Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2014.014
Autopsy and Case Reports
Article / Clinical Case Report

Early stage primary gastric diffuse large B-cell lymphoma in a young HIV-positive patient

Guilherme Harada; Aloísio Felipe-Silva; José Guilherme Nogueira da Silva

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Abstract

HIV infection is known to be associated with the development of a wide range of neoplasia. About 25 to 40% of HIV-positive patients will present some kind of malignancy in the course of the disease; among them 10% are non-Hodgkin lymphomas (NHL) and 20% of these are represented by the diffuse large B-cell lymphoma. HIV-positive patients have a relative risk of 110 times higher to develop neoplasia, than the non-infected population. The gastrointestinal (GI) tract is the most frequent extranodal site of involvement. However, the primary GI lymphoma is rare. The authors present a case of a 31-year-old male patient with a 16-year history of HIV infection, who deliberately withdrew the Highly Active Antiretroviral Therapy (HAART) regimen and was hospitalized because of a respiratory infection. Because of a long-term complaint of dyspepsia, an upper gastrointestinal endoscopy was performed disclosing a large elevated and ulcerated gastric lesion, which biopsy revealed a diffuse large B-cell lymphoma. Clinical, imaging and laboratory tests showed an early stage diagnosis: Lugano stage I. Although not frequent, the authors alert to considering this neoplasia in all HIV-positive patients with dyspeptic symptoms.
 

Keywords

Lymphoma, Large B-Cell, Diffuse, Stomach Neoplasms, Lymphoma, AIDS-Related, Acquired Immunodeficiency Syndrome

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Publication date:
01/13/2016

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