Lymphoma with recurrent cycles of spontaneous remission and relapse ͟ possible role of apoptosis

Yael Kaufmann, Amira Many, Gideon Rechavi, Orna Mor, Miriam Biniaminov, Esther Rosenthal, Michal Levanon, Jacqueline Davidsohn, Irena Aizman, Ziva Mark, Frida Brok-Simoni, Bracha Ramot*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

We describe a patient with a unique mantle-cell lymphoma, with cycles of acute illness alternating with spontaneous remissions. During the acute phase the patient had fever, generalized lymphadenopathy, hepatosplenomegaly, increased liver-enzyme concentrations, leukocytosis, and thrombocytopenia. These bouts remitted after two to three weeks without treatment. Fifteen such cycles were documented over a period of 50 months. During the acute phase blast-like B lymphocytes in the blood expressed surface IgM, IgD, and CD5, whereas during clinical remission a small population of IgM and CD5+ lymphocytes persisted. Two B-cell clones with differently rearranged heavy-chain genes consistently appeared in the blood during the…

Original languageEnglish
Pages (from-to)507-510
Number of pages4
JournalNew England Journal of Medicine
Volume332
Issue number8
DOIs
StatePublished - 23 Feb 1995

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