Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature

Hepatosplenic T-cell lymphoma (HSTL) is a rare and aggressive mature T-cell lymphoma characterized by hepatosplenic involvement. It usually occurs de novo in adolescents and young adults (AYA) and has been most commonly reported in the setting of immunosuppression. Most cases present with proliferat...

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Main Authors: Rodolfo Garza-Morales, Isabela Wen-Chi Chang, Allison Rosenthal, Jiehao Zhou
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Human Pathology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772736X25000210
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author Rodolfo Garza-Morales
Isabela Wen-Chi Chang
Allison Rosenthal
Jiehao Zhou
author_facet Rodolfo Garza-Morales
Isabela Wen-Chi Chang
Allison Rosenthal
Jiehao Zhou
author_sort Rodolfo Garza-Morales
collection DOAJ
description Hepatosplenic T-cell lymphoma (HSTL) is a rare and aggressive mature T-cell lymphoma characterized by hepatosplenic involvement. It usually occurs de novo in adolescents and young adults (AYA) and has been most commonly reported in the setting of immunosuppression. Most cases present with proliferation of cytotoxic T-cells of TCRγδ type with a unique gene mutation profile. Due to rarity of this disease, there is no standard of care treatment, and outcomes are usually poor in the absence of stem cell transplant. In this case, we report an unusual presentation of HSTL of TCRαβ type in an elderly patient status post treatment of an indolent B-cell lymphoma.
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institution Kabale University
issn 2772-736X
language English
publishDate 2025-09-01
publisher Elsevier
record_format Article
series Human Pathology Reports
spelling doaj-art-4e792f78bf024764a47fba7b0c1aaecd2025-08-24T05:15:31ZengElsevierHuman Pathology Reports2772-736X2025-09-014130078910.1016/j.hpr.2025.300789Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literatureRodolfo Garza-Morales0Isabela Wen-Chi Chang1Allison Rosenthal2Jiehao Zhou3Department of Medicine, Division of Hematology and Medical Oncology, Mayo Clinic, Phoenix, AZ, USADepartment of Medicine, Division of Hematology and Medical Oncology, Mayo Clinic, Phoenix, AZ, USADepartment of Medicine, Division of Hematology and Medical Oncology, Mayo Clinic, Phoenix, AZ, USADepartment of Laboratory Medicine and Pathology, Division of Hematopathology, Mayo Clinic, Phoenix, AZ, USA; Corresponding author.Hepatosplenic T-cell lymphoma (HSTL) is a rare and aggressive mature T-cell lymphoma characterized by hepatosplenic involvement. It usually occurs de novo in adolescents and young adults (AYA) and has been most commonly reported in the setting of immunosuppression. Most cases present with proliferation of cytotoxic T-cells of TCRγδ type with a unique gene mutation profile. Due to rarity of this disease, there is no standard of care treatment, and outcomes are usually poor in the absence of stem cell transplant. In this case, we report an unusual presentation of HSTL of TCRαβ type in an elderly patient status post treatment of an indolent B-cell lymphoma.http://www.sciencedirect.com/science/article/pii/S2772736X25000210HSTLHepatosplenomegalyTCRαβCHOEP
spellingShingle Rodolfo Garza-Morales
Isabela Wen-Chi Chang
Allison Rosenthal
Jiehao Zhou
Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature
Human Pathology Reports
HSTL
Hepatosplenomegaly
TCRαβ
CHOEP
title Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature
title_full Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature
title_fullStr Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature
title_full_unstemmed Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature
title_short Hepatosplenic T-cell lymphoma, αβ type, presenting in an elderly patient status post indolent B-cell lymphoma treatment: report of a case and review of the literature
title_sort hepatosplenic t cell lymphoma αβ type presenting in an elderly patient status post indolent b cell lymphoma treatment report of a case and review of the literature
topic HSTL
Hepatosplenomegaly
TCRαβ
CHOEP
url http://www.sciencedirect.com/science/article/pii/S2772736X25000210
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AT allisonrosenthal hepatosplenictcelllymphomaabtypepresentinginanelderlypatientstatuspostindolentbcelllymphomatreatmentreportofacaseandreviewoftheliterature
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