Systemic Epstein-Barr virus-positive T/natural killer-cell lymphoproliferative disorder: a case report and review of literature

Int J Clin Exp Pathol. 2014 Sep 15;7(10):6998-7002. eCollection 2014.

Abstract

Systemic Epstein-Barr virus-positive T/natural killer-cell lymphoproliferative disorder (EBV + LPD) has predominantly been observed among pediatric patients as a life-threatening condition. The present study presents a rare case of EBV + LPD in an adult with good outcome. This patient's history is more than 2 years and her condition was stable. She received 6 cycles of chemotherapy cyclophosphamide/doxorubicin/vincristine/prednisolone (CHOP). The evaluation was complete remission. The low levels of EBV-DNA in the peripheral blood may have potential benefit factor for the sensitivity to the chemotherapy and good outcome.

Keywords: Epstein-Barr virus; T/natural killer-cell; lymphoproliferative disorder.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor / analysis
  • Biopsy
  • Cyclophosphamide / administration & dosage
  • Doxorubicin / administration & dosage
  • Epstein-Barr Virus Infections / diagnosis
  • Epstein-Barr Virus Infections / metabolism
  • Epstein-Barr Virus Infections / virology*
  • Female
  • Humans
  • Immunohistochemistry
  • Killer Cells, Natural / chemistry
  • Killer Cells, Natural / virology*
  • Lymphoproliferative Disorders / diagnosis
  • Lymphoproliferative Disorders / metabolism
  • Lymphoproliferative Disorders / virology*
  • Magnetic Resonance Imaging
  • Middle Aged
  • Prednisolone / administration & dosage
  • T-Lymphocytes, Cytotoxic / chemistry
  • T-Lymphocytes, Cytotoxic / virology*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vincristine / administration & dosage

Substances

  • Biomarkers, Tumor
  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisolone

Supplementary concepts

  • VAP-cyclo protocol