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Journal

2020 | 10 | 2 | 52-56

Article title

Partial remission in patient with Richter syndrome: an „emergency” treatment with pixantrone

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Content

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Languages of publication

EN

Abstracts

EN
Chronic lymphocytic leukemia is the most commonly recognized type of leukemia in adults. The appearance of systemic symptoms such as weight loss, fever, or local symptoms in the form of rapidly growing organomegaly, lymphadenopathy in a patient with CLL raises the suspicion of transformation into a high-grade lymphoma – defined as Richter syndrome which is usually associated with very poor prognosis. The described case concerns a 71-year-old patient with this diagnosis, in whom due to the confirmed resistance to subsequent lines of immuno- and chemotherapy, an „emergency” treatment with a modern chemotherapy drug from the aza-anthracendion group – pixantrone was used. Treatment with pixantrone was associated with a relatively good response, translating into partial remission (also in the area of infiltrative changes in the head and neck structures), stabilization of the course of the disease and, consequently, allowed to extend the patient’s life.

Discipline

Publisher

Journal

Year

Volume

10

Issue

2

Pages

52-56

Physical description

Contributors

  • Department of Hematology and Internal Diseases, Ludwik Rydygier Specialized Memorial Hospital, Cracow, Poland

References

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  • 4. Deptala A, Asendrych A, Staszewska-Skurczynska M. Chemioimmunoterapia na bazie alemtuzumabu jest skuteczna w zespole Richtera i pozwala na uzyskanie długotrwałej regresji choroby. Opis przypadku. Acta Haematologica Polonica. 2009; 40(4): 917-22.
  • 5. Richter MN. Generalized reticular cell sarcoma of lymph nodes associated with lymphocytic leukemia. Am J Pathol. 1928; 4(4): 285-92.
  • 6. Lortholary P, Boiron M, Ripault P et al. Chronic lymphoid leukemia secondary associated with a malignant reticulopathy: Richter’s syndrome. Nouv Rev Fr Hematol. 1964; 78: 621-44.
  • 7. Pocock C, Matutes E, Wotherspoon A et al. Fludarabine therapy may precipitate large cell transformation in chronic lymphocytic leukemia but not in follicular lymphoma. Blood. 1998; 92: 429a (abstract 1774).
  • 8. Tabateau S, Garidi R, Fernandes J et al. Fludarabine (FAMP) and risk of occurrence of Richter’s syndrome among B-CLL. Blood. 2000; 96: 295b (abstract 5019).
  • 9. Tsimberidou AM, O’Brien S, Khouri I et al. Clinical outcomes and prognostic factors in patients with Richter’s syndrome treated with chemotherapy or chemoimmunotherapy with or without stem cell transplantation. J Clin Oncol. 2006; 24: 2343-51.
  • 10. Pettengell R, Coiffier B, Egorov A et al. Long-Term Response and Remission with Pixantrone in Patients with Relapsed or Refractory Aggressive Non-Hodgkin Lymphoma: Post-Hoc Analysis of the Multicenter, Open-Label, Randomized PIX301 Trial. Clin Drug Investig. 2018; 38(6): 527‐33. http://doi.org/0.1007/s40261-018-0635-3.
  • 11. Péan E, Flores B, Hudson I et al. The European Medicines Agency review of pixantrone for the treatment of adult patients with multiply relapsed or refractory aggressive non-Hodgkin’s B-cell lymphomas: summary of the scientific assessment of the committee for medicinal products for human use. Oncologist. 2013; 18(5): 625-33.

Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-00ff51c4-11d8-4918-8c2e-a068c368d819
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