Clonally unrelated Hodgkin's disease following autologous stem cell transplant for B-cell lymphoma

Br J Haematol. 2002 Feb;116(2):329-33. doi: 10.1046/j.1365-2141.2002.03267.x.

Abstract

Lymphoproliferative disorders after autologous stem cell transplantation (SCT) are rare. We describe two cases of Hodgkin's disease (HD) as a late secondary neoplasia following autologous SCT for mantle cell lymphoma and B-cell chronic lymphocytic leukaemia respectively. Both HD cases were of mixed cellularity type, showed Epstein-Barr virus (EBV) positivity and followed an aggressive course. Clonal analysis of rearranged immunoglobulin genes from the primary B-cell neoplasm and the secondary HD provided evidence of separate clonal origins of the two tumours in both patients, thus excluding secondary transformation of the original B-cell clone through EBV as the causative event for development of HD.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Gene Rearrangement, B-Lymphocyte, Heavy Chain
  • Hematopoietic Stem Cell Transplantation*
  • Hodgkin Disease / complications*
  • Hodgkin Disease / immunology
  • Humans
  • Immunohistochemistry
  • Lymphoma, B-Cell / complications*
  • Lymphoma, B-Cell / immunology
  • Lymphoma, B-Cell / surgery*
  • Lymphoma, Mantle-Cell / complications
  • Lymphoma, Mantle-Cell / immunology
  • Lymphoma, Mantle-Cell / surgery*
  • Male
  • Middle Aged
  • Neoplasms, Second Primary / immunology*
  • Polymerase Chain Reaction
  • Transplantation, Autologous