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Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
Published on: March 30, 2018
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Mantle Cell Lymphoma With Mantle Zone Growth Pattern.
Ji Yuan1, Shaoying Li2, Xin Liu3
1Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha.
American Journal of Clinical Pathology
|May 30, 2019
Summary
Mantle cell lymphoma with mantle zone growth pattern (MCL-MZGP) often presents incidentally and resembles reactive lymph nodes. Cyclin D1 staining is crucial for diagnosis, though its clinical significance remains unclear.
Area of Science:
- Hematology
- Oncology
- Pathology
Background:
- Mantle cell lymphoma (MCL) is a rare non-Hodgkin lymphoma.
- MCL with mantle zone growth pattern (MCL-MZGP) presents a diagnostic challenge due to its resemblance to reactive lymphoid hyperplasia.
Purpose of the Study:
- To characterize the clinical and pathologic features of MCL-MZGP.
- To identify diagnostic markers for MCL-MZGP.
Main Methods:
- Analysis of clinicopathologic data from 35 MCL-MZGP cases across 12 centers.
- Immunohistochemical staining for BCL2, CD5, cyclin D1, and SOX11.
Main Results:
- MCL-MZGP cases were often diagnosed at advanced clinical stages (81%) or incidentally found (40%).
- Morphologically, affected lymph nodes showed preserved architecture with expanded mantles containing lymphoma cells.
- Immunohistochemistry revealed positivity for BCL2 (96%), CD5 (82%), cyclin D1 (100%), and SOX11 (89%).
- No significant difference in overall survival was observed between observation and chemotherapy groups.
Conclusions:
- MCL-MZGP is frequently incidentally identified and mimics reactive mantles.
- Cyclin D1 immunostaining is essential for diagnosing suspicious cases.
- The overall clinical significance of MCL-MZGP requires further investigation.
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