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Journal of Gastrointestinal Cancer
Published in: Journal of Gastrointestinal Cancer 3/2019

01-09-2019 | Case Report

Concurrent Diffuse Large B-Cell Lymphoma and Epstein-Barr Virus-Associated Smooth Muscle Tumour in the Small Bowel of an HIV-Positive Adult—a Case Report and Review of the Literature

Authors: C. Bruce-Brand, N. Mohamed, S. Botes, W. D. Bates

Published in: Journal of Gastrointestinal Cancer | Issue 3/2019

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Excerpt

Epstein-Barr virus (EBV) has been causally linked to immunosuppression-associated smooth muscle tumours (SMT) as well as non-Hodgkin lymphomas. Concurrent diffuse large B cell lymphoma (DLBCL) and EBV-associated SMTs at different sites have been described in the setting of severe immune compromise [1‐4]. We report a case of an adult with human immunodeficiency virus (HIV) who presented with concurrent diffuse large B cell lymphoma (DLBCL) and an EBV-associated SMT at the same site within the small intestine. The clinical presentation of ascites and a necrotic segment of small bowel was unusual and posed a clinical diagnostic challenge. …
Literature
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Petrilli G, Lorenzi L, Paracchini R, Ubiali A, Schumacher RF, Cabassa P, et al. Epstein-Barr virus-associated adrenal smooth muscle tumours and disseminated diffuse large B-cell lymphoma in a child with common variable immunodeficiency: a case report and review of the literature. Int J Surg Pathol. 2014;22(8):712–21. https://​doi.​org/​10.​1177/​1066896911399901​.CrossRefPubMed
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Bellomo R, Ronco C, Kellum JA. Acute renal failure—definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) group. Crit Care. 2004;8:R204–12.CrossRefPubMedPubMedCentral
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Deyrup AT. Epstein-Barr virus-associated epithelial and mesenchymal neoplasms. Hum Pathol. 2008;39(4):473–83.CrossRefPubMed
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McClain K, Leach C, Jenson HB, et al. Association of Epstein-Barr virus with leiomyosarcomas in children with AIDS. N Engl J Med. 1995;332:12–8.CrossRefPubMed
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Lee E, Locker J, Nalesnik M, et al. The association of Epstein-Barr virus with smooth-muscle tumours occurring after organ transplantation. N Engl J Med. 1995;332:19–25.CrossRefPubMed
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Hill MA, Araya JC, Eckert MW, et al. Tumour specific Epstein-Barr virus infection is not associated with leiomyosarcoma in human immunodeficiency virus negative individuals. Cancer. 1997;80:204–10.CrossRefPubMed
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Paul S. Latent Epstein-Barr virus infection demonstrated in low-grade leiomyosarcomas of adults with acquired immunodeficiency syndrome but not in adjacent Kaposi’s lesion or adjacent smooth muscle tumours in immunocompetent patients. Arch Pathol Lab Med. 1997;121(8):834.
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Metadata
Title
Concurrent Diffuse Large B-Cell Lymphoma and Epstein-Barr Virus-Associated Smooth Muscle Tumour in the Small Bowel of an HIV-Positive Adult—a Case Report and Review of the Literature
Authors
C. Bruce-Brand
N. Mohamed
S. Botes
W. D. Bates
Publication date
01-09-2019
Publisher
Springer US
Published in
Journal of Gastrointestinal Cancer / Issue 3/2019
Print ISSN: 1941-6628
Electronic ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-017-0046-3

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Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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