ALAN F. LIST, M.D.; JOHN P. GREER, M.D.; JOHN B. COUSAR, M.D.; RICHARD S. STEIN, M.D.; JOHN M. FLEXNER, M.D.; FARUK SINANGIL, Ph.D.; JACK DAVIS, B.Sc.; DAVID J. VOLSKY, Ph.D.; DAVID T. PURTILO, M.D.
Non-Hodgkin's lymphoma occurs infrequently as a late complication of obscure cause after treatment of Hodgkin's disease. We investigated the possible role of Epstein-Barr virus in the pathogenesis of such secondary malignancies of B-cell lineage. Two patients, aged 25 and 43 years, developed high-grade non-Hodgkin's lymphomas 12 and 8 years after radiation therapy for Hodgkin's disease. Serologic profiles in these patients showed evidence of acute and past Epstein-Barr virus infections, respectively. Molecular hybridization analysis showed the presence of multiple cellular equivalents of virus genome in tumor specimens from each patient. Our findings suggest that Epstein-Barr virus may play an integral role in the pathogenesis of non-Hodgkin's lymphoma of B-cell lineage that develops after treatment of Hodgkin's disease.
ALAN F. LIST, JOHN P. GREER, JOHN B. COUSAR, RICHARD S. STEIN, JOHN M. FLEXNER, FARUK SINANGIL, et al. Non-Hodgkin's Lymphoma After Treatment of Hodgkin's Disease: Association with Epstein-Barr Virus. Ann Intern Med. 1986;105:668–673. doi: 10.7326/0003-4819-105-5-668
Download citation file:
Published: Ann Intern Med. 1986;105(5):668-673.
Hematology/Oncology, Infectious Disease, Leukemia/Lymphoma.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use