An unusual indication for splenectomy in hairy cell leukaemia: a report of three cases with persistent splenomegaly after chemoimmunotherapy.

Abstract:

:We describe three cases of relapsed hairy cell leukaemia (HCL) treated with pentostatin plus rituximab. All three achieved bone marrow complete remission but had persistent splenomegaly and hypersplenism. Because of the clinical uncertainty of its significance, they were all splenectomized. The spleen histology showed no evidence of HCL, but a five-fold thickening of the splenic capsule and areas of fibrosis in the red pulp. This process may have contributed to the lack of elasticity and caused the persistent splenomegaly. We discuss the clinical implications for future patient management. The three patients remain in remission at 1 + , 5 + and 9 + years.

journal_name

Br J Haematol

authors

Sarid N,Ahmad HN,Wotherspoon A,Dearden CE,Else M,Catovsky D

doi

10.1111/bjh.13767

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

784-7

issue

5

eissn

0007-1048

issn

1365-2141

journal_volume

171

pub_type

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