ISSN: 2167-7700
Asit K Jha
Tanzania
Case Report
Langerhans Cell Sarcoma: Treatment with Dose-adjusted EPOCH
Author(s): Abhisek Swaika, Neha Sood, David M Menke, Asit K Jha and Sikander Ailawadhi
Abhisek Swaika, Neha Sood, David M Menke, Asit K Jha and Sikander Ailawadhi
Background: Langerhans cell sarcoma (LCS) is a rare malignancy with no specific defined treatment strategy.Chemotherapy is the preferred option in cases with systemic involvement, though no consensus exists on thepreferred regimen. Case: A sixty-six year old male presented with advanced-stage LCS involving the bone marrow (BM) and spleen. Immunohistochemical analysis of the BM-sample confirmed the diagnosis of LCS. The patient was treated withchemotherapy utilizing dose-adjusted Etoposide, Prednisone, Vincristine, Cyclophosphamide and Doxorubicin (DAEPOCH). The patient achieved complete remission and was able to tolerate the entire course (6 cycles) of chemotherapy with continued response at 10 months. Conclusion: Due to the rarity of the disease no standard treatment modality exists; most successful treatment options described are anecdotal reports. Due to the paucity of such data an.. View More»
DOI:
10.4172/2167-7700.1000155