Non-Hodgkin lymphoma with t(14;18): clonal evolution patterns and cytogenetic-pathologic-clinical correlations

The pattern and frequency of secondary chromosome abnormalities in t(14;18)-carrying non-Hodgkin lymphomas (NHL) were evaluated for differences in relation to histologic NHL subtype and patients' outcome. One hundred and forty-nine NHL patients with t(14;18) and complete cytogenetic, morphologi...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2007-07, Vol.133 (7), p.455-470
Hauptverfasser: AAMOT, Hege Vangstein, TORLAKOVIC, Emina Emilia, EIDE, Marianne Brodtkorb, HOLTE, Harald, HEIM, Sverre
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container_issue 7
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container_title Journal of cancer research and clinical oncology
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creator AAMOT, Hege Vangstein
TORLAKOVIC, Emina Emilia
EIDE, Marianne Brodtkorb
HOLTE, Harald
HEIM, Sverre
description The pattern and frequency of secondary chromosome abnormalities in t(14;18)-carrying non-Hodgkin lymphomas (NHL) were evaluated for differences in relation to histologic NHL subtype and patients' outcome. One hundred and forty-nine NHL patients with t(14;18) and complete cytogenetic, morphologic, and clinical information were selected. One hundred and twelve cases were follicular lymphoma (FL) and 37 were diffuse large B-cell lymphoma (DLBCL). One hundred and forty cases showed secondary aberrations (94%, median = 6.0). The most frequent were losses from chromosome arms 1p and 6q and +7 (26%). Loss from 1q, +7, and +12 were more frequent in DLBCL than in FL. Loss from 1p, Xp, and -16 were more frequent in FL grade 3 than in FL grades 1 and 2. Patients with 6.0 secondary cytogenetic aberrations both correlated with shorter overall survival.
doi_str_mv 10.1007/s00432-006-0188-3
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One hundred and forty-nine NHL patients with t(14;18) and complete cytogenetic, morphologic, and clinical information were selected. One hundred and twelve cases were follicular lymphoma (FL) and 37 were diffuse large B-cell lymphoma (DLBCL). One hundred and forty cases showed secondary aberrations (94%, median = 6.0). The most frequent were losses from chromosome arms 1p and 6q and +7 (26%). Loss from 1q, +7, and +12 were more frequent in DLBCL than in FL. Loss from 1p, Xp, and -16 were more frequent in FL grade 3 than in FL grades 1 and 2. Patients with &lt;6.0 secondary cytogenetic aberrations had better prognosis than did those with a higher number of aberrations. Trisomy 21 was associated with shorter patient survival. FLIPI score, the number of secondary chromosomal aberrations, and +21 were all of independent prognostic value in Cox multivariate analysis. FL grade 1-3a patients that had received chemotherapy, showed a higher frequency of i(6p) and loss from 6q. Secondary chromosomal aberrations showed some correlation with the morphologic subgroups of t(14;18)-NHL. Trisomy 21 and the presence of &gt;6.0 secondary cytogenetic aberrations both correlated with shorter overall survival.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-006-0188-3</identifier><identifier>PMID: 17235551</identifier><identifier>CODEN: JCROD7</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antineoplastic agents ; B-cell lymphoma ; Biological and medical sciences ; Chemotherapy ; Chromosome Aberrations ; Chromosomes ; Chromosomes, Human, Pair 14 ; Chromosomes, Human, Pair 18 ; Correlation analysis ; Cytogenetics ; Disease Progression ; Female ; Hematologic and hematopoietic diseases ; Humans ; Leukemias. Malignant lymphomas. Malignant reticulosis. 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One hundred and forty-nine NHL patients with t(14;18) and complete cytogenetic, morphologic, and clinical information were selected. One hundred and twelve cases were follicular lymphoma (FL) and 37 were diffuse large B-cell lymphoma (DLBCL). One hundred and forty cases showed secondary aberrations (94%, median = 6.0). The most frequent were losses from chromosome arms 1p and 6q and +7 (26%). Loss from 1q, +7, and +12 were more frequent in DLBCL than in FL. Loss from 1p, Xp, and -16 were more frequent in FL grade 3 than in FL grades 1 and 2. Patients with &lt;6.0 secondary cytogenetic aberrations had better prognosis than did those with a higher number of aberrations. Trisomy 21 was associated with shorter patient survival. FLIPI score, the number of secondary chromosomal aberrations, and +21 were all of independent prognostic value in Cox multivariate analysis. FL grade 1-3a patients that had received chemotherapy, showed a higher frequency of i(6p) and loss from 6q. Secondary chromosomal aberrations showed some correlation with the morphologic subgroups of t(14;18)-NHL. Trisomy 21 and the presence of &gt;6.0 secondary cytogenetic aberrations both correlated with shorter overall survival.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic agents</subject><subject>B-cell lymphoma</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>Chromosome Aberrations</subject><subject>Chromosomes</subject><subject>Chromosomes, Human, Pair 14</subject><subject>Chromosomes, Human, Pair 18</subject><subject>Correlation analysis</subject><subject>Cytogenetics</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. 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Secondary chromosomal aberrations showed some correlation with the morphologic subgroups of t(14;18)-NHL. Trisomy 21 and the presence of &gt;6.0 secondary cytogenetic aberrations both correlated with shorter overall survival.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>17235551</pmid><doi>10.1007/s00432-006-0188-3</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Antineoplastic agents
B-cell lymphoma
Biological and medical sciences
Chemotherapy
Chromosome Aberrations
Chromosomes
Chromosomes, Human, Pair 14
Chromosomes, Human, Pair 18
Correlation analysis
Cytogenetics
Disease Progression
Female
Hematologic and hematopoietic diseases
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphocytes B
Lymphoma
Lymphoma, Follicular - genetics
Lymphoma, Follicular - pathology
Lymphoma, Large B-Cell, Diffuse - genetics
Lymphoma, Large B-Cell, Diffuse - pathology
Lymphoma, Non-Hodgkin - genetics
Lymphoma, Non-Hodgkin - pathology
Male
Medical genetics
Medical prognosis
Medical sciences
Middle Aged
Multivariate analysis
Non-Hodgkin's lymphoma
Oncology
Patients
Pharmacology. Drug treatments
Prognosis
Survival analysis
Survival Rate
Translocation, Genetic
Trisomy
title Non-Hodgkin lymphoma with t(14;18): clonal evolution patterns and cytogenetic-pathologic-clinical correlations
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