ABSTRACT
RATIONALE: Splenic B-cell lymphoma/leukemia with prominent nucleoli (SBLPN) is a new classification, which is so rare that it lacks clinical data. PATIENT CONCERNS: An increased proportion of prolymphocytes (84%) in the bone marrow smear. Whole exon sequence analysis revealed a TP53 mutation. DIAGNOSES: Combining the clinical features with laboratory test results led to a diagnosis of SBLPN which was made according to the 5th edition of the WHO classification of hematolymphoid tumors, although the patient was diagnosed with B-PLL when guided by the 4th edition of the WHO classification. INTERVENTIONS: The use of Ibrutinib as an effective treatment. OUTCOMES: The patient was in complete remission after 5 months of Ibrutinib and then died of sudden aortic dissection. LESSONS: Ibrutinib was an effective regimen for SBLPN. Aortic dissection might be considered as a suspicious adverse reaction to Ibrutinib.
Subject(s)
Adenine/analogs & derivatives , Aortic Dissection , Leukemia, Lymphocytic, Chronic, B-Cell , Leukemia , Lymphoma, B-Cell , Piperidines , Humans , Leukemia, Lymphocytic, Chronic, B-Cell/pathologyABSTRACT
Ambient temperature solid-state reaction of Pb(OAc)2 with TabHPF6 afforded an intermediate product [Pb(Tab)2]2(PF6)4, which further reacted with 4,4'-bipy in the solid state to generate a unique 2D cationic coordination polymer [Pb(Tab)2(4,4'-bipy)](PF6)2 in quantitative yield. Both complexes possess a low dielectric constant and low dielectric loss in the high electric field frequency range.