Case Report

An Unusual Case of Extranodal Diffuse Large B-Cell Lymphoma Infiltrating Skeletal Muscle: A Case Report and Review of the Literature

Table 1

Clinical characteristics, diagnosis, treatment, and follow-up in 16 patients with muscle lymphoma diagnosed at our institution between 2000 and 2015.

Location/muscleAgeGenderDiagnosis TreatmentFollow-up

Piriformis muscle50MDLBCL R-CHOP + RTAlive in CR at 6 years
Thigh muscle55MALCL, ALK−CHOP/ONTAK Lost to follow-up
Iliacus muscle52MDLBCL R-CHOPDied at 3 months
Psoas muscle60MDLBCLR-CEAlive with PD at 28 months
Triceps muscle79MDLBCLR-CHOP Alive in CR at 6 months
Psoas muscle70FDLBCLNRNR
Sternothyroid muscle57FDLBCLR-CHOP + RTAlive in CR at 14 years
Temporalis muscle45MMZLFCR Alive in CR at 10 years
Cervical muscle78MDLBCLR-CHOP Alive in CR at 10 years
Iliacus muscle85FDLBCLR-CHOP + RTDied at 24 months
Buccal muscle36MDLBCLNRLost to follow-up
Right buccal55FDLBCLNRLost to follow-up
Buccal muscle50FFL, low-gradeR-CHOPLost to follow-up
Strap muscle42FHLABVD Alive in CR at 10 years
Neck muscles54FDLBCLNRLost to follow-up
Neck muscles79FMZLNRLost to follow-up

ABVD = adriamycin, bleomycin, vinblastine, and dacarbazine; ALCL = anaplastic large T-cell lymphoma; ALK = anaplastic lymphoma kinase; CHOP = cyclophosphamide, adriamycin, vincristine, and prednisone; CR = complete response; DLBCL = diffuse large B-cell lymphoma; F = female; FCR = fludarabine, cyclophosphamide, and rituximab; FL = follicular lymphoma; HL = Hodgkin lymphoma; M = male; MZL = marginal zone lymphoma; NR = not reported; ONTAK = denileukin diftitox; PD = progressive disease; R-CHOP = rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone; R-CE: rituxan-cytoxan-etoposide; RT = radiation therapy.