Rare diagnosis of an Epstein‑Barr virus‑positive extracavitary/solid variant of primary effusion lymphoma by duodenal endoscopic biopsy in a human immunodeficiency virus‑seronegative and immunocompetent patient: A case report


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GÜLER B., ÇETİN G.

Indian Journal of Pathology and Microbiology, cilt.67, sa.1, ss.226-229, 2024 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 67 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.4103/ijpm.ijpm_955_22
  • Dergi Adı: Indian Journal of Pathology and Microbiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, Directory of Open Access Journals
  • Sayfa Sayıları: ss.226-229
  • Anahtar Kelimeler: EBV, endoscopic biopsy, HHV8, HIV, primary effusion lymphoma
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Bezmiâlem Vakıf Üniversitesi Adresli: Evet

Özet

Primary effusion lymphoma and its tissue‑based subtype extracavitary/solid variant was first described in human immunodeficiency virus (HIV)‑seropositive patients. We report the case of a 50‑year‑old HIV‑seronegative male patient who presented with icterus and cholestasis. Computed tomography revealed a 80 × 56 mm abdominal mass. Fine‑needle aspiration biopsy was performed from the celiac lymph nodes and pancreatic head, under endoscopic ultrasonography guidance. A duodenal endoscopic biopsy was taken from the infiltration area, and a core biopsy was performed for the portal hilar mass. All biopsies showed similar cytohistopathological features. LCA‑positive lymphoid neoplasia had a plasmacytoid/anaplastic morphology and null cell phenotype. HHV‑8 and Epstein‑Barr virus‑encoded small RNAs (EBER) were diffuse positive. The patient, who did not have an effusion, was diagnosed with an extracavitary/solid variant of primary effusion lymphoma. Virus‑associated lymphoproliferative disorders should be considered in the differential diagnosis of patients without a history of immunosuppression or HIV infection.