The Burkitt-like lymphomas: a Southwest Oncology Group study delineating phenotypic, genotypic, and clinical features

被引:74
作者
Braziel, RM
Arber, DA
Slovak, ML
Gulley, ML
Spier, C
Kjeldsberg, C
Unger, J
Miller, TP
Tubbs, R
Leith, C
Fisher, RI
Grogan, TM
机构
[1] Oregon Hlth Sci Univ, Dept Pathol, Portland, OR 97201 USA
[2] City Hope Natl Med Ctr, Duarte, CA 91010 USA
[3] Univ Texas, Hlth Sci Ctr, San Antonio, TX USA
[4] Audie Murphy Vet Hosp, San Antonio, TX USA
[5] Univ Arizona, SWOG Cent Lymphoma Repository, Tucson, AZ USA
[6] Univ Utah, Salt Lake City, UT USA
[7] SWOG Stat Ctr, Seattle, WA USA
[8] Cleveland Clin, Cleveland, OH 44106 USA
[9] Univ New Mexico, Albuquerque, NM 87131 USA
[10] Loyola Univ, Med Ctr, Ctr Canc, Maywood, IL 60153 USA
关键词
D O I
10.1182/blood.V97.12.3713
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Revised European-American Lymphoma classification gives Burkitt-like lymphoma (BLL) provisional status, leaving unresolved the differential diagnosis with Burkitt lymphoma (BL) and diffuse large B-cell lymphoma (DLBCL). This study compared the biologic features of adult BLL and DLBCL. The phenotypic distinction between BLL and DLBCL was determined by immunohistochemical staining of frozen tissue from 13 patients with BLL and 55 patients with DLBCL by using an extensive antibody panel including Ki-67, CD10, CD11a/lymphocyte function-associated antigen 1 alpha (LFA-1 alpha), CD18/LFA-1 beta, CD58/LFA-3, and CD54/intercellular adhesion molecule, CD8 for tumor-infiltrating cytotoxic T cells (T-TILs), CD44 homing receptor, and p53 and Bcl-2 oncogenic proteins. Compared with DLBCL, BLL had a higher proliferative rate (mean Ki-67, 88% versus 53%), greater expression of CD10 and p53 antigens, and decreased expression of Bcl-2, BLL cases had a consistent absence of one or more cell adhesion molecules (92% versus 27%), low T-TIL numbers, and absence of CD44 homing receptor (92% versus 14%), The t(8;14) translocation was identified in 80% of BLL cases, but no patients with BLL had the t(14;18) translocation, In a 10-year analysis, median survival of patients with BLL was 1.2 years, and that of patients with DLBCL was 2.5 years. Although the proportion of patients cured was similar in the 2 groups, BLL patients had an increased risk of early death. We conclude that BLL can be recognized by its combined morphologic and phenotypic features and that it represents a high-grade lymphoma much closer to BL than DLBCL, Retention of the BLL category or inclusion of BLL as a variant of BL is biologically and clinically more appropriate than absorbing the category of BLL into DLBCL. (C) 2001 by The American Society of Hematology.
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收藏
页码:3713 / 3720
页数:8
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