BCL-6-positive human herpesvirus 8-associated solid lymphoma arising from liver and spleen as multiple nodular lesions.
We report a case of BCL-6-positive B cell lymphoma with human herpesvirus 8 (HHV-8) infection. A human immunodeficiency virus-infected patient developed a diffuse large B cell lymphoma, which was found exclusively in the liver and spleen with the absence of lymphadenopathy and effusion in any body cavities. The lymphoma cells were composed of medium to large-sized cells positive for CD20, CD45, and BCL-6, and negative for epithelial cell membrane antigen, CD30, CD45RO, and CD138/syndecan-1, suggesting a germinal center B cell origin. The patient was serologically positive for HHV-8, and HHV-8 was detected in the liver biopsy tissue both by polymerase chain reaction and by immunohistochemistry for HHV-8-encoded latency-associated nuclear antigen. Other HHV-8-associated diseases, such as Kaposi's sarcoma, primary effusion lymphoma, or multicentric Castleman's disease were not detected in the patient. Chemotherapy was effective and reduced the size of the lymphoma dramatically. This is the first case report of a germinal center B cell-originating lymphoma with HHV-8 infection.
Hasegawa
Hideki
H
Department of Pathology, National Institute of Infectious Diseases, Shinjuku, Tokyo, Japan.
Katano
Harutaka
H
Tanno
Masataka
M
Masuo
Shigeru
S
Ae
Takako
T
Sato
Yuko
Y
Takahashi
Hidehiro
H
Iwasaki
Takuya
T
Kurata
Takeshi
T
Sata
Tetsutaro
T
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D004268:DNA-Binding Proteins / Q000032:analysis*; D018858:Germinal Center / Q000473:pathology / Q000821:virology; D015658:HIV Infections / Q000150:complications; D006566:Herpesviridae Infections / Q000150:complications*; D019288:Herpesvirus 8, Human; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000821:virology*; D008198:Lymph Nodes / Q000473:pathology; D016393:Lymphoma, B-Cell / Q000473:pathology / Q000821:virology*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000473:pathology / Q000821:virology; D008297:Male; D008875:Middle Aged; D051560:Proto-Oncogene Proteins c-bcl-6; D012074:Remission Induction; D013160:Splenic Neoplasms / Q000473:pathology / Q000821:virology*
C084103:BCL6 protein, human; D004268:DNA-Binding Proteins; D051560:Proto-Oncogene Proteins c-bcl-6