Mantle cell lymphoma—a spectrum from indolent to aggressive disease

Mantle cell lymphoma (MCL) is a distinctive lymphoma type generally characterized by the presence of CCND1 translocation and overexpression of cyclin D1. MCL usually presents with advanced stage and rapid clinical progression. The diagnosis is in most instances uncomplicated but cases with variant m...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2016-03, Vol.468 (3), p.245-257
Hauptverfasser: Sander, Birgitta, Quintanilla-Martinez, Leticia, Ott, German, Xerri, Luc, Kuzu, Isinsu, Chan, John K. C., Swerdlow, Steven H., Campo, Elias
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container_issue 3
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container_title Virchows Archiv : an international journal of pathology
container_volume 468
creator Sander, Birgitta
Quintanilla-Martinez, Leticia
Ott, German
Xerri, Luc
Kuzu, Isinsu
Chan, John K. C.
Swerdlow, Steven H.
Campo, Elias
description Mantle cell lymphoma (MCL) is a distinctive lymphoma type generally characterized by the presence of CCND1 translocation and overexpression of cyclin D1. MCL usually presents with advanced stage and rapid clinical progression. The diagnosis is in most instances uncomplicated but cases with variant morphologies or immunophenotypes, especially cyclin D1-negative cases, may cause diagnostic difficulties. During the mantle cell lymphoma (MCL) session at the European Association of Haematopathology/Society for Hematopathology workshop 2014 held in Istanbul, Turkey, submitted cases illustrated interesting features such as unusual morphology or immunophenotypes. In several submitted cases of cyclin D1-positive MCL, CCND1 rearrangement could not be detected by t(11;14)(q13;q32) dual-color dual-fusion FISH but was suggested by CCND1 break-apart probes, and advantages and disadvantages of different FISH probes were highlighted. Three cyclin D1-negative MCL cases were submitted. These were identified by SOX11 immunohistochemistry and found to carry CCND2 translocations and/or to express high levels of cyclin D2 mRNA. Features associated with aggressive clinical course were presented including high expression of p53 protein and MYC aberrations. The need to integrate histological, immunophenotypic, genetic, and clinical data to arrive at the correct diagnosis was emphasized.
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source MEDLINE; SpringerNature Journals
subjects Animals
Humans
Immunohistochemistry - methods
Immunophenotyping - methods
In Situ Hybridization, Fluorescence
Lymphoma
Lymphoma, B-Cell - diagnosis
Lymphoma, B-Cell - genetics
Lymphoma, B-Cell - pathology
Lymphoma, Mantle-Cell - pathology
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Pathology
Probes
Review and Perspectives
Translocation
Translocation, Genetic - genetics
title Mantle cell lymphoma—a spectrum from indolent to aggressive disease
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