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Orv Hetil ; 146(18): 843-8, 2005 May 01.
Article in Hungarian | MEDLINE | ID: mdl-15926630

ABSTRACT

The cutaneous angiotropic lymphoma has a poor prognosis. The diagnosis and the treatment are usually late. The mortality rate is over 80% and the majority of patients die within a year because of the tumorous infiltration of parenchymal organs. The authors report here the medical history and follow up of a still living patient suffering from cutaneous angiotropic lymphoma which has been diagnosed sixty months ago. During the successful treatment course systemic treatment with psoralen ultraviolet A-rays, chlorambucil and cyclophosphamide-doxorubicin-vincristine-methylprednisolone chemotherapy was applied, and for the management of the last relapse, rituximab-cyclophosphamide-doxorubicin-vincristine-methylprednisolone polychemotherapy was used. On the basis of findings in this case a treatment using an anti-CD20 monoclonal antibody could be a promising therapeutic alternative in the management of angiotropic B-cell lymphoma which otherwise considered to be a rare entity.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Lymphoma, B-Cell/diagnosis , Lymphoma, B-Cell/drug therapy , Vascular Neoplasms/diagnosis , Vascular Neoplasms/drug therapy , Aged , Antibodies, Monoclonal/administration & dosage , Antibodies, Monoclonal, Murine-Derived , Chlorambucil/administration & dosage , Cyclophosphamide/administration & dosage , Doxorubicin/administration & dosage , Female , Ficusin/therapeutic use , Flow Cytometry , Humans , Lymphoma, B-Cell/pathology , Methylprednisolone/administration & dosage , Photosensitizing Agents/therapeutic use , Rituximab , Treatment Outcome , Ultraviolet Rays , Vascular Neoplasms/pathology , Vincristine/administration & dosage
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