Germinotropic lymphoproliferative disorder: a systematic review.


Journal

Annals of hematology
ISSN: 1432-0584
Titre abrégé: Ann Hematol
Pays: Germany
ID NLM: 9107334

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 18 11 2019
accepted: 04 04 2020
pubmed: 21 4 2020
medline: 2 10 2020
entrez: 21 4 2020
Statut: ppublish

Résumé

Germinotropic lymphoproliferative disorder is a rare and rather enigmatic novel entity with distinctive clinicopathological features, one of which is the typical co-infection by Human herpesvirus 8 and Epstein-Barr virus. Human herpesvirus 8 is a lymphotropic virus detected in Kaposi sarcoma, multicentric Castleman disease, primary effusion lymphoma, Human herpesvirus 8-positive diffuse large B cell lymphoma not otherwise specified, and germinotropic lymphoproliferative disorder. Co-infection by Human herpesvirus 8 and Epstein-Barr virus is identified only in two lymphoproliferative diseases: germinotropic lymphoproliferative disorder and primary effusion lymphoma, which are otherwise diseases with totally different clinical presentations and outcomes. Unlike primary effusion lymphoma mostly occurring in immunocompromised individuals and following an aggressive course, germinotropic lymphoproliferative disorder usually presents with single or multiple lymphadenopathy affecting mainly immunocompetent individuals and mostly follows an indolent course. Based on the PRISMA guidelines, we carried out a systematic search on PubMed/MEDLINE, Web of Science, Scopus, EMBASE, and Cochrane Library using the search terms "germinotropic" and "lymphoproliferative disorder." Current scientific literature reports just 19 cases of germinotropic lymphoproliferative disorder. The purpose of our systematic review is to improve our understanding of the disease, focusing on epidemiology, clinical presentation, pathological features, treatment, and outcome. In addition, we discuss the differential diagnosis with the other Human herpesvirus 8-related lymphoproliferative diseases as currently recognized in the World Health Organization classification, adding a focus on lymphoproliferative disorders showing overlapping features.

Identifiants

pubmed: 32307569
doi: 10.1007/s00277-020-04024-3
pii: 10.1007/s00277-020-04024-3
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2243-2253

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Auteurs

Magda Zanelli (M)

Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy. magda.zanelli@ausl.re.it.

Maurizio Zizzo (M)

Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy.

Alessandra Bisagni (A)

Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Elisabetta Froio (E)

Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Loredana De Marco (L)

Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Riccardo Valli (R)

Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Alessandra Filosa (A)

Pathology Unit, Area Vasta 5 (Ascoli Piceno-San Benedetto del Tronto), Ascoli Piceno, Italy.

Stefano Luminari (S)

Hematology, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Giovanni Martino (G)

Hematology Unit, CREO, Azienda Ospedaliera di Perugia, University of Perugia, Perugia, Italy.

Fulvio Massaro (F)

Hematology, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Stefano Fratoni (S)

Pathology Unit, St. Eugenio Hospital, Rome, Italy.

Stefano Ascani (S)

Pathology Unit, Azienda Ospedaliera Santa Maria di Terni, University of Perugia, Terni, Italy.

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