An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections

Primary hepatic lymphomas (PHLs) are exceedingly rare. Many reported cases are associated with various viral serologies, and some viruses may be implicated in lymphomagenesis through emerging, though as-of-yet uncertain, mechanisms. A review of the literature reveals previously reported cases of PHL...

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Main Authors: Connor R. Zuraski, Vinit Patil, Katherine E. Schwetye
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2019/5125086
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author Connor R. Zuraski
Vinit Patil
Katherine E. Schwetye
author_facet Connor R. Zuraski
Vinit Patil
Katherine E. Schwetye
author_sort Connor R. Zuraski
collection DOAJ
description Primary hepatic lymphomas (PHLs) are exceedingly rare. Many reported cases are associated with various viral serologies, and some viruses may be implicated in lymphomagenesis through emerging, though as-of-yet uncertain, mechanisms. A review of the literature reveals previously reported cases of PHL, some of which support the potential roles of the hepatitis B and C viruses (HBV and HCV) in the development of PHL. We describe an exceptional case of primary hepatic high-grade B-cell lymphoma, discovered at autopsy, in a patient whose clinical history is significant for coinfection with both HBV and HCV. Additionally, attempts at cytogenetic testing of formalin-fixed, paraffin-embedded (FFPE) autopsy tissues, which we performed approximately ten years after the original autopsy, led us to question the utility of older tissue blocks in molecular and some immunohistochemical assays.
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spelling doaj-art-10d99531cdad4a7b84a0d9bccc3195ca2025-02-03T05:53:32ZengWileyCase Reports in Pathology2090-67812090-679X2019-01-01201910.1155/2019/51250865125086An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV CoinfectionsConnor R. Zuraski0Vinit Patil1Katherine E. Schwetye2Department of Pathology, Saint Louis University School of Medicine, 1402 South Grand Boulevard, Saint Louis, MO 63110, USADepartment of Pathology, Saint Louis University School of Medicine, 1402 South Grand Boulevard, Saint Louis, MO 63110, USADepartment of Pathology, Saint Louis University School of Medicine, 1402 South Grand Boulevard, Saint Louis, MO 63110, USAPrimary hepatic lymphomas (PHLs) are exceedingly rare. Many reported cases are associated with various viral serologies, and some viruses may be implicated in lymphomagenesis through emerging, though as-of-yet uncertain, mechanisms. A review of the literature reveals previously reported cases of PHL, some of which support the potential roles of the hepatitis B and C viruses (HBV and HCV) in the development of PHL. We describe an exceptional case of primary hepatic high-grade B-cell lymphoma, discovered at autopsy, in a patient whose clinical history is significant for coinfection with both HBV and HCV. Additionally, attempts at cytogenetic testing of formalin-fixed, paraffin-embedded (FFPE) autopsy tissues, which we performed approximately ten years after the original autopsy, led us to question the utility of older tissue blocks in molecular and some immunohistochemical assays.http://dx.doi.org/10.1155/2019/5125086
spellingShingle Connor R. Zuraski
Vinit Patil
Katherine E. Schwetye
An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections
Case Reports in Pathology
title An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections
title_full An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections
title_fullStr An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections
title_full_unstemmed An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections
title_short An Exceptional Case of Liver-Restricted High-Grade B-Cell Lymphoma in a Patient with Clinical History of HBV and HCV Coinfections
title_sort exceptional case of liver restricted high grade b cell lymphoma in a patient with clinical history of hbv and hcv coinfections
url http://dx.doi.org/10.1155/2019/5125086
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