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Unusually swift response of relapsed Burkitt leukemia to R‐DHAP
Harrer, Dennis Christoph
, Denk, Alexander, Keil, Felix, Menhart, Karin, Mayer, Stephanie, Wolff, Daniel, Edinger, Matthias, Herr, Wolfgang and Grube, Matthias
(2022)
Unusually swift response of relapsed Burkitt leukemia to R‐DHAP.
eJHaem 3 (3), pp. 1003-1008.
Date of publication of this fulltext: 06 Sep 2022 05:51
Article
DOI to cite this document: 10.5283/epub.52848
Abstract
Burkitt leukemia (BL) represents a highly aggressive lymphoma characterized by proliferation rates of around 100%, and a frequent spread into the central nervous system. If standard frontline chemotherapy fails, the prognosis is usually dismal, and reports on successful effective salvage therapy strategies for patients with relapsed/refractory BL are scant. Here, we report on a 40-year-old female ...
Burkitt leukemia (BL) represents a highly aggressive lymphoma characterized by proliferation rates of around 100%, and a frequent spread into the central nervous system. If standard frontline chemotherapy fails, the prognosis is usually dismal, and reports on successful effective salvage therapy strategies for patients with relapsed/refractory BL are scant. Here, we report on a 40-year-old female patient who suffered an early relapse of BL three months after the completion of frontline chemoimmunotherapy. Strikingly, after only one cycle of R-DHAP chemotherapy, the patient showed CR of BL enabling swift transition to a consolidating allogeneic stem cell transplantation. A 40-year-old previously healthy woman presented to the hospital with fatigue and incessant epistaxis, and a diagnosis of BL was made upon histological examination of a bone marrow biopsy. Treatment was initiated according to the GMALL 2002 B-NHL/ALL protocol, which could induce complete molecular remission. Nevertheless, three months after chemotherapy, the patient exhibited BL relapse in the bone marrow, and on Fluorodeoxyglucose (FDG)–PET-imaging. The relapse therapy was started with R-DHAP, and after only one cycle, the patient once again entered complete remission (CR) paving the way for allogeneic stem cell transplantation. Unfortunately, the patient again relapsed five months after transplantation prompting salvage therapy with R-DHAC and the execution of the second stem cell transplantation. However, one month after the second transplantation the patient presented with chemorefractory meningeosis leukemia resulting in the initiation of palliative care treatment. In summary, we report on rapid CR of relapsed BL after a single cycle of rituximab-DHAP. Given a paucity of clinical trials on the treatment of patients with r/r BL, we intend to highlight the potential efficacy of rituximab-DHAP as salvage therapy in those patients.
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| Item type | Article | ||||
| Journal or Publication Title | eJHaem | ||||
| Publisher: | Wiley | ||||
|---|---|---|---|---|---|
| Open Access Type: | DEAL (Wiley Gold) | ||||
| Volume: | 3 | ||||
| Number of Issue or Book Chapter: | 3 | ||||
| Page Range: | pp. 1003-1008 | ||||
| Date | 13 June 2022 | ||||
| Institutions | Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie) Medicine > Lehrstuhl für Pathologie Medicine > Abteilung für Nuklearmedizin | ||||
| Identification Number |
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| Keywords | allogeneic stem cell transplantation, Burkit leukemia, R-DHAP, relapse, salvage therapy | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-528487 | ||||
| Item ID | 52848 |
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