MYD88‐mutated Lymphoplasmacytic Lymphoma With Monoclonal Immunoglobulin G: A Case Report

Lymphoplasmacytic lymphomas (LPL) are usually associated with serum monoclonal immunoglobulin M (IgM). Nevertheless, in some cases, these cells may secrete IgA or IgG monoclonal proteins or remain non-secretory. We report a case from a patient with LPL-secreting IgG who developed anaemia and splenomegaly during the disease course that necessitated treatment with bortezomib, dexamethasone, and rituximab. The case illustrates the need for clinicians and pathologists to consider LPLs as a differential diagnosis also without a serum monoclonal IgM. <b>Clinical Trial Registration</b>: The authors have confirmed clinical trial registration is not needed for this submission.

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Publication Details

Journal
eJHaem
Published
2025-03-27
DOI
https://doi.org/10.1002/jha2.70027
Primary Topic
Chronic Lymphocytic Leukemia Research
Type
article
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article

MYD88‐mutated Lymphoplasmacytic Lymphoma With Monoclonal Immunoglobulin G: A Case Report

M. Isaksen, Håkon Reikvam, Olav Karsten Vintermyr
eJHaem
Chronic Lymphocytic Leukemia Research
article

MYD88‐mutated Lymphoplasmacytic Lymphoma With Monoclonal Immunoglobulin G: A Case Report

M. Isaksen, Håkon Reikvam, Olav Karsten Vintermyr
article en

Abstract

Lymphoplasmacytic lymphomas (LPL) are usually associated with serum monoclonal immunoglobulin M (IgM). Nevertheless, in some cases, these cells may secrete IgA or IgG monoclonal proteins or remain non-secretory. We report a case from a patient with LPL-secreting IgG who developed anaemia and splenomegaly during the disease course that necessitated treatment with bortezomib, dexamethasone, and rituximab. The case illustrates the need for clinicians and pathologists to consider LPLs as a differential diagnosis also without a serum monoclonal IgM. <b>Clinical Trial Registration</b>: The authors have confirmed clinical trial registration is not needed for this submission.

eJHaemVol. 6(2)
Haukeland University Hospital (NO), University of Bergen (NO)
Good health and well-being
Openalex Percentile: Top 91%
Chronic Lymphocytic Leukemia Research
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