Bone marrow involvement by marginal zone B-cell lymphomas of different types.

Abstract:

:We compared the morphologic findings of different types of marginal zone B-cell lymphoma (MZL) involving the bone marrow (BM), including 18 splenic (SMZL), 6 extranodal (mucosa-associated lymphoid tissue lymphoma), and 6 nodal cases. The median percentage of BM involvement was 15%, and multiple overlapping patterns of infiltration were observed in all MZL types. The most frequent patterns were nodular (87%) and interstitial (63%). A focal sinusoidal pattern of involvement was found in one third of SMZLs and rarely in MALT lymphoma. Germinal centers (GCs) were uncommon in routinely stained BM biopsy sections and were observed only in SMZL. However, antibodies specific for CD21 and CD23 highlighted follicular dendritic cells in most MZLs of all types. MZLs cannot be distinguished from each other by examining BM sections alone. However, a sinusoidal pattern or presence of GCs is suggestive of SMZL. Furthermore, correlation with the CBC count can further enhance the reliability of diagnosing SMZL.

journal_name

Am J Clin Pathol

authors

Inamdar KV,Medeiros LJ,Jorgensen JL,Amin HM,Schlette EJ

doi

10.1309/HRHQFBFTR8B4LXT4

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

714-22

issue

5

eissn

0002-9173

issn

1943-7722

pii

F266578433335718

journal_volume

129

pub_type

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