Abstract
Generalized multiple cutaneous tumors developed in a 60-year-old Japanese man. Skin biopsy revealed atypical large T lymphocytes infiltrating the dermis. CD30 staining was negative in the tumor cells. The diagnosis of CD30-negative cutaneous large T cell lymphoma was made. Axial and inguinal lymphadenopathy was present, but there was no evidence of bone marrow involvement. Seven cycles of chemotherapy and local electron beam irradiation were administered and complete remission (CR) was attained. As CD30-negative cutaneous large T cell lymphoma has a poor prognosis despite intensive chemotherapy, high-dose chemotherapy followed by CD34+-selected autologous peripheral blood stem cell transplantation (CD34+-APBSCT) was prescribed. The clinical course after CD34+-selected APBSCT was complicated with CMV infection occurring twice but administration of ganciclovir resolved the symptoms. He has remained in CR for 16 months after CD34+-APBSCT. This appears to be the first case report of CD34+-APBSCT in a patient with CD30-negative cutaneous large T cell lymphoma. Bone Marrow Transplantation (2000) 25, 1315–1317.
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References
Gilliam AC, Wood GS . Primary cutaneous lymphomas other than mycosis fungoides Semin Oncol 1999 26: 290–306
Willemze R, Kerl H, Sterry W et al. EORTC classification for primary cutaneous lymphomas: a proposal from the cutaneous lymphoma study group of the European Organization for Research and Treatment of Cancer Blood 1997 90: 354–371
Burg G, Kempf W, Haeffner AC et al. Cutaneous lymphomas Curr Prob Dermatol 1997 9: 141–203
Willemze R, Beljaards RC, Rijlaarsdam U et al. Classification of primary cutaneous large cell lymphomas Dermatol Clin 1994 189: 361–373
Brice P, Cazals D, Mounier N et al. Primary cutaneous large cell lymphoma: analysis of 49 patients included in the LNH87 prospective trial of polychemothrapy for high-grade lymphomas Leukemia 1998 12: 213–219
Joly P, Charlotte F, Leibowitch C et al. Cutaneous lymphomas other than mycosis fungoides: follow-up study of 52 patients J Clin Oncol 1991 11: 1994–2001
Nishio M, Sawada K, Koizumi K et al. Recurrence with histological transformation 40 days after autologous peripheral blood stem cell transplantation (APBSCT) for cutaneous CD30-negative large T cell lymphoma Bone Marrow Transplant 1998 22: 1211–1214
Tarumi T, Sawada K, Koizumi K et al. A pilot study of a response oriented chemotherapeutic regimen combined with autologous peripheral blood progenitor cell transplantation in aggressive non-Hodgkin's lymphoma Leuk Lymphoma 1999 34: 361–371
Muche JM, Lukowsky A, Asadullah K et al. Demonstration of frequent occurrence of clonal T cells in the peripheral blood of patients with primary cutaneous T cell lymphoma Blood 1997 90: 1636–1642
Kitamura K, Takaku F . Pirarubicin, a novel derivative of doxorubicin. THP-COP therapy for non-Hodgkin's lymphoma in the elderly Am J Clin Oncol 1990 13: (Suppl1) S15–S19
Brugger W, Frisch J, Schultz G et al. Sequential administration of interleukin-3 and granulocyte–macrophage colony-stimulating factor following standard-dose combination chemotherapy with etoposide, ifosfamide and cisplatin J Clin Oncol 1992 9: 1452–1459
Yamaguchi M, Sawada K, Sato N et al. A rapid nylon-fiber syringe system to deplete CD14+ cells for positive selection of human blood CD34+ cells. Use of immunomagnetic microspheres Bone Marrow Transplant 1997 19: 373–379
Koizumi K, Sawada K, Sato N et al. Large scale purification of human blood CD34+ cells using nylon-fiber syringe system and immunomagnetic microspheres Cytotherapy 1999 1: 319–327
Koizumi K, Sawada K, Nishio M et al. Effective high-dose chemotherapy followed by autologous peripheral blood stem cell transplantation in a patient with the aggressive form of cytophagic histiocytic panniculitis Bone Marrow Transplant 1997 20: 171–173
Gondo H, Minematsu T, Harada M et al. Cytomegalovirus (CMV) antigenemia for rapid diagnosis and monitoring of CMV-associated disease after bone marrow transplantation Br J Haematol 1994 86: 130–137
Willemze R, Meijer CJLM, Sentis HJ et al. Primary cutaneous large cell lymphoma of follicle center origin Am Acad Dermatol 1987 16: 518–524
de Bruin PC, Beljaards RC, van Heerde P et al. Differences in clinical behavior and immunophenotype between primary cutaneous and primary nodal anaplastic large cell lymphoma of T cell or null phenotype Histopathol 1993 23: 127–132
Harris N, Jeffe E, Stein H et al. A revised European–American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group Blood 1994 84: 1361–1392
Phillipe A, Lepagney ML, Bureau B et al. Primary cutaneous lymphomas: a study of 37 cases Int J Dermatol 1997 36: 582–586
Beljaards RC, Chris JL, Meijer M et al. Primary cutaneous T cell lymphoma: clinicopathological features and prognostic parameters of 35 cases other than mycosis fungoides and CD30-positive large cell lymphoma J Pathol 1994 172: 53–60
Nachbaur D, Fink FM, Nussbaumer W et al. CD34+-selected autologous peripheral blood stem cell transplantation (PBSCT) in patients with poor-risk hematological malignancies and solid tumors. A single-center experience Bone Marrow Transplant 1997 20: 827–834
Hashimoto H, Sawada K, Koizumi K et al. Effective CD34+-selected autologous peripheral blood stem cell transplantation in a patient with subcutaneous panniculitic T cell lymphoma (SPTCL) transformed into leukemia Bone Marrow Transplant 1999 24: 1369–1371
Weiner RS, Bortin MM, Gale RP et al. Interstitial pneumonitis after bone marrow transplantation Ann Intern Med 1986 104: 168–175
Pecego R, Hill R, Applebaum FR et al. Interstitial pneumonitis following autologous bone marrow transplantation Transplantation 1986 42: 515–517
Acknowledgements
We thank Ms S Okazaki for assistance in preparing this manuscript. This work was supported by a Grant-in-Aid (08671204) from the Ministry of Education, Science, Sports and Culture of Japan, and by the Idiopathic Disorders of Hematopoietic Organs Research Committee supported by the Ministry of Health and Welfare, Japan.
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Nishio, M., Koizumi, K., Endo, T. et al. Effective high-dose chemotherapy combined with CD34+-selected autologous peripheral blood stem cell transplantation in a patient with cutaneous CD30-negative large T cell lymphoma. Bone Marrow Transplant 25, 1315–1317 (2000). https://doi.org/10.1038/sj.bmt.1702440
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DOI: https://doi.org/10.1038/sj.bmt.1702440
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