Daratumumab, Lenalidomide, and Dexamethasone (DRD), an Active Regimen in the Treatment of Immunosuppression-Associated Plasmablastic Lymphoma (PBL) in the Setting of Gorham's Lymphangiomatosis: Review of the Literature.


Journal

Case reports in hematology
ISSN: 2090-6560
Titre abrégé: Case Rep Hematol
Pays: United States
ID NLM: 101576456

Informations de publication

Date de publication:
2022
Historique:
received: 11 10 2021
revised: 25 04 2022
accepted: 03 05 2022
entrez: 7 7 2022
pubmed: 8 7 2022
medline: 8 7 2022
Statut: epublish

Résumé

Characterized by an aggressive course with a poor overall survival due to treatment refractoriness, plasmablastic lymphoma (PBL) is a rare variant of diffuse large cell B cell lymphoma. Gorham's lymphangiomatosis or Gorham-Stout disease (GSD) is a rare skeletal condition of unknown etiology characterized by progressive bone loss and nonmalignant proliferation of vascular and lymphatic channels within the affected bone. Neither disease has a standard of care. We present a 23-year-old HIV-negative woman with GSD, managed medically with octreotide and sirolimus, who developed PBL. After progressing on V-EPOCH (bortezomib, etoposide, vincristine, cyclophosphamide, doxorubicin, and prednisone), she was treated with daratumumab, lenalidomide, and dexamethasone (DRD) therapy and achieved complete remission after two cycles with progression after eight cycles. This is a report of treatment of PBL with DRD therapy. Clinical investigations of the DRD regimen in PBL in conjunction with other agents to improve both depth and durability of response are warranted.

Identifiants

pubmed: 35795542
doi: 10.1155/2022/8331766
pmc: PMC9252825
doi:

Types de publication

Case Reports

Langues

eng

Pagination

8331766

Informations de copyright

Copyright © 2022 Matthew Lee et al.

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest.

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Auteurs

Matthew Lee (M)

UCSF Fresno, Department of Internal Medicine, Fresno, CA, USA.

Beth A Martin (BA)

Stanford University, Division of Hematology, Stanford, CA, USA.

Haifaa Abdulhaq (H)

UCSF Fresno, Division of Hematology and Oncology, Fresno, CA, USA.

Classifications MeSH