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Standardization of CD30 immunohistochemistry staining among three automated immunostaining platforms.

Pathol Int

September 2024

Department of Pathology and Laboratory Medicine, Graduate School of Medicine, Nagoya University, Nagoya, Japan.

Article Synopsis
  • Identifying CD30 expression through immunohistochemistry is crucial for treating lymphomas with CD30-targeting antibody-drug conjugates, but no standardized staining protocol existed prior to this study.
  • The research compared three automated immunostaining platforms (Bond III, Dako Omnis, Ventana BenchMark ULTRA) using varying dilutions of a primary antibody to determine effective staining conditions.
  • The study found that adjusting antibody dilutions and cutoff values can achieve consistent CD30 staining across different platforms, with high concordance rates for diagnosing peripheral T-cell lymphomas.
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Background: CD30 expression is universal in anaplastic large-cell lymphoma and is expressed in some other peripheral T-cell lymphoma subtypes. Incorporation of brentuximab vedotin into initial therapy for people with CD30-positive peripheral T-cell lymphomas prolonged progression-free survival, but there is room for improvement, especially for people with non-anaplastic large-cell lymphoma subtypes.

Methods: We conducted a multicentre, international, single-arm, phase 2 trial to evaluate the safety and activity of CHEP-BV (cyclophosphamide, doxorubicin, prednisone, brentuximab vedotin, and etoposide) followed by brentuximab vedotin consolidation in patients with CD30-expressing peripheral T-cell lymphomas across five academic centres in the USA and Canada.

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DUSP22-rearranged primary cutaneous CD30-positive T-cell lymphoproliferative disorders and adult T-cell leukemia/lymphoma frequently share the LEF1+/TIA1- immunophenotype.

Hum Pathol

August 2024

Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, 110, Taiwan; Department of Pathology, Taipei Medical University Hospital, Taipei, 110, Taiwan; Department of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, 704, Taiwan. Electronic address:

Article Synopsis
  • DUSP22 rearrangements are genetic changes found in certain types of lymphomas, particularly in systemic and primary cutaneous anaplastic large cell lymphoma, as well as lymphomatoid papulosis, with previous studies mainly highlighting S-ALCL.
  • This study examined LEF1/TIA1 expression and MSC mutations in 23 cases of C-ALCL and LyP, finding DUSP22 rearrangements in eight cases and LEF1 expression present in 63% of those cases, while TIA1 was negative across the board.
  • The research indicated that the rate of LEF1 expression in DUSP22-rearranged C-ALCL/LyP is lower than that in S-ALCL
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Article Synopsis
  • The study focused on the clinicopathological features and differential diagnosis of primary mucosal CD30-positive T-cell lymphoproliferative disorders (pmCD30TLPD) by reviewing cases diagnosed between 2013 and 2023.
  • Eight cases were analyzed, revealing that most patients were middle-aged, with lesions primarily in the oral and anal mucosa, showing various morphological characteristics and immunophenotypes.
  • Despite the potential for misdiagnosis with other lymphoproliferative disorders, most patients had favorable outcomes, with only one succumbing to complications, emphasizing the importance of careful diagnosis and monitoring.
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Article Synopsis
  • * Histopathology revealed atypical lymphoid cells showing specific markers, raising concerns for anaplastic large cell lymphoma (ALCL), though the ulcer healed completely within three weeks.
  • * The authors conclude that this case represents a rare type of intraoral CD30+ T-cell LPD, which they believe corresponds to cutaneous LyP type C, highlighting its diagnostic challenges.
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Background: A delayed seroma around breast implants is the most common clinical presentation of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Interleukin-9 (IL-9), IL-10, and IL-13 concentrations are significantly higher in BIA-ALCL than in benign seromas, offering a means to distinguish between these conditions.

Objectives: The aim of this research was to test the ability of a lateral flow assay (LFA) to detect high concentrations of IL-9 rapidly.

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Article Synopsis
  • - Brentuximab vedotin (BV) is an effective treatment for refractory CD30+ mycosis fungoides and primary cutaneous anaplastic large-cell lymphoma, showing promising results in a study with Japanese patients.
  • - The study involved two groups: one with CD30+ mycosis fungoides and pcALCL, and another with different CD30+ lymphoproliferative disorders, with treatment cycles continuing based on patient response.
  • - The primary endpoint demonstrated a high objective response rate (69.2% for cohort 1 and 62.5% for cohort 2), with manageable side effects such as peripheral neuropathy and fever in some patients.
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Article Synopsis
  • The text discusses Peripheral T-cell lymphomas (PTCL), a diverse group of lymphomas, some of which express CD30, including anaplastic large cell lymphomas (ALCL) and a subset called PTCL, not otherwise specified (PTCL, NOS).* * It highlights the challenges in distinguishing between ALCL without ALK translocation (ALCL, ALK-) and PTCL that expresses CD30, particularly those that also express CD15 (PTCL CD30+CD15+).* * The study analyzed 19 cases to find relationships between these lymphoma types, revealing that some PTCL CD30+CD15+ cases may actually be ALCL, ALK-, and that a subset of ALCL, ALK
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Article Synopsis
  • Brentuximab vedotin (BV) is an antibody drug used to treat anaplastic large cell lymphoma (ALCL) and classic Hodgkin lymphoma (CHL), as well as other CD30-positive lymphomas.
  • A study analyzed 12 CHL and 9 ALCL patients after BV therapy, finding that 44% of ALCL patients experienced a loss or decrease of CD30 expression, while all CHL patients maintained consistent CD30 levels.
  • Patients with decreased CD30 expression received higher cumulative doses of BV and had lower initial CD30 expression; however, this decrease was not linked to specific subtypes of ALCL.
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Background: Primary anaplastic-lymphoma-kinase (ALK)-positive large-cell lymphoma of the central nervous system (PCNS ALK-positive ALCL) is a rare entity, with a limited consensus reached regarding its management. While this pathology often presents as solitary lesions, the occurrence of multiple tumors within the brain is not uncommon. The lack of distinctive radiological features poses a diagnostic challenge, leading to delays in initiating targeted therapy.

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Primary cutaneous CD30+ lymphoproliferative disorders with DUSP22 translocation.

Pathologie (Heidelb)

December 2023

Anatomic Pathology Service and Translational Hematopathology Lab, Hospital Universitario Marques de Valdecilla, Universidad de Cantabria, IDIVAL, Santander, Spain.

Article Synopsis
  • Primary cutaneous CD30+ lymphoproliferative disorders (LPD) consist of various clonal T cell proliferations, including lymphomatoid papulosis (LyP) and primary cutaneous anaplastic large cell lymphoma (ALCL), which have different clinical features.
  • A recent discovery has identified a specific DUSP22 translocation present in some cases of LyP and both cutaneous and systemic ALCL, leading to the classification of a new entity called "LyP with DUSP22t."
  • Biopsies from cases with DUSP22 rearrangements display a unique biphasic pattern and a distinctive protein expression profile, characterized by retained T Cell Receptor (TCR) expression and positivity for
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Article Synopsis
  • * A specific subtype of LyP, characterized by a rearrangement at the 6p25.3 locus related to the DUSP22-IRF4 gene, represents less than 5% of cases and tends to demonstrate a less aggressive clinical course.
  • * This paper presents a unique case of CD30 + PCLPD exhibiting the DUSP22-IRF4 rearrangement alongside a rare gamma/d
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Background: Discriminating between cutaneous anaplastic large cell lymphoma (cALCL) and CD30-positive transformed mycosis fungoides (CD30+ TMF) is challenging, particularly when they arise in the context of pre-existing mycosis fungoides. The development of molecular diagnostic tools was hampered by the rarity of both diseases and the limited understanding of their pathogenesis.

Methods: In this study, we established a cohort comprising 25 cALCL cases and 25 CD30+ TMF cases, with transcriptomic data obtained from 31 samples.

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Heuristics are cognitive strategies used to facilitate decision-making. They can be helpful tools for expediting pathologic diagnoses, however, they can also affect judgment and lead to biases that guide the pathologist astray. We report the case of a 52-year-old female who presented with two unusual pigmented lesions on the wrist and thigh that clinically and histopathologically resembled an atypical melanocytic proliferation.

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Mycosis fungoides with large-cell transformation (MF-LCT) occurs in a minor proportion of aggressive lesions, which express CD30 similar to primary cutaneous anaplastic large-cell lymphoma (pcALCL). We investigated the differences in spatially resolved transcriptome profiles of MF-LCT and pcALCL using CD30 morphology markers and 28 and 24 regions of interest (ROIs) in MF-LCT and pcALCL, respectively. Differentially expressed genes, pathway analysis, and immune-cell deconvolution by selective analysis of CD30-positive tumor cells and CD30-negative extratumoral areas were undertaken.

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Background: The clinical implications of DUSP22 rearrangement and the association between DUSP22 rearrangement and lymphoid enhancer-binding factor 1 (LEF1) expression pattern in CD30+ cutaneous T-cell lymphomas (CTCLs) are unknown.

Objectives: This study assessed the incidence of DUSP22 rearrangement and its clinical and immunohistochemical implications in primary cutaneous anaplastic large-cell lymphoma (pcALCL), lymphomatoid papulosis (LyP) and CD30+ mycosis fungoides with large-cell transformation (MF-LCT), focusing especially on the association with the prognosis and LEF1 expression pattern. Prognostic factors of pcALCL were also examined.

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Aggressive CD30-positive cutaneous T-cell lymphomas (CD30CTCL) are associated with unfavorable prognosis. Anthracycline-based polychemotherapy (CHOP) and brentuximab-vedotin (BV) monotherapy are related to poor outcomes in case of extracutaneous involvement or rapidly-progressing disease. Our objective was to assess the effectiveness of BV + CHP in aggressive CD30CTCL.

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CD30 Expression and Its Functions during the Disease Progression of Adult T-Cell Leukemia/Lymphoma.

Int J Mol Sci

May 2023

Laboratory of Tumor Cell Biology, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, University of Tokyo, Tokyo 1088639, Japan.

Article Synopsis
  • * It is frequently found in cells infected by HTLV-1, a virus linked to cancer, and some ATL cases exhibit high levels of CD30 expression, although the connection between CD30 and the cancer's progression isn't fully understood.
  • * Recent studies highlight how CD30 is overexpressed through super-enhancers, its role in cancer development via a process called trogocytosis, and the success of targeted therapies against CD30 in treating specific lymphomas.
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Breast-implant associated (BIA) lymphoma is an infrequent type of cancer occurring in the fluid and fibrous capsule around a textured breast implant. Recently, both the 2022 WHO 5th edition classification of Haematological tumours (WHO HAEM5) and 2022 International Consensus Classification of Mature Lymphoid Neoplasms (22ICC), recognized breast implant-associated Anaplastic Large Cell Lymphoma (BIA-ALCL) as a definitive entity, defined as a mature CD30-positive T-cell lymphoma, confined by a fibrous capsule, in a breast implant setting. Only few B-cell lymphomas have been reported in the literature to be associated with breast implants.

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Hodgkin's lymphoma and anaplastic large cell lymphoma, especially relapsed or refractory diseases, could recently be cured by CD30-targeted immunotherapy. However, the CD30 antigen releases the soluble ectodomain of CD30, which might obscure the targeted therapy. Therefore, the membrane epitope of CD30 (mCD30), left on the cancer cells, might be a prospective target for lymphoma treatment.

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