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Harrer, Dennis Christoph ; Denk, Alexander ; Keil, Felix ; Menhart, Karin ; Mayer, Stephanie ; Wolff, Daniel ; Edinger, Matthias ; Herr, Wolfgang ; Grube, Matthias

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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Details

Item typeArticle
Journal or Publication TitleeJHaem
Publisher:Wiley
Open Access Type:DEAL (Wiley Gold)
Volume:3
Number of Issue or Book Chapter:3
Page Range:pp. 1003-1008
Date13 June 2022
InstitutionsMedicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Medicine > Lehrstuhl für Pathologie
Medicine > Abteilung für Nuklearmedizin
Identification Number
ValueType
10.1002/jha2.501DOI
Keywordsallogeneic stem cell transplantation, Burkit leukemia, R-DHAP, relapse, salvage therapy
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-528487
Item ID52848

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