Blastic Mantle Cell Lymphoma Developing Concurrently in a Patient with Chronic Myelogenous Leukemia and a Review of the Literature

Eve Rodler, Jeanna L Welborn, Sandra Hatcher, Katherine Unger, Edward Larkin, Paul H. Gumerlock, Theodore Wun, Carol M Richman

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Non-Hodgkin's lymphoma (NHL) occurring as a synchronous malignancy with chronic myelogenous leukemia (CML) is rare. To our knowledge, this is the first case reported of a patient who developed mantle cell lymphoma (MCL) after therapy with imatinib mesylate for CML. After a 3-year history of CML, the patient developed a lymphocytosis associated with diarrhea, anorexia, and weight loss. Imaging studies revealed abdominal adenopathy and extensive lymphomatous infiltration of the liver, stomach, pancreas, and kidneys. Flow cytometric and cytogenetic studies were consistent with MCL. Fluorescence in situ hybridization (FISH) of the bone marrow revealed a genetically distinct lymphoid neoplasm rather than an extramedullary blast crisis of CML. The development of lung cancer, prostate cancer, CML and MCL in this patient suggests a genetic predisposition, although other factors, including environmental exposures and therapy with imatinib mesylate could have had a contributory or synergistic role in the development of MCL.

Original languageEnglish (US)
Pages (from-to)231-238
Number of pages8
JournalAmerican Journal of Hematology
Volume75
Issue number4
DOIs
StatePublished - Apr 2004

Keywords

  • B-cell lymphoma
  • Blastic variant
  • Chronic myelogenous leukemia
  • Imatinib mesylate
  • Mantle cell lymphoma
  • STI571

ASJC Scopus subject areas

  • Hematology

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