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).

Abstract:

: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.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Li JN,Zhang WY,Tang Y,Li GD,Dong DD

doi

10.1016/j.humpath.2011.01.035

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

138-43

issue

1

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(11)00154-7

journal_volume

43

pub_type

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