CASE REPORT article

Front. Immunol.

Sec. T Cell Biology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1593343

This article is part of the Research TopicBCL-2 Family Inhibitors in Hematologic MalignanciesView all 7 articles

Effective venetoclax treatment for indolent T-cell lymphoma of the gastrointestinal tract: A case report and literature review

Provisionally accepted
Ji-Mo  JianJi-Mo Jian1,2*Hong-Yuan  HaoHong-Yuan Hao1Cheng-Lu  YuanCheng-Lu Yuan1Shu-Qi  ZhangShu-Qi Zhang3Zoufang  HuangZoufang Huang4Jun  DuJun Du5*
  • 1Qilu Hospital of Shandong University (Qingdao), Qingdao, Shandong, China
  • 2Qilu Hospital, Shandong University, Jinan, Shandong Province, China
  • 3Shanghai Jiao Tong University School of Medicine, Shanghai, China
  • 4First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi Province, China
  • 5Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

The final, formatted version of the article will be published soon.

Indolent T-cell lymphoma of the gastrointestinal tract (iTCL-GI) is rare, lacking standardized treatments. We report a successful venetoclax treatment in one patient with indolent T-cell lymphoma of the gastrointestinal tract. A 35-year-old male was admitted due to complaints of anemia and hematochezia. He was diagnosed with iTCL-GI according to histopathology and next-generation sequencing (NGS). He received the first cycle of CHOP-E chemotherapy, but he continued to have intermittent blood in stools. After starting oral Bcl-2 inhibitor venetoclax, the results of peripheral hemogram and the body temperature gradually turned normal, with no symptoms of hematochezia occurring again. In addition, colonoscopy showed improved ulcers in the ascending and transverse colon. Routine blood tests returned to normal without adverse effects. Therefore, venetoclax may represent a potential treatment approach for iTCL-GI. This report might provide clues for the future management of similar cases.

Keywords: Indolent T-cell lymphoma, Gastrointestinal Tract, Hematochezia, venetoclax, B-cell lymphoma 2

Received: 13 Mar 2025; Accepted: 10 Jun 2025.

Copyright: © 2025 Jian, Hao, Yuan, Zhang, Huang and Du. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Ji-Mo Jian, Qilu Hospital of Shandong University (Qingdao), Qingdao, 266035, Shandong, China
Jun Du, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200000, China

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