The Spectrum of B-Cell Non-Hodgkin Lymphomas With Dual IgH-BCL2 and BCL6 Translocations

Dual IgH/BCL2 and BCL6 translocations are rarely observed in B-cell non-Hodgkin lymphomas (B-NHLs). We investigated the morphologic, phenotypic, and cytogenetic spectrum of B-NHL with such dual translocations. Dual IgH/BCL2 and BCL6 translocations were detected in follicular lymphomas (FLs) and diff...

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Veröffentlicht in:American journal of clinical pathology 2008-08, Vol.130 (2), p.193-201
Hauptverfasser: KELLER, Christian E, NANDULA, Subhadra, FISHER, Julie, SUBRAMANIYAM, Shivakumar, VAKIANI, Efsevia, SAVAGE, David G, MURTY, Vundavalli V, ALOBEID, Bachir, BHAGAT, Govind
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container_issue 2
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container_title American journal of clinical pathology
container_volume 130
creator KELLER, Christian E
NANDULA, Subhadra
FISHER, Julie
SUBRAMANIYAM, Shivakumar
VAKIANI, Efsevia
SAVAGE, David G
MURTY, Vundavalli V
ALOBEID, Bachir
BHAGAT, Govind
description Dual IgH/BCL2 and BCL6 translocations are rarely observed in B-cell non-Hodgkin lymphomas (B-NHLs). We investigated the morphologic, phenotypic, and cytogenetic spectrum of B-NHL with such dual translocations. Dual IgH/BCL2 and BCL6 translocations were detected in follicular lymphomas (FLs) and diffuse large B-cell lymphomas (DLBCLs), representing 6.1% of 132 B-NHLs in our series, including 6 (11%) of 56 FLs (grades 1, 2, and 3a) and 2 (3%) of 76 DLBCLs; 33% of FLs with dual translocations had variant morphologic features. All dual-translocation FLs were CD10+/BCL6+/BCL2+/MUM1-, and the DLBCLs demonstrated "activated" germinal center (CD10+/BCL6+/MUM1+) and non-germinal center (CD10-/BCL6+/MUM1+) phenotypes. BCL6 translocations in all cases involved nonimmunoglobulin genes/loci. Mean chromosome abnormalities in dual-translocation FLs and DLBCLs did not differ from IgH/BCL2 FLs and DLBCLs. Detection of dual translocations predominantly in low-grade FLs suggests that BCL6 abnormalities are acquired early in the histologic evolution of a subset of IgH/BCL2-associated FLs.
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We investigated the morphologic, phenotypic, and cytogenetic spectrum of B-NHL with such dual translocations. Dual IgH/BCL2 and BCL6 translocations were detected in follicular lymphomas (FLs) and diffuse large B-cell lymphomas (DLBCLs), representing 6.1% of 132 B-NHLs in our series, including 6 (11%) of 56 FLs (grades 1, 2, and 3a) and 2 (3%) of 76 DLBCLs; 33% of FLs with dual translocations had variant morphologic features. All dual-translocation FLs were CD10+/BCL6+/BCL2+/MUM1-, and the DLBCLs demonstrated "activated" germinal center (CD10+/BCL6+/MUM1+) and non-germinal center (CD10-/BCL6+/MUM1+) phenotypes. BCL6 translocations in all cases involved nonimmunoglobulin genes/loci. Mean chromosome abnormalities in dual-translocation FLs and DLBCLs did not differ from IgH/BCL2 FLs and DLBCLs. Detection of dual translocations predominantly in low-grade FLs suggests that BCL6 abnormalities are acquired early in the histologic evolution of a subset of IgH/BCL2-associated FLs.</abstract><cop>Chicago, IL</cop><pub>American Society of Clinical Pathologists</pub><pmid>18628087</pmid><doi>10.1309/ELPKF130Q0MCMWU8</doi><tpages>9</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Chromosomes, Human, Pair 14
Chromosomes, Human, Pair 18
Chromosomes, Human, Pair 3
Female
Genes, bcl-2
Genes, Immunoglobulin
Hematologic and hematopoietic diseases
Humans
Immunoglobulin Heavy Chains - genetics
Investigative techniques, diagnostic techniques (general aspects)
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, B-Cell - genetics
Male
Medical sciences
Middle Aged
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Proto-Oncogene Proteins c-bcl-6 - genetics
Translocation, Genetic
title The Spectrum of B-Cell Non-Hodgkin Lymphomas With Dual IgH-BCL2 and BCL6 Translocations
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