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In situ follicular lymphoma with progressive transformation of the germinal centers confirmed by laser capture microdissection, IGH gene rearrangement analysis, and fluorescence in situ hybridization for t(14;18)

Summary The authors report an unusual case of in situ follicular lymphoma associated with progressive transformation of the germinal centers. The patient was a 74-year-old Chinese woman with sequential lymphadenopathy in the right and left cervical regions over a period of 2 months. The first biopsy...

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Published in:Human pathology 2012, Vol.43 (1), p.138-143
Main Authors: Li, Jin-nan, MD, Zhang, Wen-yan, MD, Tang, Yuan, MD, Li, Gan-di, MD, Dong, Dan-dan, MD
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description Summary The authors report an unusual case of in situ follicular lymphoma associated with progressive transformation of the germinal centers. The patient was a 74-year-old Chinese woman with sequential lymphadenopathy in the right and left cervical regions over a period of 2 months. The first biopsy revealed in situ follicular lymphoma with progressive transformation of germinal centers, and the biopsy of the second lymph node led to a diagnosis of in situ follicular lymphoma. The immunophenotype, polymerase chain reaction amplification of the immunoglobulin heavy chain gene, and fluorescence in situ hybridization for t(14;18) were analyzed in each biopsy specimen, which showed both specimens to have t(14;18)(q32;q21) and revealed progression from polyclonality to monoclonality. These findings suggest a case of multicentric in situ follicular lymphoma and provide new insights into the pathogenesis of this disease.
doi_str_mv 10.1016/j.humpath.2011.01.035
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The patient was a 74-year-old Chinese woman with sequential lymphadenopathy in the right and left cervical regions over a period of 2 months. The first biopsy revealed in situ follicular lymphoma with progressive transformation of germinal centers, and the biopsy of the second lymph node led to a diagnosis of in situ follicular lymphoma. The immunophenotype, polymerase chain reaction amplification of the immunoglobulin heavy chain gene, and fluorescence in situ hybridization for t(14;18) were analyzed in each biopsy specimen, which showed both specimens to have t(14;18)(q32;q21) and revealed progression from polyclonality to monoclonality. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymphatic system ; Lymphocytes ; Lymphoma ; Lymphoma - genetics ; Lymphoma - pathology ; Lymphoma, Follicular - genetics ; Lymphoma, Follicular - pathology ; Medical genetics ; Medical sciences ; Pathology ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Progressive transformation of germinal centers ; t(14;18)(q32;q21) ; Translocation, Genetic</subject><ispartof>Human pathology, 2012, Vol.43 (1), p.138-143</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. 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The patient was a 74-year-old Chinese woman with sequential lymphadenopathy in the right and left cervical regions over a period of 2 months. The first biopsy revealed in situ follicular lymphoma with progressive transformation of germinal centers, and the biopsy of the second lymph node led to a diagnosis of in situ follicular lymphoma. The immunophenotype, polymerase chain reaction amplification of the immunoglobulin heavy chain gene, and fluorescence in situ hybridization for t(14;18) were analyzed in each biopsy specimen, which showed both specimens to have t(14;18)(q32;q21) and revealed progression from polyclonality to monoclonality. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymphatic system</subject><subject>Lymphocytes</subject><subject>Lymphoma</subject><subject>Lymphoma - genetics</subject><subject>Lymphoma - pathology</subject><subject>Lymphoma, Follicular - genetics</subject><subject>Lymphoma, Follicular - pathology</subject><subject>Medical genetics</subject><subject>Medical sciences</subject><subject>Pathology</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymphatic system</topic><topic>Lymphocytes</topic><topic>Lymphoma</topic><topic>Lymphoma - genetics</topic><topic>Lymphoma - pathology</topic><topic>Lymphoma, Follicular - genetics</topic><topic>Lymphoma, Follicular - pathology</topic><topic>Medical genetics</topic><topic>Medical sciences</topic><topic>Pathology</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Progressive transformation of germinal centers</topic><topic>t(14;18)(q32;q21)</topic><topic>Translocation, Genetic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Jin-nan, MD</creatorcontrib><creatorcontrib>Zhang, Wen-yan, MD</creatorcontrib><creatorcontrib>Tang, Yuan, MD</creatorcontrib><creatorcontrib>Li, Gan-di, MD</creatorcontrib><creatorcontrib>Dong, Dan-dan, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Human pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Jin-nan, MD</au><au>Zhang, Wen-yan, MD</au><au>Tang, Yuan, MD</au><au>Li, Gan-di, MD</au><au>Dong, Dan-dan, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In situ follicular lymphoma with progressive transformation of the germinal centers confirmed by laser capture microdissection, IGH gene rearrangement analysis, and fluorescence in situ hybridization for t(14;18)</atitle><jtitle>Human pathology</jtitle><addtitle>Hum Pathol</addtitle><date>2012</date><risdate>2012</risdate><volume>43</volume><issue>1</issue><spage>138</spage><epage>143</epage><pages>138-143</pages><issn>0046-8177</issn><eissn>1532-8392</eissn><coden>HPCQA4</coden><abstract>Summary The authors report an unusual case of in situ follicular lymphoma associated with progressive transformation of the germinal centers. The patient was a 74-year-old Chinese woman with sequential lymphadenopathy in the right and left cervical regions over a period of 2 months. The first biopsy revealed in situ follicular lymphoma with progressive transformation of germinal centers, and the biopsy of the second lymph node led to a diagnosis of in situ follicular lymphoma. The immunophenotype, polymerase chain reaction amplification of the immunoglobulin heavy chain gene, and fluorescence in situ hybridization for t(14;18) were analyzed in each biopsy specimen, which showed both specimens to have t(14;18)(q32;q21) and revealed progression from polyclonality to monoclonality. These findings suggest a case of multicentric in situ follicular lymphoma and provide new insights into the pathogenesis of this disease.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21733560</pmid><doi>10.1016/j.humpath.2011.01.035</doi><tpages>6</tpages></addata></record>
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identifier ISSN: 0046-8177
ispartof Human pathology, 2012, Vol.43 (1), p.138-143
issn 0046-8177
1532-8392
language eng
recordid cdi_proquest_miscellaneous_911932862
source Elsevier
subjects Aged
Biological and medical sciences
Cell Transformation, Neoplastic - genetics
Cell Transformation, Neoplastic - pathology
Chromosome aberrations
Chromosomes
Chromosomes, Human, Pair 14
Chromosomes, Human, Pair 18
Clone Cells
Disease Progression
Female
Gene Rearrangement
Germinal Center - pathology
Hematologic and hematopoietic diseases
Histology
Humans
Hybridization
Immunoglobulin Heavy Chains - genetics
Immunophenotyping
In situ follicular lymphoma
In Situ Hybridization, Fluorescence - methods
Investigative techniques, diagnostic techniques (general aspects)
Laser Capture Microdissection
Lasers
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphatic system
Lymphocytes
Lymphoma
Lymphoma - genetics
Lymphoma - pathology
Lymphoma, Follicular - genetics
Lymphoma, Follicular - pathology
Medical genetics
Medical sciences
Pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Progressive transformation of germinal centers
t(14
18)(q32
q21)
Translocation, Genetic
title In situ follicular lymphoma with progressive transformation of the germinal centers confirmed by laser capture microdissection, IGH gene rearrangement analysis, and fluorescence in situ hybridization for t(14;18)
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