Spontaneous Regression In Non-hodgkins Lymphoma; Clinical And Pathogenetic Considerations
American Journal of Hematology 1: 1989; 138-141
View Original Source →Abstract
Cystic hygromas are congenital malformations of the lymphatic system that usually are located along the posterior surface of the neck. Prenatal sonographic detection of nuchal cystic hygromas generally is thought to carry a poor prognosis, and these lesions often are associated with chromosomal aneuploidies such as Turner syndrome. We report a case of spontaneous resolution of a prenatally detected cystic neck mass in a fetus with a normal karyotype and a normal outcome. This case demonstrates that in the absence of fetal hydrops, in utero detection of a nuchal cystic hygroma does not necessarily indicate an unfavorable prognosis, but occasionally can be associated with a normal clinical outcome.
Case Details
Clinical Characteristics
Indolent histologic subtypes, with a frequency of 10-20% in selected series
Remission Characteristics
Spontaneous regression
Treatment & Mechanisms
Proposed Remission Mechanisms
Contemporaneous bacterial or viral infection, augmented host immune response mediating tumor regression via humoral and cellular effector mechanisms, reduction of immunosuppression in cases of lymphomas developing after organ transplantation
Additional Notes
Indolent lymphomas which differ from aggressive lymphomas in their clinical and biological behavior may be more responsive to these host immunoregulatory influences. Review of clinical experience as well as proposed mechanisms of spontaneous regression in non-Hodgkins lymphoma are explored in this report.