Exudative pericarditis in the evolution of a diffuse large B
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Case report
We report on the case of a 51-year-old man diagnosed with a CD20-positive diffuse, large B-cell lymphoma (DLBCL), Ann Arbor stage IV (bone marrow), bulky (largest retroperitoneal adenopathy of 18 cm), with an international prognostic index of 4. Cytogenetic analysis showed t(14,18) and deletion of the p53 gene. The patient was HIV negative.

At presentation, the patient had peritoneal effusion, whose cytological examination failed to prove the presence of lymphoma cells. Chemotherapy was started with one cycle of rituximab(R)-COP (cyclophosphamide, vincrsitin and prednisolone), followed by four cycles of R-VACP (rituximab plus vincristin, doxorubicin, cyclophosphamide and prednisolone), according to GOELAMS protocol, leading to complete remission, demonstrated by 18-F-FDG-PET scan....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683336/
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