Successful treatment of diffuse large B-cell lymphoma with clarithromycin and prednisolone.

The Korean Journal of Hematology Pub Date : 2012-12-01 Epub Date: 2012-12-24 DOI:10.5045/kjh.2012.47.4.293
Masashi Ohe, Satoshi Hashino, Atsuo Hattori
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引用次数: 10

Abstract

We report a case of diffuse large B-cell lymphoma (DLBCL) treated successfully with clarithromycin (CAM) and prednisolone (PSL). A 71-year-old woman presented with fever and cervical pain. DLBCL was diagnosed based on histological results from lymph node biopsy. Cervical pain was thought to be caused by the invasion of lymphoma cells into the cervical vertebrae. She initially received radiotherapy for the cervical lesion. She did not receive conventional chemotherapy because of the risk of recurrent non-tuberculous mycobacteria infection; therefore, she was treated with 20 mg/day PSL and 800 mg/day CAM to induce apoptosis in lymphoma cells. Complete remission was achieved after 6 months. The present findings suggest that CAM and PSL may be effective in some cases of DLBCL.

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克拉霉素联合强的松龙成功治疗弥漫性大b细胞淋巴瘤。
我们报告一例弥漫性大b细胞淋巴瘤(DLBCL)成功治疗克拉霉素(CAM)和强的松龙(PSL)。一名71岁女性,表现为发热和颈椎疼痛。DLBCL的诊断是基于淋巴结活检的组织学结果。颈椎疼痛被认为是由淋巴瘤细胞侵入颈椎引起的。她最初因宫颈病变接受放射治疗。由于有复发性非结核分枝杆菌感染的风险,她没有接受常规化疗;因此,我们给她20 mg/d的PSL和800 mg/d的CAM来诱导淋巴瘤细胞凋亡。6个月后完全缓解。目前的研究结果表明,CAM和PSL可能对某些DLBCL病例有效。
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