Successful Treatment of Hodgkin Lymphoma in Nijmegen Breakage Syndrome

被引:7
作者
Jovanovic, Ankica [1 ,2 ,3 ,4 ]
Minic, Predrag [1 ,2 ,3 ,4 ]
Scekic-Guc, Marija [1 ,2 ,3 ,4 ]
Djuricic, Slavisa [1 ,2 ,3 ,4 ]
Cirkovic, Sanja [1 ,2 ,3 ,4 ]
Weemaes, Corry [5 ]
Pasic, Srdjan [1 ,2 ,3 ,4 ]
机构
[1] Mother & Child Hlth Inst Serbia, Dept Pediat Hematol, Belgrade 11070, Serbia
[2] Mother & Child Hlth Inst Serbia, Dept Pulm, Belgrade 11070, Serbia
[3] Mother & Child Hlth Inst Serbia, Dept Med Genet, Belgrade 11070, Serbia
[4] Mother & Child Hlth Inst Serbia, Dept Pathol & Immunol, Belgrade 11070, Serbia
[5] Univ Nijmegen Med Ctr, Dept Pediat Immunol, Nijmegen, Netherlands
关键词
Nijmegen breakage syndrome; lymphoid malignancy; Hodgkin disease; CANCER INCIDENCE; DISEASE; ABNORMALITIES; CHILDREN; CHILDHOOD;
D O I
10.1097/MPH.0b013e318190d72c
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Nijmegen breakage syndrome (NBS) is a rare DNA repair disorder characterized by microcephaly. immunodeficiency. and predisposition to malignancy. We report on a 5-year-old patient with NBS who presented with nodural sclerosing type of Hodgkin disease stage IVB. Chemotherapy consisting of COPP/ ABV regimen with reduction at 75% of full doses was employed. During this treatment. no major toxic or infectious complications were observed. Complete remission was achieved lusting now for 20 months. In DNA repair disorders. prognosis of Hodgkin disease is poor as opposed to excellent overall prognosis in general pediatric population. Better survival may be achieved both with adopted, disease-specific regimens. and individualized approach considering patient's clinical condition. Also better recognition and treatment of infections during chemotherapy may reduce early deaths in patients with DNA repair disorders.
引用
收藏
页码:49 / 52
页数:4
相关论文
共 27 条
[1]   Medulloblastoma with adverse reaction to radiation therapy in Nijmegen breakage syndrome [J].
Bakhshi, S ;
Cerosaletti, KM ;
Concannon, P ;
Bawle, EV ;
Fontanesi, J ;
Gatti, RA ;
Bhambhani, K .
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 2003, 25 (03) :248-251
[2]   Anthracyclines in Nijmegen breakage syndrome [J].
Barth, E ;
Demori, E ;
Pecile, V ;
Zanazzo, GA ;
Malorgio, C ;
Tamaro, P .
MEDICAL AND PEDIATRIC ONCOLOGY, 2003, 40 (02) :122-124
[3]  
BEN AMW, 1995, PEDIATR HEMAT ONCOL, V12, P163
[4]   Immunophenotyping of blood lymphocytes in childhood - Reference values for lymphocyte subpopulations [J].
ComansBitter, WM ;
deGroot, R ;
vandenBeemd, R ;
Neijens, HJ ;
Hop, WCJ ;
Groeneveld, K ;
Hooijkaas, H ;
vanDongen, JJM .
JOURNAL OF PEDIATRICS, 1997, 130 (03) :388-393
[5]   Cancer incidence among children in France, 1990-1999 [J].
Desandes, E ;
Clavel, J ;
Berger, C ;
Bernard, JL ;
Blouin, P ;
de Lumley, L ;
Demeocq, F ;
Freycon, F ;
Gembara, P ;
Goubin, A ;
Le Gall, E ;
Pillon, P ;
Sommelet, D ;
Tron, I ;
Lacour, B .
PEDIATRIC BLOOD & CANCER, 2004, 43 (07) :749-757
[6]   Heterogeneity of humoral immune abnormalities in children with Nijmegen breakage syndrome: an 8-year follow-up study in a single centre [J].
Gregorek, H ;
Chrzanowska, KH ;
Michalkiewicz, J ;
Syczewska, M ;
Madalinski, K .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2002, 130 (02) :319-324
[7]  
Hiel JA, 2000, ARCH DIS CHILD, V82, P400
[8]  
KONDRATENKO I, 2006, 20 M EUR SOC IMM 4 7, P167
[9]   Cancer incidence in Nijmegen breakage syndrome is modulated by the amount of a variant NBS protein [J].
Krueger, Lars ;
Demuth, Ilja ;
Neitzel, Heidemarie ;
Varon, Raymonda ;
Sperling, Karl ;
Chrzanowska, Krystyna H. ;
Seemanova, Eva ;
Digweed, Martin .
CARCINOGENESIS, 2007, 28 (01) :107-111
[10]   Abnormalities in the T and NK lymphocyte phenotype in patients with Nijmegen breakage syndrome [J].
Michalkiewicz, J ;
Barth, C ;
Chrzanowska, K ;
Gregorek, H ;
Syczewska, M ;
Weemaes, CMB ;
Madalinski, K ;
Dzierzanowska, D ;
Stachowski, J .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2003, 134 (03) :482-490