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A Rare Case of Nodular Mantle Cell Lymphoma of the Gastrointestinal Tract Discovered During a Routine Colonoscopy With a Positive Response to R-CHOP Chemotherapy Regimen

Overview
Journal Cureus
Date 2023 Aug 28
PMID 37637598
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Abstract

This report describes the case of a 73-year-old female patient who presented with abdominal symptoms. A colonoscopy identified a cecal mass confirmed as mantle cell lymphoma (MCL). Imaging showed extensive lymph node involvement. The patient received rituximab, cyclophosphamide, hydroxydaunorubicin, vincristine, and prednisone (R-CHOP) chemotherapy, resulting in tumor reduction and adenopathy resolution. Despite a typically unfavorable prognosis associated with a high Ki-67 index, the patient responded well to chemotherapy and achieved a favorable outcome. This case highlights the importance of early detection, appropriate treatment which in our case was R-CHOP, and personalized management approaches in addressing MCL.

References
1.
Lundberg A, Weinberg R . Functional inactivation of the retinoblastoma protein requires sequential modification by at least two distinct cyclin-cdk complexes. Mol Cell Biol. 1998; 18(2):753-61. PMC: 108786. DOI: 10.1128/MCB.18.2.753. View

2.
Weisenburger D, Kim H, Rappaport H . Mantle-zone lymphoma: a follicular variant of intermediate lymphocytic lymphoma. Cancer. 1982; 49(7):1429-38. DOI: 10.1002/1097-0142(19820401)49:7<1429::aid-cncr2820490720>3.0.co;2-5. View

3.
Vogt N, Dai B, Erdmann T, Berdel W, Lenz G . The molecular pathogenesis of mantle cell lymphoma. Leuk Lymphoma. 2016; 58(7):1530-1537. DOI: 10.1080/10428194.2016.1248965. View

4.
Bernard M, Gressin R, Lefrere F, Drenou B, Branger B, Caulet-Maugendre S . Blastic variant of mantle cell lymphoma: a rare but highly aggressive subtype. Leukemia. 2001; 15(11):1785-91. DOI: 10.1038/sj.leu.2402272. View

5.
Howard O, Gribben J, Neuberg D, Grossbard M, Poor C, Janicek M . Rituximab and CHOP induction therapy for newly diagnosed mantle-cell lymphoma: molecular complete responses are not predictive of progression-free survival. J Clin Oncol. 2002; 20(5):1288-94. DOI: 10.1200/JCO.2002.20.5.1288. View