Mantle Cell Lymphoma With Mantle Zone Growth Pattern.


Journal

American journal of clinical pathology
ISSN: 1943-7722
Titre abrégé: Am J Clin Pathol
Pays: England
ID NLM: 0370470

Informations de publication

Date de publication:
05 07 2019
Historique:
pubmed: 30 5 2019
medline: 13 3 2020
entrez: 30 5 2019
Statut: ppublish

Résumé

To characterize the clinical and pathologic features of mantle cell lymphoma with mantle zone growth pattern (MCL-MZGP). The clinicopathologic data from 35 cases of MCL-MZGP obtained in 12 centers were analyzed. The patients with MCL-MZGP typically sought treatment at high clinical stages (81%). Intriguingly, 40% (14/35) of cases were incidentally noted. The lymph nodes with MCL-MZGP showed preserved architecture and expanded mantles containing lymphoma cells with classic or small cell cytology. MCL-MZGP was positive for BCL2 (96%, bright), CD5 (82%, moderate), cyclin D1 (100%), and SOX11 (89%). Clinically, our study revealed no significant difference in the overall survival between patients managed with observation alone and those who received chemotherapy. MCL-MZGP was often incidentally identified and resembled reactive mantles. Therefore, recognition of this unusual morphology emphasizes the utility of cyclin D1 immunostain in the cases with suspicious morphology. However, the clinical significance of these findings is still unclear.

Identifiants

pubmed: 31140550
pii: 5505361
doi: 10.1093/ajcp/aqz043
doi:

Substances chimiques

BCL2 protein, human 0
CD5 Antigens 0
Proto-Oncogene Proteins c-bcl-2 0
SOX11 protein, human 0
SOXC Transcription Factors 0
Cyclin D1 136601-57-5

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

132-145

Commentaires et corrections

Type : CommentIn

Informations de copyright

© American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

Ji Yuan (J)

Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha.

Shaoying Li (S)

Department of Hematopathology, MD Anderson Cancer Center, Houston, TX.

Xin Liu (X)

Department of Pathology, Duke University Medical Center, Durham, NC.

Ruijun Jeanna Su (RJ)

Department of Pathology, University of California, Davis, Sacramento.

Mingyi Chen (M)

Department of Pathology, University of Texas Southwestern Medical Center, Dallas.

Xiaojun Wu (X)

Department of Pathology, Johns Hopkins University, Baltimore, MD.

Gang Zheng (G)

Department of Pathology, Johns Hopkins University, Baltimore, MD.

Lynette M Smith (LM)

Department of Biostatistics, University of Nebraska Medical Center, Omaha.

Lifu Wang (L)

Department of Hematopathology, MD Anderson Cancer Center, Houston, TX.
Department of Pathology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.

Yanxia Li (Y)

Department of Pathology, Advocate Christ Medical Center, Oak Lawn, IL.

Cynthia Liu (C)

Department of Pathology, New York University Langone Medical Center, New York.

Jiehao Zhou (J)

Department of Pathology and Laboratory Medicine, Indiana University, Indianapolis.

Qi Shen (Q)

Central Florida Pathology Associates, Orlando.

Linsheng Zhang (L)

Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA.

Endi Wang (E)

Department of Pathology, Duke University Medical Center, Durham, NC.

Mina L Xu (ML)

Department of Pathology, Yale University School of Medicine, New Haven, CT.

Zenggang Pan (Z)

Department of Pathology, Yale University School of Medicine, New Haven, CT.

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Classifications MeSH