Prominent intrasinusoidal infiltration of the bone marrow by mantle cell lymphoma.

Abstract:

:Intrasinusoidal infiltration of bone marrow (BM) may accompany several malignant lymphoproliferative disorders. In small B-cell lymphomas, this pattern is considered specific for splenic marginal zone lymphoma (SMZL) when exclusive or prominent, although it may occur in other subtypes of non-Hodgkin's lymphomas (NHLs) as a minor feature. Here we report 2 cases of mantle cell lymphoma (MCL) with a prominent intrasinusoidal BM infiltration pattern. Both patients presented with massive splenomegaly and peripheral blood involvement characterized by markedly atypical lymphocytes, but no lymphadenopathy. The cytological features and the phenotype of the lymphoma cells were diagnostic of MCL. The malignant B cells showed coexpression of B-cell markers (CD20+ and CD79a+), CD5 antigen, and cyclin D1 by immunohistochemistry. We discuss the specificity of an intrasinusoidal growth pattern in the bone marrow, emphasizing the importance of using a broader immunohistochemical panel in the differential diagnosis of intrasinusoidal BM infiltration by NHL.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Schenka AA,Gascoyne RD,Duchayne E,Delsol G,Brousset P

doi

10.1016/s0046-8177(03)00286-7

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

789-91

issue

8

eissn

0046-8177

issn

1532-8392

pii

S0046817703002867

journal_volume

34

pub_type

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