Abstract:
:Hepatitis C virus (HCV) infection may be complicated by non-Hodgkin's lymphoma through yet unknown pathogenetic mechanisms. We describe the case of a patient with HCV-related cirrhosis who developed a primary effusion lymphoma (PEL) of Burkitt's type confined to the peritoneal cavity, in the absence of immunodeficiency or autoimmunity. Paracentesis followed by immunophenotyping, karyotyping, and molecular studies allowed us to diagnose a small noncleaved B-cell lymphoma (CD20+, CD24+, CD10+, CD5-, CD23-, lambda+) with the t(8;22) (q24;q11) translocation and clonal rearrangement of the immunoglobulin heavy chain gene. HCV-RNA, Epstein-Barr virus and Kaposi's sarcoma-associated herpesvirus were not identified within lymphoma cells. The finding of HCV-RNA in the ascitic fluid suggests a link between HCV and development of lymphoma with HCV playing the role of persistent antigenic stimulation to intraperitoneal B-cell clonal expansion(s).
journal_name
Hum Patholjournal_title
Human pathologyauthors
Ascoli V,Lo Coco F,Artini M,Levrero M,Fruscalzo A,Mecucci Cdoi
10.1016/s0046-8177(97)90287-2subject
Has Abstractpub_date
1997-01-01 00:00:00pages
101-4issue
1eissn
0046-8177issn
1532-8392pii
S0046-8177(97)90287-2journal_volume
28pub_type
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