Regression of splenic lymphoma with villous lymphocytes after treatment of hepatitis C virus infection.
BACKGROUND
Some epidemiologic studies suggest a link between hepatitis C virus (HCV) infection and some B-cell non-Hodgkin's lymphomas. We undertook this study after a patient with splenic lymphoma with villous lymphocytes had a hematologic response after antiviral treatment of HCV infection.


METHODS
Nine patients who had splenic lymphoma with villous lymphocytes and HCV infection were treated with interferon alfa-2b (3 million IU three times per week) alone or in combination with ribavirin (1000 to 1200 mg per day). The outcomes were compared with those of six similarly treated patients with splenic lymphoma with villous lymphocytes who tested negative for HCV infection.


RESULTS
Of the nine patients with HCV infection who received interferon alfa, seven had a complete remission after the loss of detectable HCV RNA. The other two patients had a partial and a complete remission after the addition of ribavirin and the loss of detectable HCV RNA. One patient had a relapse when the HCV RNA load again became detectable in blood. In contrast, none of the six HCV-negative patients had a response to interferon therapy.


CONCLUSIONS
In patients with splenic lymphoma with villous lymphocytes who are infected with HCV, treatment with interferon can lead to regression of the lymphoma.
Department of Hematology and Centre National de la Recherche Scientifique Unité Mixte de Recherche 8603, Hôpital Necker, Paris, France. hermine@necker.fr
Olivier
O
Hermine
François
F
Lefrère
Jean-Pierre
JP
Bronowicki
Xavier
X
Mariette
Katayoun
K
Jondeau
Virginie
V
Eclache-Saudreau
Béatrice
B
Delmas
Françoise
F
Valensi
Patrice
P
Cacoub
Christian
C
Brechot
Bruno
B
Varet
Xavier
X
Troussard
D000328:Adult; D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use*; D005260:Female; D016174:Hepacivirus / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity*; D006526:Hepatitis C / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D016898:Interferon-alpha / Q000627:therapeutic use*; D008214:Lymphocytes; D016393:Lymphoma, B-Cell / Q000150:complications / Q000188:drug therapy / Q000821:virology*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012367:RNA, Viral / Q000032:analysis; D012074:Remission Induction / Q000379:methods; D013160:Splenic Neoplasms / Q000150:complications / Q000188:drug therapy / Q000821:virology*
D000998:Antiviral Agents; D016898:Interferon-alpha; D012367:RNA, Viral