LYMPHOMA WITH RECURRENT CYCLES OF SPONTANEOUS REMISSION AND RELAPSE - POSSIBLE ROLE OF APOPTOSIS

被引:35
作者
KAUFMANN, Y [1 ]
MANY, A [1 ]
RECHAVI, G [1 ]
MOR, O [1 ]
BINIAMINOV, M [1 ]
ROSENTHAL, E [1 ]
LEVANON, M [1 ]
DAVIDSOHN, J [1 ]
AIZMAN, I [1 ]
MARK, Z [1 ]
BROKSIMONI, F [1 ]
RAMOT, B [1 ]
机构
[1] TEL AVIV UNIV,SACKLER SCH MED,IL-69978 TEL AVIV,ISRAEL
关键词
D O I
10.1056/NEJM199502233320805
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a patient with a unique mantle-cell lymphoma, with cycles of acute illness alternating with spontaneous remissions. During the acute phase the patient had fever, generalized lymphadenopathy, hepatosplenomegaly, increased liver-enzyme concentrations, leukocytosis, and thrombocytopenia. These bouts remitted after two to three weeks without treatment. Fifteen such cycles were documented over a period of 50 months. During the acute phase blast-like B lymphocytes in the blood expressed surface IgM, IgD, and CD5, whereas during clinical remission a small population of IgM and CD5+ lymphocytes persisted. Two B-cell clones with differently rearranged heavy-chain genes consistently appeared in the blood during the… © 1995, Massachusetts Medical Society. All rights reserved.
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页码:507 / 510
页数:4
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