Literature DB >> 31471410

Methotrexate-associated Classical Hodgkin Lymphoma Shows Distinct Clinicopathological Features but Comparable Clinical Outcomes With Sporadic Cases.

Kota Yoshifuji1, Yoshihiro Umezawa1, Ayako Ichikawa1, Ken Watanabe1, Osamu Miura1, Masahide Yamamoto2.   

Abstract

BACKGROUND/AIM: Methotrexate (MTX)-associated classical Hodgkin lymphoma (CHL) is a rare disease, and its prognosis remains unclear.
MATERIALS AND METHODS: Our study retrospectively compared clinicopathological features and clinical outcomes of patients with MTX-CHL (n=6) and sporadic CHL (n=40).
RESULTS: MTX-CHL was more frequently the mixed cellularity subtype and positive for Epstein-Barr virus, but less frequently positive for CD20 than sporadic CHL. Clinically, MTX-CHL was more frequent in advanced stage than sporadic CHL and often associated with extranodal disease. After the cessation of MTX, transient spontaneous regression was observed in two MTX-CHL cases. Eventually, all patients with MTX-CHL required chemotherapy, which gave similar complete remission rates at 2 years compared to sporadic CHL. Patients with MTX-CHL tended to have a higher incidence of grade 3 or more neutropenia.
CONCLUSION: The present study revealed differences in clinicopathological features but similarities in clinical outcomes of MTX-CHL and sporadic CHL. Copyright
© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Entities:  

Keywords:  Methotrexate; absolute lymphocyte count; methotrexate-associated classical Hodgkin lymphoma; methotrexate-associated lymphoproliferative disorders; spontaneous remission

Year:  2019        PMID: 31471410      PMCID: PMC6755021          DOI: 10.21873/invivo.11642

Source DB:  PubMed          Journal:  In Vivo        ISSN: 0258-851X            Impact factor:   2.155


  19 in total

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Authors:  Eric Y Loo; L Jeffrey Medeiros; Tariq N Aladily; Daniela Hoehn; Rashmi Kanagal-Shamanna; Ken H Young; Pei Lin; Carlos E Bueso-Ramos; John T Manning; Keyur Patel; Vilmos Thomazy; Russell K Brynes; Maitrayee Goswami; Luis E Fayad; Roberto N Miranda
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10.  Clinicopathological analysis of methotrexate-associated lymphoproliferative disorders: Comparison of diffuse large B-cell lymphoma and classical Hodgkin lymphoma types.

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