PMID- 36351648 OWN - NLM STAT- MEDLINE DCOM- 20221111 LR - 20221111 IS - 0485-1439 (Print) IS - 0485-1439 (Linking) VI - 63 IP - 10 DP - 2022 TI - [Busulfan/thiotepa followed by autologous peripheral blood stem cell transplantation for refractory diffuse large B-cell lymphoma accompanied by hypopyon]. PG - 1409-1414 LID - 10.11406/rinketsu.63.1409 [doi] AB - A 54-year-old male patient, who presented with multiple lymphadenopathies, bilateral leg edema, and oscheohydrocele, was diagnosed with diffuse large B-cell lymphoma (DLBCL) stage IVB. His lymphadenopathies disappeared after six courses of R-CHOP therapy, which consist of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone); however, right hypopyon and partly remaining testicular soft tissue masses with fluorodeoxyglucose accumulation were observed. Lymphoma cell infiltration was observed in the aqueous humor of the right anterior chamber and testis, which indicates DLBCL progression. Hypopyon disappeared after the first course of intrathecal chemotherapy combined with R-HDMA therapy, which consists of rituximab and high-dose methotrexate/cytarabine, but recurred in the third course. The patient then underwent busulfan and thiotepa (BuTT) therapy followed by autologous peripheral blood stem cell transplantation (auto-PBSCT) after four courses of R-HDMA therapy. Hypopyon promptly disappeared after BuTT therapy and no hypopyon recurrence was observed 9 months after auto-PBSCT. Therefore, BuTT therapy is effective for hypopyon associated with refractory DLBCL. FAU - Kodama, Yosuke AU - Kodama Y AD - Department of Hematology, Oita Prefectural Hospital. FAU - Saburi, Masuho AU - Saburi M AD - Department of Hematology, Oita Prefectural Hospital. FAU - Maruyama, Rika AU - Maruyama R AD - Department of Hematology, Oita Prefectural Hospital. FAU - Sakata, Masanori AU - Sakata M AD - Department of Hematology, Oita Prefectural Hospital. FAU - Takata, Hiroyuki AU - Takata H AD - Department of Hematology, Oita Prefectural Hospital. FAU - Miyazaki, Yasuhiko AU - Miyazaki Y AD - Department of Hematology, Oita Prefectural Hospital. FAU - Kawano, Katsuya AU - Kawano K AD - Department of Clinical Laboratory Technology, Oita Prefectural Hospital. FAU - Wada, Junpei AU - Wada J AD - Department of Pathology, Oita Prefectural Hospital. FAU - Urabe, Shogo AU - Urabe S AD - Department of Pathology, Oita Prefectural Hospital. FAU - Hazuku, Tomonobu AU - Hazuku T AD - Department of Ophthalmology, Oita Prefectural Hospital. FAU - Ohtsuka, Eiichi AU - Ohtsuka E AD - Department of Hematology, Oita Prefectural Hospital. LA - jpn PT - Case Reports PT - English Abstract PT - Journal Article PL - Japan TA - Rinsho Ketsueki JT - [Rinsho ketsueki] The Japanese journal of clinical hematology JID - 2984782R RN - 905Z5W3GKH (Thiotepa) RN - G1LN9045DK (Busulfan) RN - 4F4X42SYQ6 (Rituximab) RN - 129273-26-3 (N-hydroxysuccinimidyl digoxigenin-3-O-methylcarbonyl-epsilon-aminocaproate) RN - 8N3DW7272P (Cyclophosphamide) RN - 5J49Q6B70F (Vincristine) RN - 80168379AG (Doxorubicin) SB - IM MH - Male MH - Humans MH - Middle Aged MH - Thiotepa/therapeutic use MH - Busulfan MH - *Peripheral Blood Stem Cell Transplantation MH - Rituximab MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - *Lymphoma, Large B-Cell, Diffuse/therapy/drug therapy MH - Transplantation, Autologous MH - *Lymphoma, Non-Hodgkin/drug therapy MH - Cyclophosphamide/therapeutic use MH - Vincristine/therapeutic use MH - Doxorubicin/therapeutic use MH - *Lymphadenopathy/drug therapy OTO - NOTNLM OT - Autologous peripheral blood stem cell transplantation OT - Diffuse large B-cell lymphoma OT - Hypopyon OT - Thiotepa EDAT- 2022/11/10 06:00 MHDA- 2022/11/15 06:00 CRDT- 2022/11/09 20:04 PHST- 2022/11/09 20:04 [entrez] PHST- 2022/11/10 06:00 [pubmed] PHST- 2022/11/15 06:00 [medline] AID - 10.11406/rinketsu.63.1409 [doi] PST - ppublish SO - Rinsho Ketsueki. 2022;63(10):1409-1414. doi: 10.11406/rinketsu.63.1409.