Rare clinical case of diffuse B-large cell lymphoma with laryngeal lesion

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Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most common variant of non-Hodgkin’s lymphoma and accounts for 30–60% of all non-Hodgkin’s lymphomas, with increasing incidence increases with age. Currently, the prognosis is assessed using the International Prognostic Index. In recent years, in all European regions, there has been a significant improvement in survival in DLBCL due to the addition of rituximab to standard chemotherapy (CHOP protocol). However, despite significant advances in treatment, long-term remission is only achieved in half of the patients. Laryngeal lesions with this variant of lymphomas is described only in a few articles. There is evidence of various chemotherapeutic regimens effective in this type of lymphoma; in some publications, the authors suggest the use of radiation therapy.

The article presents a clinical case of successful treatment of a patient (chemotherapy + radiation therapy) with diffuse large B-cell lymphoma with laryngeal involvement. with resulting remission. In addition, a review of the literature describing the most common types of lymphomas is presented. The authors set a goal to raise the awareness of physicians about a rare histological variant of laryngeal tumors with a rapid increase in clinical manifestations and the development of life-threatening conditions.

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About the authors

Inna A. Kamaeva

National Medical Research Centre for Oncology

Author for correspondence.
Email: inkamaeva@yandex.ru
ORCID iD: 0000-0003-3001-0675
SPIN-code: 8953-3351

Oncologist

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Irina B. Lysenko

National Medical Research Centre for Oncology

Email: iralyss@rambler.ru
ORCID iD: 0000-0003-4457-3815
SPIN-code: 9510-3504

MD, Dr. Sci. (Med.), Professor

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Marina A. Engibaryan

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
ORCID iD: 0000-0001-7293-2358
SPIN-code: 1764-0276

MD, Dr. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Marina A. Gusareva

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
SPIN-code: 9040-5476

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Vladislav M. Legostaev

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
SPIN-code: 6573-8672

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Tatyana O. Lapteva

National Medical Research Centre for Oncology

Email: lto-96@yandex.ru
SPIN-code: 2771-3213
Russian Federation, 63 14th line, 344037 Rostov-on-Don

Nadezhda V. Nikolaeva

National Medical Research Centre for Oncology

Email: nadya.nikolaeva.74@bk.ru
ORCID iD: 0000-0001-7224-3106
SPIN-code: 4295-5920

MD, Dr. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Yakha S. Gaysultanova

National Medical Research Centre for Oncology

Email: yakha.gaysultanova@mail.ru
ORCID iD: 0000-0003-2785-1721

Oncologist

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Elena A. Kapuza

National Medical Research Centre for Oncology

Email: kapuzaea1967@mail.ru
ORCID iD: 0000-0002-0761-2486
SPIN-code: 4430-1151

Oncologist

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Natalya Yu. Samaneva

National Medical Research Centre for Oncology

Email: prettyfairy19@rambler.ru
ORCID iD: 0000-0003-0843-6012
SPIN-code: 1181-0659

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Yulia V. Ulyanova

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
SPIN-code: 1276-9063

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Viktoria L. Volkova

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
ORCID iD: 0000-0003-2674-0755
SPIN-code: 8289-6300

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Mamuka V. Bauzhadze

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
SPIN-code: 5315-3382

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

Gennadiy V. Balizkiy

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
SPIN-code: 4090-2703
Russian Federation, 63 14th line, 344037 Rostov-on-Don

Ekaterina A. Tolmacheva

National Medical Research Centre for Oncology

Email: inkamaeva@yandex.ru
SPIN-code: 2376-0705

MD, Cand. Sci. (Med.)

Russian Federation, 63 14th line, 344037 Rostov-on-Don

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Supplementary files

Supplementary Files
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2. Fig. 1. Patient's neck computed tomograph prior to the treatment, sagittal.

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3. Fig. 2. Patient's neck computed tomograph prior to the treatment, frontal.

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4. Рис. 3. Videolaryngoscopy after four courses of chemotherapy.

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