Evidence map›Paper›PMID 41149470›Full record

ArticleCurrent oncology (Toronto, Ont.)2025

From Chronic Lymphocytic Leukemia to Plasmablastic Myeloma: Beyond the Usual Richter Transformation.

Mathias Castonguay, Marie-France Gagnon, Alexandre Le Nguyen, Rafik Terra, Sarah-Jeanne Pilon, Guylaine Lépine, Richard LeBlanc, Jean Roy, Sandra Cohen, Isabelle Fleury and 3 more

Abstract readCase Reports
In one paragraph

Article in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Mathias CastonguayHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.ORCID 0000-0002-9281-8015
Marie-France GagnonHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Alexandre Le NguyenHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.ORCID 0000-0001-9912-0229
Rafik TerraHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Sarah-Jeanne PilonFaculty of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada.
Guylaine LépineHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Richard LeBlancHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Jean RoyHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.ORCID 0000-0002-7716-6864
Sandra CohenHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Isabelle FleuryHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Luigina MollicaHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Olivier VeilleuxHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.
Jean-Sébastien ClaveauHematology-Oncology and Cell Therapy Institute, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, QC H1T 2M4, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRichter transformation (RT) is defined as the histologic transformation of Chronic Lymphocytic Leukemia (CLL) to either diffuse large B-cell lymphoma or Hodgkin lymphoma. Transformation into lymphoproliferative neoplasms with plasmablastic differentiation is exceptionally rare and poorly characterized. CASE PRESENTATION: We present the first case of a patient with CLL evolving into plasmablastic myeloma (PBM). A 62-year-old man with previously treated CLL developed thrombocytopenia and rapidly progressive acute kidney injury. Serum electrophoresis showed new IgA-λ protein (2.2 g/L) with λ and κ light chains at 3445.4 and 7.3 mg/L. Bone marrow examination showed extensive infiltration (>95%) by plasmablasts and mature plasma cells, with a consistent immunophenotype (CD38+, CD138+, MUM1+, CD19-, CD20-). In situ hybridization with EBER was negative. Mutation assessment by NGS demonstrated a DISCUSSION: This case illustrates an exceptionally rare form of RT. Recognition and incorporation in new classifications of plasmablastic RT as a distinct entity is critical, as its biology and resistance profile differ from classical RT.

Indexed as

Cell Transformation, NeoplasticLeukemia, Lymphocytic, Chronic, B-CellMultiple MyelomaHumansMaleMiddle Agedchronic lymphocytic leukemiamyelomaplasmablastic myelomaRichter transformation

Identifiers

PMID41149470
PMCPMC12563085

What OpenQuestion holds

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Registered trials

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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.