Primary mediastinal large B-cell lymphoma

We analysed clinical and immunological features of 71 patients with primary mediastinal large B-cell lymphoma. Disease stages were determined according to Ann Arbor staging system. Immunological type of lymphoma was defined using monoclonal antibodies to T- and B-cell lymphocytic markers, and some o...

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Main Authors: L. A. Mazurok, O. A. Kolomeytsev, G. S. Tumyan, A. M. Kovrigina, T. T. Kondratieva, E. N. Sholokhova, N. N. Tupitsyn, I. E. Tjurin, V. A. Utkina, E. A. Osmanov
Format: Article
Language:Russian
Published: ABV-press 2022-11-01
Series:Онкогематология
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Online Access:https://oncohematology.abvpress.ru/ongm/article/view/639
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author L. A. Mazurok
O. A. Kolomeytsev
G. S. Tumyan
A. M. Kovrigina
T. T. Kondratieva
E. N. Sholokhova
N. N. Tupitsyn
I. E. Tjurin
V. A. Utkina
E. A. Osmanov
author_facet L. A. Mazurok
O. A. Kolomeytsev
G. S. Tumyan
A. M. Kovrigina
T. T. Kondratieva
E. N. Sholokhova
N. N. Tupitsyn
I. E. Tjurin
V. A. Utkina
E. A. Osmanov
author_sort L. A. Mazurok
collection DOAJ
description We analysed clinical and immunological features of 71 patients with primary mediastinal large B-cell lymphoma. Disease stages were determined according to Ann Arbor staging system. Immunological type of lymphoma was defined using monoclonal antibodies to T- and B-cell lymphocytic markers, and some other antigens in frozen sections or paraffin embedded biopsies blocks.Diagnosis of primary mediastinal large B-cell lymphoma was confirmed by immunomorphologic study in 54 cases or by clinical and morphologic features in 17 cases.Gender distribution was equal. Median age was 36 (range 16—66) years. B-symptoms were detected in 35%, superior vena cava syndrome — in 42% patients.Distinctive clinical feature depends on the tumor growth in anterior-superior mediastinum with frequent involvement of lungs, pleura, and pericardium. In some cases we observed involvement of neck, supraclavicular and axillary lymph nodes, soft tissues of chest anterior surface as well as kidney, suprarenal gland and bones.Immunologic properties were presented by absence of СD10 and CD21 antigens, expression of CD23 in 29% of patients and CD 38 in 56%, absence of expression HLA-DR in 20% patients.МАСОР-В or R-СНОР regimens may be the first line therapy in this patient population.
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spelling doaj-art-b6c60128fd0c4f8faffea84bdab6fc282025-08-20T04:00:14ZrusABV-pressОнкогематология1818-83462413-40232022-11-0102162310.17650/1818-8346-2007-0-2-16-23517Primary mediastinal large B-cell lymphomaL. A. Mazurok0O. A. Kolomeytsev1G. S. Tumyan2A. M. Kovrigina3T. T. Kondratieva4E. N. Sholokhova5N. N. Tupitsyn6I. E. Tjurin7V. A. Utkina8E. A. Osmanov9Regional Clinical HospitalN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical SciencesWe analysed clinical and immunological features of 71 patients with primary mediastinal large B-cell lymphoma. Disease stages were determined according to Ann Arbor staging system. Immunological type of lymphoma was defined using monoclonal antibodies to T- and B-cell lymphocytic markers, and some other antigens in frozen sections or paraffin embedded biopsies blocks.Diagnosis of primary mediastinal large B-cell lymphoma was confirmed by immunomorphologic study in 54 cases or by clinical and morphologic features in 17 cases.Gender distribution was equal. Median age was 36 (range 16—66) years. B-symptoms were detected in 35%, superior vena cava syndrome — in 42% patients.Distinctive clinical feature depends on the tumor growth in anterior-superior mediastinum with frequent involvement of lungs, pleura, and pericardium. In some cases we observed involvement of neck, supraclavicular and axillary lymph nodes, soft tissues of chest anterior surface as well as kidney, suprarenal gland and bones.Immunologic properties were presented by absence of СD10 and CD21 antigens, expression of CD23 in 29% of patients and CD 38 in 56%, absence of expression HLA-DR in 20% patients.МАСОР-В or R-СНОР regimens may be the first line therapy in this patient population.https://oncohematology.abvpress.ru/ongm/article/view/639primary mediastinal large b-cell lymphomatumor of anterior-superior mediastinum
spellingShingle L. A. Mazurok
O. A. Kolomeytsev
G. S. Tumyan
A. M. Kovrigina
T. T. Kondratieva
E. N. Sholokhova
N. N. Tupitsyn
I. E. Tjurin
V. A. Utkina
E. A. Osmanov
Primary mediastinal large B-cell lymphoma
Онкогематология
primary mediastinal large b-cell lymphoma
tumor of anterior-superior mediastinum
title Primary mediastinal large B-cell lymphoma
title_full Primary mediastinal large B-cell lymphoma
title_fullStr Primary mediastinal large B-cell lymphoma
title_full_unstemmed Primary mediastinal large B-cell lymphoma
title_short Primary mediastinal large B-cell lymphoma
title_sort primary mediastinal large b cell lymphoma
topic primary mediastinal large b-cell lymphoma
tumor of anterior-superior mediastinum
url https://oncohematology.abvpress.ru/ongm/article/view/639
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AT amkovrigina primarymediastinallargebcelllymphoma
AT ttkondratieva primarymediastinallargebcelllymphoma
AT ensholokhova primarymediastinallargebcelllymphoma
AT nntupitsyn primarymediastinallargebcelllymphoma
AT ietjurin primarymediastinallargebcelllymphoma
AT vautkina primarymediastinallargebcelllymphoma
AT eaosmanov primarymediastinallargebcelllymphoma