Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report

Mantle cell lymphoma (MCL) is a rare form of non-Hodgkin lymphoma (NHL), responsible for 2.8% of all NHL cases within the United States. The majority of patients with MCL present with advanced disease, 10-20% of which have extra-nodal involvement at diagnosis. The gastrointestinal presence of lympho...

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Main Authors: Michael Adashek, Abigail Chan, Adriana Medina
Format: Article
Language:English
Published: Karger Publishers 2018-11-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/494828
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author Michael Adashek
Abigail Chan
Adriana Medina
author_facet Michael Adashek
Abigail Chan
Adriana Medina
author_sort Michael Adashek
collection DOAJ
description Mantle cell lymphoma (MCL) is a rare form of non-Hodgkin lymphoma (NHL), responsible for 2.8% of all NHL cases within the United States. The majority of patients with MCL present with advanced disease, 10-20% of which have extra-nodal involvement at diagnosis. The gastrointestinal presence of lymphoma can lead to gastrointestinal perforation, resulting in significant morbidity from peritonitis and sepsis while prolonging hospitalizations and delaying treatment. In this case we discuss a 55-year-old male with newly diagnosed MCL who developed peritonitis 9 days after initiation of dose reduced rituximab due to gastrointestinal perforation. Although prognostication factors for MCL such as the mantle cell lymphoma international prognostic index (MIPI) score exist, further research is needed to stratify risk factors for morbid treatment complications such as gastrointestinal perforation.
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spelling doaj.art-8776798ee2b546d8bb687da0ab90776a2022-12-21T18:15:50ZengKarger PublishersCase Reports in Oncology1662-65752018-11-0111378479010.1159/000494828494828Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case ReportMichael AdashekAbigail ChanAdriana MedinaMantle cell lymphoma (MCL) is a rare form of non-Hodgkin lymphoma (NHL), responsible for 2.8% of all NHL cases within the United States. The majority of patients with MCL present with advanced disease, 10-20% of which have extra-nodal involvement at diagnosis. The gastrointestinal presence of lymphoma can lead to gastrointestinal perforation, resulting in significant morbidity from peritonitis and sepsis while prolonging hospitalizations and delaying treatment. In this case we discuss a 55-year-old male with newly diagnosed MCL who developed peritonitis 9 days after initiation of dose reduced rituximab due to gastrointestinal perforation. Although prognostication factors for MCL such as the mantle cell lymphoma international prognostic index (MIPI) score exist, further research is needed to stratify risk factors for morbid treatment complications such as gastrointestinal perforation.https://www.karger.com/Article/FullText/494828Mantle Cell LymphomaGastrointestinal Perforation
spellingShingle Michael Adashek
Abigail Chan
Adriana Medina
Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report
Case Reports in Oncology
Mantle Cell Lymphoma
Gastrointestinal Perforation
title Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report
title_full Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report
title_fullStr Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report
title_full_unstemmed Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report
title_short Gastrointestinal Perforation after Rituximab Therapy in Mantle Cell Lymphoma: A Case Report
title_sort gastrointestinal perforation after rituximab therapy in mantle cell lymphoma a case report
topic Mantle Cell Lymphoma
Gastrointestinal Perforation
url https://www.karger.com/Article/FullText/494828
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AT abigailchan gastrointestinalperforationafterrituximabtherapyinmantlecelllymphomaacasereport
AT adrianamedina gastrointestinalperforationafterrituximabtherapyinmantlecelllymphomaacasereport