[Intravascular malignant B-cell lymphomatosis with renal glomerular involvement: a case]

Nephrologie. 1998;19(4):211-5.
[Article in French]

Abstract

We report a case of intravascular malignant lymphomatosis observed in a 71 year-old male and characterised by the presence of a proteinuria in relation to the specific intraglomerular localisation. This malignant lymphoma, usually of the B phenotype, is rare and affects predominantly the central nervous system and the skin. Neoplastic cells home selectively to endothelium. Histological renal infiltration is frequent but a glomerular localisation, with proteinuria, is rare. The mechanism whereby lymphocytes home to endothelium cells is unclear but it could be related to the expression of lymphocyte-endothelium adhesion molecules. When present the nephrotic syndrome is associated with minimal change disease.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Aged
  • Cell Adhesion
  • Endothelium, Vascular / pathology
  • Fatal Outcome
  • Humans
  • Kidney Glomerulus / pathology*
  • Lymphoma, B-Cell / complications
  • Lymphoma, B-Cell / diagnosis
  • Lymphoma, B-Cell / pathology*
  • Male
  • Neoplastic Stem Cells / pathology
  • Nephrotic Syndrome / etiology
  • Proteinuria / etiology
  • Vascular Neoplasms / complications
  • Vascular Neoplasms / diagnosis
  • Vascular Neoplasms / pathology*