Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient

Primary effusion lymphoma (PEL) is a unique form of non-Hodgkin lymphoma, usually seen in severely immunocompromised, HIV-positive patients. PEL is related to human herpesvirus-8 (HHV-8) infection, and it usually presents as a lymphomatous body cavity effusion in the absence of a solid tumor mass. T...

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Main Authors: Hamza Hashmi, Drew Murray, Samer Al-Quran, William Tse
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2018/9368451
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author Hamza Hashmi
Drew Murray
Samer Al-Quran
William Tse
author_facet Hamza Hashmi
Drew Murray
Samer Al-Quran
William Tse
author_sort Hamza Hashmi
collection DOAJ
description Primary effusion lymphoma (PEL) is a unique form of non-Hodgkin lymphoma, usually seen in severely immunocompromised, HIV-positive patients. PEL is related to human herpesvirus-8 (HHV-8) infection, and it usually presents as a lymphomatous body cavity effusion in the absence of a solid tumor mass. There have been very few case reports of HIV-positive patients with HHV-8-positive solid tissue lymphomas not associated with an effusion (a solid variant of PEL). In the absence of effusion, establishing an accurate diagnosis can be challenging, and a careful review of morphology, immunophenotype, and presence of HHV-8 is necessary to differentiate from other subtypes of non-Hodgkin lymphoma. Treatment involves intensive chemotherapy, and prognosis is usually poor. We present a rare case of a PEL variant in an HIV-positive patient who presented with extensive lymphadenopathy without any associated effusions.
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spelling doaj-art-12b27724c7ab4e30b07c5e101d7046192025-08-20T02:02:10ZengWileyCase Reports in Hematology2090-65602090-65792018-01-01201810.1155/2018/93684519368451Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive PatientHamza Hashmi0Drew Murray1Samer Al-Quran2William Tse3Division of Hematology and Oncology, University of Louisville, Louisville, KY, USADivision of Hematology and Oncology, University of Louisville, Louisville, KY, USADepartment of Pathology and Laboratory Medicine, University of Louisville, Louisville, KY, USADivision of Blood and Marrow Transplant, University of Louisville, Louisville, KY, USAPrimary effusion lymphoma (PEL) is a unique form of non-Hodgkin lymphoma, usually seen in severely immunocompromised, HIV-positive patients. PEL is related to human herpesvirus-8 (HHV-8) infection, and it usually presents as a lymphomatous body cavity effusion in the absence of a solid tumor mass. There have been very few case reports of HIV-positive patients with HHV-8-positive solid tissue lymphomas not associated with an effusion (a solid variant of PEL). In the absence of effusion, establishing an accurate diagnosis can be challenging, and a careful review of morphology, immunophenotype, and presence of HHV-8 is necessary to differentiate from other subtypes of non-Hodgkin lymphoma. Treatment involves intensive chemotherapy, and prognosis is usually poor. We present a rare case of a PEL variant in an HIV-positive patient who presented with extensive lymphadenopathy without any associated effusions.http://dx.doi.org/10.1155/2018/9368451
spellingShingle Hamza Hashmi
Drew Murray
Samer Al-Quran
William Tse
Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient
Case Reports in Hematology
title Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient
title_full Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient
title_fullStr Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient
title_full_unstemmed Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient
title_short Primary Effusion Lymphoma without an Effusion: A Rare Case of Solid Extracavitary Variant of Primary Effusion Lymphoma in an HIV-Positive Patient
title_sort primary effusion lymphoma without an effusion a rare case of solid extracavitary variant of primary effusion lymphoma in an hiv positive patient
url http://dx.doi.org/10.1155/2018/9368451
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AT sameralquran primaryeffusionlymphomawithoutaneffusionararecaseofsolidextracavitaryvariantofprimaryeffusionlymphomainanhivpositivepatient
AT williamtse primaryeffusionlymphomawithoutaneffusionararecaseofsolidextracavitaryvariantofprimaryeffusionlymphomainanhivpositivepatient