{"title":"Usefulness of 20-mm incisional random skin biopsy for diagnosis of intravascular large B-cell lymphoma: a single-center experience.","authors":"Kiyotaka Izumi, Ryuta Iwamoto, Mai Yano, Yuto Ueda, Kazuki Yoshioka, Bunta Kakihara, Kensuke Nakao, Tomoya Kitagawa, Katsuhiro Io","doi":"10.1080/10428194.2026.2731271","DOIUrl":"https://doi.org/10.1080/10428194.2026.2731271","url":null,"abstract":"<p><p>Intravascular large B-cell lymphoma (IVLBCL) is a rare subtype of aggressive non-Hodgkin lymphoma characterized by the preferential proliferation of lymphoma cells within small vessels. Random skin biopsy (RSB) has been reported as a useful diagnostic tool for IVLBCL, although its sensitivity varies across studies. We retrospectively evaluated the efficacy and safety of the RSB method used at our institution. Between January 2022 and April 2026, 15 patients underwent RSB. Spindle-shaped incisions approximately 20 mm in length were made to obtain skin specimens containing subcutaneous fat. Six patients were diagnosed with IVLBCL by RSB. In most cases, IVLBCL cells were identified within vessels in the subcutaneous fat. Wider specimens contained a greater number of IVLBCL lesions. Hematoma formation occurred in one patient after RSB, and was successfully managed with supportive care. Our RSB method may facilitate the prompt diagnosis and treatment of patients suspected of having IVLBCL.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgios Vlasakakis, Fernando Carreño, Meenakshi Srinivasan, Catherine E Ellis, Mahshid Azimi, Jasmine Sahni
{"title":"Optimized dosing of momelotinib in myelofibrosis through quantitative medicine: a clinical commentary.","authors":"Georgios Vlasakakis, Fernando Carreño, Meenakshi Srinivasan, Catherine E Ellis, Mahshid Azimi, Jasmine Sahni","doi":"10.1080/10428194.2026.2721768","DOIUrl":"https://doi.org/10.1080/10428194.2026.2721768","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-5"},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian M Farag, Ann Mercurio, Rejowana Rouf, Hannah Fried, Michelle Rudshteyn Korostin, Tianxiang Sheng, Douglas Tremblay, Risa Fuller, Hannah Levavi
{"title":"Revisiting invasive fungal infections in acute lymphoblastic leukemia: a systematic review and meta-analysis.","authors":"Christian M Farag, Ann Mercurio, Rejowana Rouf, Hannah Fried, Michelle Rudshteyn Korostin, Tianxiang Sheng, Douglas Tremblay, Risa Fuller, Hannah Levavi","doi":"10.1080/10428194.2026.2724605","DOIUrl":"https://doi.org/10.1080/10428194.2026.2724605","url":null,"abstract":"<p><p>Invasive fungal infections (IFIs) cause substantial morbidity and mortality, yet optimal antifungal prophylaxis in adult acute lymphoblastic leukemia (ALL) remains uncertain given unclear incidence and drug interaction constraints. We performed a PRISMA 2020-compliant systematic review and meta-analysis (PROSPERO CRD420251048884) of PubMed, Embase, and Cochrane CENTRAL from inception through September 2025, including adults with ALL receiving antineoplastic therapy, excluding HSCT and pediatric cohorts. Primary outcome was IFI incidence per European Organization for Research and Treatment of Cancer and the Mycoses Study Group (EORTC/MSG) criteria; invasive aspergillosis (IA) was secondary. Of 1,789 records, 36 studies met eligibility; 23 contributed to meta-analyses. Pooled incidence of proven/probable IFI was 9% (95% CI 7-11%; <i>N</i> = 3,316), proven/probable/possible IFI 16% (12-21%; <i>N</i> = 806), and IA 5% (4-8%; <i>N</i> = 3,190). IFIs remain clinically significant in adult ALL, supporting risk-adapted prophylaxis during higher-risk treatment phases. Heterogeneity reflected differences in prophylaxis, treatment, and limited comparative data on strategies across studies.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MRD-guided induction-intensification with daratumumab-carfilzomib-based regimen followed by ASCT in patients with newly diagnosed multiple myeloma.","authors":"Daizo Yokoyama, Daisuke Minakata, Shin-Ichiro Fujiwara, Seina Honda, Ryutaro Tominaga, Atsuto Noguchi, Shuka Furuki, Shunsuke Koyama, Rui Murahashi, Hirotomo Nakashima, Kazuki Hyodo, Shin-Ichiro Kawaguchi, Yumiko Toda, Kento Umino, Masuzu Ueda, Masahiro Ashizawa, Chihiro Yamamoto, Kaoru Hatano, Kazuya Sato, Ken Ohmine, Yoshinobu Kanda","doi":"10.1080/10428194.2026.2723847","DOIUrl":"https://doi.org/10.1080/10428194.2026.2723847","url":null,"abstract":"<p><p>This single-institution retrospective study evaluated a measurable residual disease (MRD)-guided induction intensification strategy in transplant-eligible patients with newly diagnosed multiple myeloma treated in the anti-CD38 antibody era. Sixty patients undergoing autologous stem cell transplantation (ASCT) between 2020 and 2025 were included. Most received bortezomib, lenalidomide, and dexamethasone as initial therapy. Patients with persistent MRD by multiparameter flow cytometry underwent treatment intensification, commonly with daratumumab, carfilzomib, and dexamethasone before ASCT. Among 52 evaluable patients, 35 (67.3%) achieved MRD negativity before ASCT, and 30 of 32 (93.8%) were MRD-negative after ASCT. Stem cell mobilization and engraftment were successful. After median follow-up of 28.5 months, 2-year progression-free and overall survival were 87.3% and 98.0%. R-ISS stage III and extramedullary disease were associated with inferior progression-free survival. High-risk cytogenetics showed poorer outcomes. This MRD-adapted strategy was feasible, achieved deep responses, and preserved mobilization, but high-risk disease remained prone to relapse, supporting post-transplant intensification.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to Borrás-Blasco et al. regarding \"Real-world venetoclax dosing patterns and treatment persistence in patients with acute myeloid leukemia: a community pharmacy database study in Japan\".","authors":"Yuki Goshima, Tomoya Saika, Yuki Kado, Michiko Yamazaki, Tohru Takebe, Shunsuke Yui","doi":"10.1080/10428194.2026.2724604","DOIUrl":"https://doi.org/10.1080/10428194.2026.2724604","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Athanasia Papadaki, Robert Baker, Elisabeth Nacheva, Jenny O'Nions, Andrew J Wilson, Rajeev Gupta, Ke Xu
{"title":"Targeted RNA sequencing supports risk stratification and treatment decision-making in adolescents and young adult and adult patients with acute lymphoblastic leukemia: a UK single-center experience.","authors":"Athanasia Papadaki, Robert Baker, Elisabeth Nacheva, Jenny O'Nions, Andrew J Wilson, Rajeev Gupta, Ke Xu","doi":"10.1080/10428194.2026.2726608","DOIUrl":"https://doi.org/10.1080/10428194.2026.2726608","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-4"},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}