Abstract
Lymphomatous polyposis is a rare primary gastrointestinal lymphoma. It morphologically and immunohistochemically resembles mantle cell lymphoma, with which it shares a disappointing response rate and duration following conventional anthracyclin-containing combination chemotherapy, with a short median survival and virtually no long-term survivors. We report the use of high-dose chemotherapy with autologous stem cell transplantation in second partial remission in three patients with lymphomatous polyposis treated at the Royal Marsden Hospital. All patients achieved a complete response, and one patient remains well and disease-free 64 months following transplantation and 76 months after diagnosis.
MeSH terms
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
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Carmustine / administration & dosage
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Cisplatin / administration & dosage
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Combined Modality Therapy
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Cyclophosphamide / administration & dosage
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Cytarabine / administration & dosage
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Dexamethasone / administration & dosage
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Doxorubicin / administration & dosage
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Etoposide / administration & dosage
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Hematopoietic Stem Cell Transplantation*
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Humans
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Intestinal Polyps / drug therapy
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Intestinal Polyps / therapy*
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Lymphoma, B-Cell / drug therapy
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Lymphoma, B-Cell / therapy*
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Male
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Melphalan / administration & dosage
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Middle Aged
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Prednisone / administration & dosage
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Transplantation, Autologous
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Vincristine / administration & dosage
Substances
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Cytarabine
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Vincristine
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Etoposide
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Dexamethasone
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Doxorubicin
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Cyclophosphamide
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Cisplatin
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Melphalan
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Carmustine
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Prednisone
Supplementary concepts
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CHOP protocol
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DHAP protocol