RAPIDLY PROGRESSIVE T CELL LYMPHOMA PRESENTING AS ACUTE RENAL FAILURE: Case Report and Review of the Literature

Neuhauser, Thomas S.; Lancaster, Kristen; Haws, Robert; Drehner, Dennis; Gulley, Margaret L.; Murphy, Audie L.; Lichy, Jack H.; Taubenberger, Jeffery K.

doi:10.1080/107710497174741

Cited by 9 publications

(5 citation statements)

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“…Primary adrenal lymphomas are usually bilateral and most of them are associated with adrenal insufficiency, which often dominates the clinical presentation (Singh et al, 2004). There are two case reports that describe a primary renal DLBCL affected also adrenal glands, and a peripheral T-cell lymphoma affected not just the kidney but also pulmonary parenchyma and choroid plexus on postmortem examination (Neuhauser et al, 1997;Gellrich et al, 2002;Porcaro et al, 2002;Zomas et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

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Unusual presentation of large B cell lymphoma: a case report and review of literature

et al. 2006

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Diffuse large B cell lymphoma (DLBCL) is the largest subtype of non-Hodgkin's lymphomas (NHLs) and is characterized by relatively frequent extranodal presentation. In these cases, the most common extranodal localizations are stomach, CNS, bone, testis and liver. Simultaneous detection of multiple extranodal involvement at presentation is quite uncommon, with the majority of these cases characterized by gastric or intestinal disease localization. Retrospective analysis concerning multifocal extranodal NHLs never pointed out disease features such as those described here. We report a patient with an unusual presentation of DLBCL, characterized by adrenal and renal involvement, associated with symptoms and signs of the cold agglutinin disease and a hypercoagulable state. Subsequently, computed tomography (CT) and fluorodeoxyglucose-positron emission tomography (FDG-PET) scanning disclosed a rapidly extensive spread to nodes and bones. Cytofluorimetric analysis of a renal specimen showed medium-to-large lympho-monocytoid elements positive for CD20 with monoclonal expression of immunoglobulin kappa light chain. Histopathological examination confirmed a renal CD20 positive DLBCL localization.

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Section: Discussionmentioning

confidence: 99%

“…, 2004). There are two case reports that describe a primary renal DLBCL affected also adrenal glands, and a peripheral T‐cell lymphoma affected not just the kidney but also pulmonary parenchyma and choroid plexus on postmortem examination (Neuhauser et al. , 1997; Gellrich et al.…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of large B cell lymphoma: a case report and review of literature

et al. 2006

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“…Nonrenal tumors (lymphoma, leukemia, neuroblastoma) can also infiltrate and obstruct the urinary tract or renal vasculature (89). Although acute renal failure (ARF) in children with cancer is predominantly caused by toxicity of treatment, ARF can but rarely occur from intrinsic renal tumors or from postrenal obstruction by nonrenal malignancies (89,91–94). Tumor lysis syndrome (TLS), which can occur prior to treatment and lead to significant ARF, is discussed in the following text.…”

Section: Renal Systemmentioning

confidence: 99%

Anesthetic considerations for the pediatric oncology patient – part 2: systems‐based approach to anesthesia

Latham

Greenberg

2010

Pediatric Anesthesia

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One of the prices paid for chemo- and radiotherapy of cancer in children is damage to the vulnerable and developing healthy tissues of the body. Such damage can exist clinically or subclinically and can become apparent during active antineoplastic treatment or during remission decades later. Furthermore, effects of the tumor itself can significantly impact the physiologic state of the child. The anesthesiologist who cares for children with cancer or for survivors of childhood cancer should understand what effects cancer and its therapy can have on various organ systems. In part two of this three-part review, we review the anesthetic issues associated with childhood cancer. Specifically, this review presents a systems-based approach to the impact from both tumor and its treatment in children, followed by a discussion of the relevant anesthetic considerations.

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“…Chronic liver dysfunction is uncommon in cancer survivors; however, survivors of childhood cancer who received transfusions prior to 1992 have an increased risk of viral hepatitis (62). Screening of renal function by means of blood urea nitrogen and serum creatinine should be considered in children who are at risk for acute renal dysfunction, including renal or ureteral compression by newly diagnosed neuroblastoma or Wilms’ tumor (63–67), veno‐occlusive disease, tumor lysis syndrome, and nephrotoxic antitumor therapy (ifosfamide, cisplatin) (61,63). Chronic renal dysfunction is relatively uncommon in childhood cancer survivors, except in children who received hematopoietic stem cell transplant (68,69) or high‐dose ifosfamide (70) therapy.…”

Section: Preoperative Testing and Evaluationmentioning

confidence: 99%

Anesthetic considerations for the pediatric oncology patient - Part 3: pain, cognitive dysfunction, and preoperative evaluation

Latham

Greenberg

2010

Pediatric Anesthesia

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In part three of this three-part review, we continue with discussion of the effects of tumor and its therapy as they impact neurocognitive functioning, psychosocial issues of the patient and family, and the mechanisms and experience of pain in the child with cancer. A discussion of preanesthetic testing and evaluation in this patient population is next presented for the reader, focusing on the factors which pose the commonest and greatest risks to the child undergoing surgery. Lastly, an algorithmic approach to evaluating and managing key components of the medical history of pediatric patients is presented.

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RAPIDLY PROGRESSIVE T CELL LYMPHOMA PRESENTING AS ACUTE RENAL FAILURE: Case Report and Review of the Literature

Cited by 9 publications

References 0 publications

Unusual presentation of large B cell lymphoma: a case report and review of literature

Unusual presentation of large B cell lymphoma: a case report and review of literature

Anesthetic considerations for the pediatric oncology patient – part 2: systems‐based approach to anesthesia

Anesthetic considerations for the pediatric oncology patient - Part 3: pain, cognitive dysfunction, and preoperative evaluation

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