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A case of follicular lymphoma complicated with mesenteric panniculitis

Hematology Reports

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Title Statement A case of follicular lymphoma complicated with mesenteric panniculitis
Added Entry - Uncontrolled Name Yotaro Tamai; Shizuoka Cancer Center
Osamu Imataki; Kagawa University
Ichiro Ito; Shizuoka Cancer Center
Kimihiro Kawakami; Shizuoka Cancer Center
Uncontrolled Index Term Medicine; Hematology; Lymphoma
Follicular lymphoma; Mesenteric panniculitis; Autologous peripheral blood stem cell transplantation
Summary, etc. Mesenteric panniculitis (MP) is a rare disease occasionally complicated with lymphoma. A 55-year old female presented with MP accompanied by malignant lymphoma. This patient was first treated for follicular lymphoma and subsequently for panniculitis. After 6 courses of R-CHOP chemotherapy, the treatment response was partial. An additional course of salvage chemotherapy led to a complete response. Since the mesenteric mass progressed simultaneously with the regression of other lymphoma lesions, we performed a biopsy of the mesenteric mass and pathologically confirmed an MP lesion without lymphoma. Subsequent high-dose chemotherapy led to CR and the MP lesion remained stable. In the present case, MP progressed with chemotherapy. We concluded that mesenteric lesions suspected of progressing or recurring should be diagnosed pathologically even if asymptomatic.
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Data Source Entry Hematology Reports; Vol 1, No 2 (2009); e17
Language Note en
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