Hodgkin's and non-Hodgkin's lymphomas occurring in two brothers with Wiskott-Aldrich syndrome and review of the literature.
Approximately 13% of patients with Wiskott-Aldrich syndrome (WAS), a primary immune deficiency, develop malignant tumors, the predominant form being non-Hodgkin's lymphoma. Previously, only 4 cases of Hodgkin's lymphoma have been reported in WAS patients. Herein, we review the literature of WAS-related lymphomas and report 2 brothers with WAS who both developed lymphomas; one developed Epstein-Barr virus (EBV)-driven diffuse large B-cell lymphoma, and one developed EBV-negative classical Hodgkin's lymphoma. In contrast to many of the previously reported lymphomas in WAS patients, these lymphomas were extensively evaluated by means of molecular, flow cytometric, and immunohistochemical methods. Both brothers died shortly after diagnosis, despite aggressive therapy. The occurrence of 2 distinct forms of lymphomas in these brothers underscores the interplay between genetic susceptibility and environmental exposure in lymphoma pathogenesis.
Du
Shouying
S
Department of Pathology, University of California-San Diego, 200 West Arbor Drive, San Diego, CA 92103-8720, USA.
Scuderi
Richard
R
Malicki
Denise M
DM
Willert
Jennifer
J
Bastian
John
J
Weidner
Noel
N
D000293:Adolescent; D000328:Adult; D017809:Fatal Outcome; D006689:Hodgkin Disease / Q000150:complications* / Q000473:pathology; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000150:complications* / Q000473:pathology; D008297:Male; D035781:Siblings; D014923:Wiskott-Aldrich Syndrome / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D055815:Young Adult