Abstract:
BACKGROUND:Angiotropic large cell lymphoma (ALCL) is characterized by the intravascular proliferation of malignant lymphoid cells in small and medium-sized blood vessels. In the current study, the authors report an unusual case in which the initial presentation of the ALCL was that of superior vena cava (SVC) syndrome. METHODS:The case is presented, followed by a general review of the literature regarding ALCL. RESULTS:Surgical intervention was required for diagnosis in this case. Successful treatment with chemotherapy followed by involved field radiation ensued with a maintained disease remission at 48 months of follow-up. CONCLUSIONS:Although usually presenting in small blood vessels, ALCL can present initially with large blood vessel involvement and should be considered in the differential diagnosis of this condition, even in the absence of extravascular lymph node involvement. Aggressive treatment with antineoplastic therapy is warranted and may result in long term recurrence free survival.
journal_name
Cancerjournal_title
Cancerauthors
Savarese DM,Zavarin M,Smyczynski MS,Rohrer MJ,Hutzler MJdoi
10.1002/1097-0142(20001215)89:12<2515::aid-cncr1>3subject
Has Abstractpub_date
2000-12-15 00:00:00pages
2515-20issue
12eissn
0008-543Xissn
1097-0142pii
10.1002/1097-0142(20001215)89:12<2515::AID-CNCR1>3journal_volume
89pub_type
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