Hemophagocytic lymphohistiocytosis associated with hepatosplenic T-cell lymphoma: case report

Authors

  • Vitor Ribeiro Paes Pathological Anatomical Division - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP
  • Patrícia Picciarelli de Lima Pathological Anatomical Division - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP
  • Sheila Aparecida Coelho Siqueira Pathological Anatomical Division - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP

DOI:

https://doi.org/10.4322/acr.%25y.98462

Keywords:

Lymphoma, T-cell, Peripheral, Lymphohistiocytosis, Hemophagocytic, Autopsy

Abstract

Hepatosplenic T-cell lymphoma (HSTCL) is a rare non-Hodgkin lymphoma, marked by liver, spleen, and bone marrow sinusoidal infiltration, with an aggressive clinical course, which represents a difficult diagnostic task for clinicians and pathologists. Another equally severe and challenging condition is the hemophagocytic lymphohistiocytosis (also called hemophagocytic syndrome [HS]), which is often associated with hematologic malignancies and infectious diseases. The authors report the case of a 56-year-old woman diagnosed with HSTCL based on bone marrow aspirate flow cytometry and skin biopsy. The patient underwent a cycle of chemotherapy but the outcome was unfavorable with multiple organ failure. The laboratory analysis was consistent with HS. The autopsy confirmed both the remaining lymphoma in the pulmonary vessels and the hemophagocytic cells in the spleen and bone marrow.

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Published

2014-12-22

How to Cite

Paes, V. R., Lima, P. P. de, & Siqueira, S. A. C. (2014). Hemophagocytic lymphohistiocytosis associated with hepatosplenic T-cell lymphoma: case report. Autopsy and Case Reports, 4(4), 19-24. https://doi.org/10.4322/acr.%y.98462

Issue

Section

Article / Autopsy Case Report