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Updated: Jun 20, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
05:39

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Published on: February 3, 2023

[Primary bone anaplastic large cell lymphoma].

Gabriel Juan Mandujano-Alvarez1, Francisco Moreno-Sánchez, Manuel Morales-Polanco

  • 1Departamento de Patologia, Centro Médico, ABC.

Acta Ortopedica Mexicana
|September 11, 2009
PubMed
Summary

Anaplastic large cell lymphoma (ALCL) rarely affects bone. This case highlights a rare instance of ALCL presenting solely with bone lesions, emphasizing diagnostic challenges and the role of Glut-1 expression in PET-CT imaging.

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Last Updated: Jun 20, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
05:39

Spontaneous Murine Model of Anaplastic Thyroid Cancer

Published on: February 3, 2023

Area of Science:

  • Hematology
  • Oncology
  • Pathology

Background:

  • Anaplastic large cell lymphoma (ALCL) is a T-cell or null-cell neoplasm, comprising 3% of adult non-Hodgkin lymphomas.
  • While ALCL commonly affects lymph nodes and extranodal sites, primary bone involvement is exceptionally rare.

Observation:

  • A 47-year-old male presented with multifocal bone lesions (vertebrae, ribs, iliac bone) as the sole site of disease.
  • Histopathology revealed interstitial and focal bone infiltrate with large pleomorphic cells, inflammation, and fibrosis.
  • Immunohistochemistry showed expression of CD30, EMA, CD45RO, CD43, CD8, Glut-1, and ALK-1.

Findings:

  • This case represents one of only 20 reported instances of ALCL (T/null cell) originating in bone.
  • Distinguishing primary bone lymphoma requires excluding systemic lymphoma with bone metastasis.
  • FDG uptake on PET-CT correlated with Glut-1 expression, aiding in differential diagnosis.

Implications:

  • This case underscores the importance of considering rare presentations of ALCL in the differential diagnosis of bone lesions.
  • Accurate diagnosis is crucial, necessitating exclusion of systemic disease and consideration of entities like osteomyelitis and other bone tumors.
  • Glut-1 expression may serve as a useful biomarker in the PET-CT evaluation of bone lymphomas.