Autologous hematopoietic stem cell transplantation for human immunodeficiency virus associated gastric Burkitt lymphoma: A case report

Medicine (Baltimore). 2019 Jul;98(29):e16222. doi: 10.1097/MD.0000000000016222.

Abstract

Rationale: HIV-related lymphoma, especially non-Hodgkin lymphoma, is one of the most common malignant tumors in HIV/acquired immune deficiency syndrome (AIDS) patients. Autologous hematopoietic stem cell transplantation (AHSCT) for the patients with Burkitt lymphoma (BL) is needed to be further explored.

Patient concerns: A 57-year-old man was hospitalized with intermittent pain on upper abdomen and melena for >1 month.

Diagnosis: HIV antibody testing was positive. The upper gastrointestinal endoscopy was performed and histopathology and immunohistochemistry revealed BL.

Interventions: Highly effective antiretroviral therapy and sixth cycles of chemotherapy were administered, followed by autologous hematopoietic stem cell transplantation.

Outcomes: The patient has had tumor-free survival for >6 years with normal CD4+ T cell counts and HIV viral load below the lowest detection LESSONS:: The patient was treated with AHSCT followed complete remission after chemotherapy and achieved long-term disease-free survival. AHSCT may be a promising way for clinical cure of HIV-related BL.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antiretroviral Therapy, Highly Active / methods*
  • Burkitt Lymphoma* / complications
  • Burkitt Lymphoma* / pathology
  • Burkitt Lymphoma* / surgery
  • Disease-Free Survival
  • Endoscopy, Gastrointestinal / methods
  • HIV Infections* / complications
  • HIV Infections* / diagnosis
  • HIV Infections* / drug therapy
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Transplantation Conditioning / methods*
  • Transplantation, Autologous / methods
  • Treatment Outcome
  • Viral Load / methods