368 results match your criteria: "Lymphoma High-Grade Malignant Immunoblastic"

Double-Hit Diffuse Large B-Cell Lymphoma in AIDS.

Cureus

November 2024

Internal Medicine, Sri Ramachandra Medical College, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Diffuse large B-cell lymphoma (DLBCL) is the most common type of immunoblastic lymphoma associated with AIDS, with the stomach being the most frequent extranodal site of involvement. Despite the widespread use of combined antiretroviral therapy (cART), the incidence of systemic lymphomas remains relatively high. These lymphomas often present in the early stages of AIDS as high-grade malignancies.

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Immunophenotypic and genomic landscape of Richter transformation diffuse large B-cell lymphoma.

Pathology

June 2023

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; Department of Pathology, The University of Nebraska Medical Center, Omaha, NE, USA. Electronic address:

Article Synopsis
  • The study analyzed 142 patients diagnosed with Richter transformation of diffuse large B-cell lymphoma (RT-DLBCL), focusing on morphological, immunophenotypic, and molecular characteristics.
  • Findings revealed that RT-DLBCL predominantly exhibited immunoblastic morphology with specific marker expressions, including high levels of CD19 and BCL2, while a significant portion displayed a non-germinal center B-cell immunophenotype.
  • Genetic analysis indicated notable chromosome alterations and common mutations involving TP53, with no significant difference in overall survival between different immunophenotypes, although CD5 expression appeared to correlate with overall survival outcomes.
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CD3-positive plasmablastic lymphoma reported in two cases: A potential diagnostic caveat.

Indian J Pathol Microbiol

November 2021

Department of Pathology, Faculty of Medicine, Universiti Kebangsaan, Malaysia Medical Centre, Kuala Lumpur, Malaysia.

Plasmablastic lymphoma (PBL) is a rare aggressive subtype of mature large B cell lymphoma involving almost exclusively the extranodal regions particularly the oral cavity, frequently described in immunocompromised patients. PBL is characterized histologically by diffuse proliferation of large neoplastic cells resembling B immunoblasts or plasmablasts. The diagnosis of PBL can be difficult due to its ambiguous histopathological features mimicking most large cell lymphomas and lacking a distinctive immunophenotypic pattern.

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Malignant ulcer: a great mimicker of gastric plasmablastic lymphoma.

Clin J Gastroenterol

August 2021

Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Plasmablastic lymphoma (PBL) is an uncommon human immunodeficiency virus (HIV)-associated lymphoma, with a predilection to develop in the oral cavity. It usually has a plasmablastic morphology with weak or no expression of B cell-associated markers. Among non-HIV patients, it tends to occur in the gastrointestinal (GI) tract, lymph nodes, and skin.

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Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) is an indolent small B-cell neoplasm that may transform into a clinically aggressive disease, namely Richter syndrome, usually as diffuse large B-cell lymphoma. Besides, CLL/SLL encompasses an increased risk of developing other secondary cancers, including a variety of T-cell lymphomas, often of the anaplastic large-cell type or with a cytotoxic phenotype. Here, we report a small series of patients with composite lymphomas consisting of CLL/SLL and angioimmunoblastic T-cell lymphoma (AITL), a hitherto unrecognized association.

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Chromosomal breakpoints involving the MYC gene locus, frequently referred to as MYC rearrangements (MYC - R+), are a diagnostic hallmark of Burkitt lymphoma and recurrent in many other subtypes of B-cell lymphomas including follicular lymphoma, diffuse large B-cell lymphoma and other high-grade B-cell lymphomas and are associated with an aggressive clinical course. In remarkable contrast, in MCL, only few MYC - R+ cases have yet been described. In the current study, we have retrospectively analysed 16 samples (MYC - R+, n = 15, MYC - R-, n = 1) from 13 patients and describe their morphological, immunophenotypic and (molecular) genetic features and clonal evolution patterns.

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[Angioimmunoblastic T-cell lymphoma: histopathological grading and prognosis].

Zhonghua Bing Li Xue Za Zhi

October 2019

Department of Pathology, Changhai Hospital, Naval Military Medical University, Shanghai 200433, China.

To investigate the histological features and prognostic factors of angioimmunoblastic T-cell lymphoma (AITL). The pathological data of 62 patients with AITL with complete follow-up information were retrospectively collected and analyzed from Changhai Hospital during September 2012 and September 2017. Histological and immunohistochemical (IHC) examination, in situ hybridization (ISH), and single nucleotide polymorphisms (SNP) gene mutation analysis were done.

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Article Synopsis
  • Most high-grade B-cell lymphomas with rearrangements of MYC and BCL2/BCL6 are aggressive, while double-hit follicular lymphomas are less understood; this study analyzed 10 cases of the latter compared to 15 aggressive B-cell lymphomas.
  • The median age of patients with double-hit follicular lymphomas was 67.5 years, with a common occurrence of advanced disease and a follow-up period showing 8 out of 10 patients were alive at the end.
  • Notable findings included high MYC positivity in 9 cases, distinct genome profiles compared to conventional follicular lymphomas, and fewer copy-number alterations compared to high-grade B
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Prognostically relevant risk factors in patients with diffuse large B-cell lymphoma (DLBCL) have predominantly been evaluated in elderly populations. We tested whether previously described risk factors are also valid in younger, poor-prognosis DLBCL patients. Paraffin-embedded samples from 112 patients with de novo DLBCL, enrolled in the R-MegaCHOEP trial of the German High Grade Non-Hodgkin Lymphoma Study Group (DSHNHL) were investigated using immunohistochemistry (MYC, FOXP1, LMO2, GCET1, CD5, CD10, BCL2, BCL6, IRF4/MUM1) and fluorescence in situ hybridization (MYC, BCL2, BCL6).

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Prognostic analyses on anatomical and morphological classification of feline lymphoma.

J Vet Med Sci

June 2014

Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.

The present study was carried out to analyze the prognosis of 163 cats with lymphoma classified anatomically and cytomorphologically. Anatomically, alimentary lymphoma was the most common form and showed significantly shorter survival than mediastinal and nasal lymphomas in cats. Cytomorphologically, there was no predominant subtype in feline lymphomas.

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A case of angioimmmunoblastic T-cell lymphoma (AITL) is herein reported. The patient was a 33-year-old female who presented with a tumor arising in the rear of the left lobe of the thyroid. Total removal of the tumor was easily undertaken.

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Canine lymphoma is the neoplasm most often treated by chemotherapy, yet there are few data to correlate response to therapy with its different subtypes. This study is based on biopsy specimens from 992 dogs for which lymphoma was the clinical diagnosis. All cases were phenotyped by immunohistochemistry for CD3 and CD79alpha.

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The purpose of this study was to determine the activity of topotecan given by 21-day continuous infusion in patients previously treated with one prior therapy for a diffuse large-cell lymphoma or immunoblastic lymphoma. Patients with appropriate histology and measurable disease who had been treated with one prior chemotherapy regimen were eligible for study. Slides of tumor biopsies were submitted for central review of pathology.

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Evaluation of the prognostic significance of BCL6 gene expression in canine high-grade B-cell lymphoma.

Vet J

January 2012

Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Science, The University of Tokyo, 1-1-1 Yayoi, Tokyo 113-8657, Japan.

The clinical usefulness of BCL6 gene expression was evaluated as a prognostic indicator in dogs with high-grade B-cell lymphoma. Forty-four dogs were diagnosed with centroblastic or B-cell immunoblastic type lymphoma according to the updated Kiel classification. BCL6 mRNA expression was measured by real-time PCR and its relationship with prognosis was analyzed.

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Oropharyngeal plasmablastic lymphoma in a man with human immunodeficiency virus infection: A case report.

Ear Nose Throat J

December 2010

Department of Pathology, Kasturba Medical College, Lighthouse Hill Rd., Mangalore, Karnataka-575 001, India.

Oropharyngeal lymphomas are rare, typically high-grade neoplasms. We describe a case of plasmablastic lymphoma that originated in the oropharynx of a 40-year-old man who was positive for human immunodeficiency virus (HIV). The diagnosis was based on fine-needle aspiration cytology of the mass followed by histopathologic examination supplemented with immunophenotyping.

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Lymphomas occur with an increased frequency in patients with Human Immunodeficiency Virus (HIV) infection. These are usually high-grade immunoblastic lymphomas and primary central nervous system lymphomas. Anaplastic large cell lymphoma (ALCL) is a distinct type of non-Hodgkin's lymphoma.

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Follicular lymphoma (FL) is an indolent lymphoma that transforms to high-grade lymphoma, mostly diffuse large B-cell lymphoma, in about a third of patients. We present the first report of a case of FL that transformed to plasmablastic lymphoma (PBL). Clonal transformation of the FL to PBL was evidenced by identical IGH/BCL2 gene rearrangements and VDJ gene usage in rearranged IGH genes.

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Plasmablastic lymphoma may occur as a high-grade transformation from plasmacytoma.

Exp Mol Pathol

February 2011

Department of Pathology, Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, CA 90509, USA.

Plasmablastic lymphoma (PBL) is an uncommon aggressive lymphoma arising most frequently in the oral cavity of HIV-infected patients. Rare cases of PBL have been reported in extraoral sites, particularly extranodal sites, as well as in immunocompetent patients. We report an unusual case of PBL in a 69-year-old, HIV-negative non-immunocompromised man presenting with generalized lymphadenopathy.

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Article Synopsis
  • - The survival rates of patients with diffuse large B-cell lymphoma (DLBCL) vary greatly due to the tumor's molecular diversity, leading researchers to explore which tumor features can predict patient outcomes in the context of modern R-CHOP treatment.
  • - A study involving 949 DLBCL patients revealed that while certain immunohistochemical markers had limited prognostic value, the examination of IB morphology emerged as a significant adverse prognostic factor, showing good reliability among experienced pathologists.
  • - The findings suggest that recognizing IB morphology may identify underlying molecular alterations in DLBCL that aren't detectable using standard diagnostic tools, indicating its importance for predicting patient prognosis.
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Plasmablastic lymphoma involving the parotid gland.

Head Neck Pathol

June 2010

Department of Pathology, The Johns Hopkins Medical Institutions, 600 N. Wolfe St., Baltimore, MD 21287, USA.

Article Synopsis
  • Plasmablastic lymphoma is a rare, aggressive form of non-Hodgkin lymphoma primarily linked to HIV, but it can occur in people with a healthy immune system.
  • A case study reported an HIV-positive man with a rapidly growing mass in his parotid gland, an unusual site for this type of lymphoma, which was diagnosed through various laboratory techniques.
  • Early recognition of plasmablastic lymphoma is crucial due to its difficulty in diagnosis, especially in locations outside the oral cavity, making it important for healthcare professionals to consider it in patients with high-grade malignancies, particularly those who are HIV-positive.
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A morphological study of 608 cases of canine malignant lymphoma in France with a focus on comparative similarities between canine and human lymphoma morphology.

Vet Pathol

May 2010

Laboratoire de Pathologie Clinique et Unité d'Oncologie, Ecole Nationale Vétérinaire de Lyon, 1 Avenue Bourgelat, 69280 Marcy L'Etoile, France.

This study reports cytomorphological, histomorphological, and immunological characterization of 608 biopsy cases of canine malignant lymphoma, with epidemiological and clinical data, collected from 7 French veterinary pathology laboratories. It compares morphological characteristics of malignant lymphoma in canines, per the updated Kiel classification system, with those reported in humans, per the World Health Organization (WHO) classification system. Of tumors described, 24.

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Background: Research on prognostically relevant immunohistochemical markers in diffuse large B-cell lymphomas has mostly been performed on retrospectively collected clinical data. This is also true for immunohistochemical classifiers that are thought to reflect the cell-of-origin subclassification of gene expression studies. In order to obtain deeper insight into the heterogeneous prognosis of diffuse large B-cell lymphomas and to validate a previously published immunohistochemical classifier, we analyzed data from a large set of cases from prospective clinical trials with long-term follow-up.

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Epstein-Barr virus positive diffuse large B-cell lymphoma of the elderly.

Leuk Lymphoma

March 2009

Department of Pathology and Laboratory Medicine, Loma Linda University Medical Center, Loma Linda, CA 92354, USA.

Epstein-Barr virus positive diffuse large B-cell lymphoma (EBV+ DLBCL) of the elderly is a rare B-cell lymphoproliferative disorder (B-LPD) that occurs in patients > 50 years with no known history of immunodeficiency or lymphoma. Patients present with moderate to severe clinical B-symptoms. These lesions show complete effacement of normal tissue/nodal architecture by large atypical lymphoid cells/immunoblasts and Hodgkin/Reed-Sternberg-like giant cells with variable amounts of inflammatory cells in the background.

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Twenty ferrets with histopathologically diagnosed lymphoma were classified cytomorphologically and immunohistochemically. According to site of origin, multicentric, gastrointestinal, mediastinal and cutaneous lymphomas accounted for 8 (40%), 9 (45%), 2 (10%) and 1 case (5%), respectively. According to the National Cancer Institute Working Formulation (NCI-WF), low-, high- and intermediate-grade lymphomas accounted for 4 (20%), 4 (20%) and 12 cases (60%), respectively.

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Primary tumors of the small intestine are rare; 15-20% of the cases are extranodal lymphomas from B or T cells. Higher Incidence occurs in patients between 21 and 50 years. The clinical symptoms are pain, intestinal obstruction, diarrhea, bleeding or perforated peritonitis.

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