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A case of HIV-negative primary effusion lymphoma treated with bortezomib, pegylated liposomal doxorubicin, and rituximab.

Abstract
Primary effusion lymphoma (PEL) is a rare B-cell non-Hodgkin lymphoma that usually occurs in HIV-positive patients and has a very poor prognosis with limited treatment options. Prospective studies are lacking to define the standard of care for this disease, and various case series report median survival at 6 months with anthracycline-based chemotherapy. Reports of antiviral agents, immune modulators, and some targeted therapies are present in the literature with variable results. Herein, we report a case of an elderly HIV-negative man of Mediterranean origin who was diagnosed with primary effusion lymphoma and responded dramatically to 6 cycles of a combination of bortezomib, pegylated liposomal doxorubicin, and rituximab. He has since been maintained on rituximab and remains in complete remission 2 years after diagnosis. In this report, we discuss the rationale for using these agents in this patient and advocate the further study of bortezomib-based therapy in PEL.
AuthorsTanya Siddiqi, Robin M Joyce
JournalClinical lymphoma & myeloma (Clin Lymphoma Myeloma) Vol. 8 Issue 5 Pg. 300-4 (Oct 2008) ISSN: 1557-9190 [Print] United States
PMID18854285 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Murine-Derived
  • Boronic Acids
  • Liposomes
  • Pyrazines
  • Rituximab
  • Bortezomib
  • Doxorubicin
Topics
  • Aged
  • Antibodies, Monoclonal (administration & dosage)
  • Antibodies, Monoclonal, Murine-Derived
  • Antineoplastic Combined Chemotherapy Protocols (administration & dosage)
  • Boronic Acids (administration & dosage)
  • Bortezomib
  • Doxorubicin (administration & dosage)
  • HIV
  • Herpesviridae Infections (physiopathology)
  • Herpesvirus 8, Human
  • Humans
  • Immunohistochemistry
  • Liposomes
  • Lymphoma, Primary Effusion (diagnosis, pathology, physiopathology)
  • Male
  • Positron-Emission Tomography
  • Pyrazines (administration & dosage)
  • Rituximab

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