*For start of case see https://teamhaem.wordpress.com/2013/05/07/case-9-may-2013/ The rest of the updates are below*
The biopsy results from our patient with mediastinal mass have returned. The histology is in keeping with primary mediastinal B cell lymphoma.
Hep B and C are negative. Urate is normal. A bone marrow aspirate and trephine biopsy have been performed which reveal no involvement by lymphoma. A PET scan is requested and will be done within the next day or so.
There is a risk of SVCO and you want to start therapy within the next few days. Allopurinol is started to prevent tumour lysis syndrome.
Questions:
- What treatments do you know of for primary mediastinal B cell lymphoma?
- What is your preferred treatment and why?
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