Evidence map›Paper›PMID 36676781›Full record

ReviewMedicina (Kaunas, Lithuania)2023

Non-Hodgkin Lymphoma Developed Shortly after mRNA COVID-19 Vaccination: Report of a Case and Review of the Literature.

Luigi Cavanna, Sergio Ottavio Grassi, Livia Ruffini, Emanuele Michieletti, Egidio Carella, Dante Palli, Adriano Zangrandi, Nicola Inzerilli, Patrizia Bernuzzi, Camilla Di Nunzio and 1 more

Open access · goldAbstract readReviewCase Reports
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Neurolymphomatosis mimicking a Guillain-Barré syndrome triggered by COVID-19 vaccination.Neuropathology : official journal of the Japanese Society of Neuropathology · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. mRNA: Vaccine or Gene Therapy? The Safety Regulatory Issues.International journal of molecular sciences · 2023
    Review
  14. Article
  15. SARS-CoV-2-related immune dysregulation and biologically plausible pathways to lymphomagenesis: a PRISMA-ScR-based scoping review.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Luigi CavannaDepartment of Oncology and Hematology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.ORCID 0000-0002-0303-3778
Sergio Ottavio GrassiASST Lodi, 26900 Lodi, Italy.
Livia RuffiniNuclear Medicine Division, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.ORCID 0000-0002-4398-8368
Emanuele MichielettiDepartment of Radiology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Egidio CarellaDepartment of Radiology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Dante PalliSurgey and Breast Unit, Guglielmo da Saliceto Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Adriano ZangrandiPathology Unit, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Nicola InzerilliDepartment of Oncology and Hematology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Patrizia BernuzziDepartment of Oncology and Hematology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Camilla Di NunzioDepartment of Oncology and Hematology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Chiara CitterioDepartment of Oncology and Hematology, ASL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.
Azienda Unità Sanitaria Locale Piacenza · ITAziende Socio Sanitarie Territoriale LodiGuglielmo da Saliceto Hospital · ITOspedale di Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on a 66-year-old man who presented with a right axillary lymphadenopathy approximately 10 days after receiving the third dose of the BNT162b2 vaccine. The lymphadenopathy gradually enlarged, and physical examination and ultrasound (US) revealed one right axillary 6.99 cm and one right supraclavicular 2.36 cm lymphadenopathy. Histologic examination of the right axillary nodule revealed anaplastic large-cell lymphoma that was ALK negative and CD30 positive. A total body computerized tomography (CT) scan, positron emission tomography (PET) and bone-marrow biopsy showed a stage-II non-Hodgkin lymphoma (NHL). The patient was treated with chemotherapy and a scheme of Brentuximab Vedotin, Cyclophosphamide, Doxorubicin and Prednisone (BV-CHP) for six cycles and is now well and in complete remission. The revision of the literature revealed eight additional cases of NHL developed shortly after COVID-vaccination. There were four cases of diffuse large-B-cell lymphoma (DLBCL) (one in a patient who was a heart transplant recipient and developed an Epstein-Bar-virus-positive DLBCL), one case of extranodal NK/T-cell lymphoma, one patient with subcutaneous panniculitis-like T-cell lymphoma, one case of marginal zone B-cell lymphoma and one primary cutaneous anaplastic large-cell lymphoma (PC-ALCL). In five cases, the lymphoma developed after BNT162b2 mRNA vaccination, including one case after ChAdOx1 nCOV-19, one case after the adenovirus type 26 (Ad26) vaccine and one after mRNA-1273/Spikevax (ModernaTX). We are aware that the link between COVID-19 vaccination and lymphoma most likely is a chance phenomenon, and that COVID-19 vaccines represent very efficient products for many people around the world. However, we believe that clinical events, even if only temporally associated with novel treatments or novel vaccines, should be reported for the benefit of the patients and the scientific community.

Indexed as

COVID-19LymphadenopathyLymphoma, Large B-Cell, DiffuseLymphoma, Large-Cell, AnaplasticAgedBNT162 VaccineChAdOx1 nCoV-19COVID-19 VaccinesHumansMaleVaccinationBNT162 VaccineChAdOx1 nCoV-19COVID-19 VaccinesCOVID-19lymphomavaccination

Identifiers

PMID36676781
PMCPMC9861188
OpenAlexW4315853529

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.