ALK-positive diffuse large B-cell lymphoma of the stomach associated with a clathirin-ALK rearrangement

被引:31
作者
McManus, DT
Catherwood, MA
Carey, PD
Cuthbert, RJG
Alexander, HD
机构
[1] Belfast City Hosp, Dept Histopathol, The Labs, Belfast BT9 7AD, Antrim, North Ireland
[2] Belfast City Hosp, Dept Tissue Pathol, Belfast BT9 7AD, Antrim, North Ireland
[3] Belfast City Hosp, Dept Haematol, Belfast BT9 7AD, Antrim, North Ireland
关键词
stomach; ALK; diffuse large B-cell lymphoma; t(2,17); clathrin-ALK rearrangements;
D O I
10.1016/j.humpath.2004.06.001
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
ALK-positive diffuse large B-cell lymphoma is a rare, recently characterized lymphoma subtype that shows granular cytoplasmic ALK expression. This report describes a primary gastric ALK-positive B-lineage lymphoma in which a clathrin (CLTC)-ALK fusion was identified by RT-PCR and direct sequencing of the breakpoint. This confirmed the presence of t(2;17) (p23;q23) involving the CLTC gene and is only the 4th report of such a translocation in this lymphoma subtype and the first to describe this tumor within the stomach. As in previous reports, immunophenotyping showed the malignant cell to be a terminally differentiated B-lineage cell characterized by the absence of B-cell antigens and expression of antigens associated with plasma cell differentiation. This case confirms the existence of such a lymphoma subtype arising in extranodal locations and underscores the importance of detailed immunophenotyping and specialized molecular genetic investigations in confirming the diagnosis. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:1285 / 1288
页数:4
相关论文
共 19 条
[11]  
GATIER KC, 2001, PATHOL GENETICS TUMO, P171
[12]   Anaplastic large-cell lymphomas of B-cell phenotype are anaplastic lymphoma kinase (ALK) negative and belong to the spectrum of diffuse large B-cell lymphomas [J].
Haralambieva, E ;
Pulford, KAF ;
Lamant, L ;
Pileri, S ;
Roncador, G ;
Gatter, KC ;
Delsol, G ;
Mason, DY .
BRITISH JOURNAL OF HAEMATOLOGY, 2000, 109 (03) :584-591
[13]  
Kahaleh M, 2002, ACTA GASTRO-ENT BELG, V65, P237
[14]   FUSION OF A KINASE GENE, ALK, TO A NUCLEOLAR PROTEIN GENE, NPM, IN NON-HODGKINS-LYMPHOMA [J].
MORRIS, SW ;
KIRSTEIN, MN ;
VALENTINE, MB ;
DITTMER, KG ;
SHAPIRO, DN ;
SALTMAN, DL ;
LOOK, AT .
SCIENCE, 1994, 263 (5151) :1281-1284
[15]   FUSION OF A KINASE GENE, ALK, TO A NUCLEOLAR PROTEIN GENE, NPM, IN NON-HODGKINS-LYMPHOMA (VOL 263, PG 1281, 1994) [J].
MORRIS, SW ;
KIRSTEIN, MN ;
VALENTINE, MB ;
DITTMER, K ;
SHAPIRO, DN ;
LOOK, AT ;
SALTMAN, DL .
SCIENCE, 1995, 267 (5196) :316-317
[16]   ALK-positive plasmablastic B-cell lymphoma with expression of the NPM-ALK fusion transcript:: report of 2 cases [J].
Onciu, M ;
Behm, FG ;
Downing, JR ;
Shurtleff, SA ;
Raimondi, SC ;
Ma, Z ;
Morris, SW ;
Kennedy, W ;
Jones, SC ;
Sandlund, JT .
BLOOD, 2003, 102 (07) :2642-2644
[17]   Detection of anaplastic lymphoma kinase (ALK) and nucleolar protein nucleophosmin (NPM)-ALK proteins in normal and neoplastic cells with the monoclonal antibody ALK1 [J].
Pulford, K ;
Lamant, L ;
Morris, SW ;
Butler, LH ;
Wood, KM ;
Stroud, D ;
Delsol, G ;
Mason, DY .
BLOOD, 1997, 89 (04) :1394-1404
[18]  
Pulford K, 1999, J PATHOL, V187, P588
[19]   Further demonstration of the diversity of chromosomal changes involving 2p23 in ALK-positive lymphoma: 2 cases expressing ALK kinase fused to CLTCL (clathrin chain polypeptide-like) [J].
Touriol, C ;
Greenland, C ;
Lamant, L ;
Pulford, K ;
Bernard, F ;
Rousset, T ;
Mason, DY ;
Delsol, G .
BLOOD, 2000, 95 (10) :3204-3207