman’s disease is classified into localized (LCD) and multicentric (MCD) forms. The localized form usually presents in young adults with isolated masses in the mediastinum (60–75%) or neck (20%) or less commonly with intra-abdominal masses (10%). Systemic symptoms are rare with localized Castleman’s disease. In contrast, MCD is associated with multi-organ systemic features, and follows a more aggressive course. Histologically, symptomatic MCD is predominantly due to the plasma cell variant (as opposed to the asymptomatic hyaline vascular variant) characterized by large plasmablasts in the mantle zone [3]. MCD occurs in the fourth or fifth decade of life in HIV-negative people but at younger ages in those who are HIV-positive. MCD has been also been reported with HIV-2 [4] and in a non-HIV-infected paediatric patient [5]. MCD presents with generalized malaise, night sweats, rigors, fever, anorexia and weight loss.

Leave a Reply

Your email address will not be published. Required fields are marked *

*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>