AI Article Synopsis

  • Composite lymphoma is a rare type of cancer that includes both diffuse large B-cell lymphoma (DLBCL) and peripheral T-cell lymphoma (PTCL-NOS) occurring in the same organ, with this case involving a 75-year-old man who had intestinal obstruction.
  • After surgery to remove part of the small intestine, the patient was diagnosed with composite DLBCL and PTCL-NOS and treated with a rituximab-based chemotherapy that initially led to complete remission.
  • Despite initial success, the patient experienced a recurrence of the disease ten months later and, after refusing additional surgery, he survived for 20 months post-diagnosis, prompting a literature review on this lymphoma type's characteristics and treatment options.

Article Abstract

Composite lymphoma is an uncommon type of lymphoid malignancy, and those consisting of concurrent diffuse large B-cell lymphoma (DLBCL) and peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS) in the same organ are rare. Here, we report a case of a 75-year-old male patient admitted to our emergency department with intestinal obstruction presenting with abdominal pain and vomiting. He underwent partial resection of the small intestine under general anesthesia, and subsequent histopathology confirmed the mass to be composite DLBCL and PTCL-NOS. The patient received chemotherapy with a rituximab-based regimen and achieved complete remission (CR). However, the recurrent disease presented with obstruction again ten months after treatment. He refused a second surgery, but salvage treatment was not effective. The patient survived for 20 months after diagnosis. In addition, we did a literature review to understand the clinical features, pathology, treatment, and prognosis of this type of composite lymphoma.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961394PMC
http://dx.doi.org/10.3389/fonc.2024.1272209DOI Listing

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