Publications by authors named "Evelyne Callet- Bauchu"

Extracellular adenosine is produced from ATP by CD39 and CD73, and can modulate tumor development by acting on cancer cells or immune cells. Adenosine metabolism has been poorly studied in uveal melanoma. We studied the protein levels of CD39 and CD73 in a small, well described cohort of patients with uveal melanoma.

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After analyzing treatment patterns in chronic lymphocytic leukemia (CLL) (objective 1), we investigated the relative effectiveness of ibrutinib versus other commonly used treatments (objective 2) in patients with treatment-naïve and relapsed/refractory CLL, comparing patient-level data from two randomized registration trials with two real-world databases. Hazard ratios (HR) and 95% confidence intervals (CIs) were estimated using a multivariate Cox proportional hazards model, adjusted for differences in baseline characteristics. Rituximab-containing regimens were often prescribed in clinical practice.

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According to the World Health Organization (WHO) classification, the nosology of B-cell neoplasms integrates clinical, morphological, phenotypic, and genetic data. In this retrospective analysis, we identified 18 patients with isolated neoplastic lymphocytosis that could not be accurately classified within the WHO classification. Most of them were asymptomatic at the time of diagnosis and the evolution was relatively indolent, as only five patients required treatment after a median follow-up of 48 months.

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Article Synopsis
  • * Key chromosomal changes included deletions and trisomies, with a high rate of mutations in several genes like TP53 and MYD88; researchers identified three risk groups based on these genetic alterations.
  • * The study suggests that using specific drug combinations targeting MYC may enhance treatment effectiveness, and that cytogenetic analysis can aid in diagnosing and predicting outcomes in B-PLL.
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In splenic marginal zone lymphoma (SMZL), specific and functional Toll-like Receptor (TLR) patterns have been recently described, suggesting their involvement in tumoral proliferation. Splenic diffuse red pulp lymphoma with villous lymphocytes (SDRPL) is close to but distinct from SMZL, justifying here the comparison of TLR patterns and functionality in both entities. Distinct TLR profiles were observed in both lymphoma subtypes.

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Splenic diffuse red pulp lymphoma is an indolent small B-cell lymphoma recognized as a provisional entity in the World Health Organization 2008 classification. Its precise relationship to other related splenic B-cell lymphomas with frequent leukemic involvement or other lymphoproliferative disorders remains undetermined. We performed whole-exome sequencing to explore the genetic landscape of ten cases of splenic diffuse red pulp lymphoma using paired tumor and normal samples.

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Cytogenetic abnormalities represent essential determinants of diagnosis and prognosis in B-cell lymphomas. Their theranostic value is increasingly significant with the development of targeted therapies, in order to adapt the treatment at diagnosis as well as when relapse occurs. Areas covered: As the significance of these biomarkers is influenced by the technology used to detect them, an overview describing the strength and weakness of conventional and emerging technologies is provided.

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Article Synopsis
  • Non-Hodgkin's lymphomas encompass various disorders, with the 2008 WHO classification emphasizing the importance of a multidisciplinary approach, integrating cytogenetics for diagnosis and understanding clonality.
  • Recent developments have led to the identification of new provisional entities, like BCLU, highlighting the need for karyotype analysis to differentiate between similar lymphoid diseases.
  • Advances in karyotyping techniques and the use of next-generation sequencing are enhancing the diagnostic process and revealing key oncogenic mechanisms in these malignancies, underscoring the role of molecular biomarkers in treatment decisions.
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Acquired recurrent cytogenetic abnormalities are frequent in chronic lymphocytic leukaemia (CLL). They can be associated with good or poor prognostic factors, and also with gene mutations. Chromosomal abnormalities could be clonal or sub-clonal.

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Splenic Diffuse Red Pulp Lymphoma (SDRPL) has been recently introduced as a provisional entity but differential diagnosis with other splenic lymphomas is needed to be clarified since the therapeutic approaches are distinct. Recently described recurrent mutations or CD180 expression appear useful for differential diagnosis. We completed our previous description in a larger cohort including 53 patients selected on the presence of characteristic villous cells in peripheral blood (PB) and a specific immunophenotype.

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Dysregulation of MYC is the genetic hallmark of Burkitt lymphoma (BL) but it is encountered in other aggressive mature B-cell lymphomas. MYC dysregulation needs other cooperating events for BL development. We aimed to characterize these events and assess the differences between adult and paediatric BLs that may explain the different outcomes in these two populations.

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Article Synopsis
  • Supernumerary ring chromosomes (SRC) often come from areas near the centromere, making them difficult to identify, especially in cases with low mosaicism.
  • A specific patient presented with multiple developmental issues, and genetic analysis revealed a small SRC originating from chromosome 7, identified through a combination of FISH, M-FISH, and array-CGH techniques.
  • This research highlights the importance of using various methods for detecting low-mosaicism and adds to understanding the characteristics of partial trisomy 7q.
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  • The study investigates the role of CD180, an orphan Toll-like receptor, in lymphoproliferative disorders by analyzing its expression in various lymphoma types using flow cytometry.
  • Results show that while CD180 expression in follicular lymphoma (FL) B-cells is similar to controls in lymph nodes, it is significantly lower in other types like mantle cell lymphoma (MCL) and chronic lymphocytic leukemia (CLL), and varies when assessed in peripheral blood.
  • The findings suggest that CD180 expression can help diagnose these disorders, but its interpretation must consider the sample's anatomical origin.
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Follicular Lymphoma (FL) is the second most common non-Hodgkin lymphoma (NHL) subtype and its course is heterogeneous. At diagnosis, some patients with FL manifest a detectable leukaemic phase (FL-LP), but this feature has been seldom described and is poorly characterized. Among 499 patients diagnosed with FL in Lyon-Sud hospital, 37 (7·4%) had characteristic FL-LP (by cytological blood smears and flow cytometric analysis).

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Splenectomy is considered as one of the first-line treatments for symptomatic patients with splenic marginal zone lymphoma (SMZL). Between 1997 and 2012, 100 hepatitis C virus-negative patients with SMZL were treated by splenectomy as first-line treatment. At 6 months, all patients but three recovered from all cytopenias.

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Aims: To describe 76 cases of splenic marginal zone lymphoma (SMZL), including correlations with clinical and other characteristics.

Methods And Results: Patients were predominantly female, with a median age of 62 years. The main clinical presentation was splenomegaly, except for eight cases presenting with evolution of autoimmune disorders or spontaneous splenic rupture.

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