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Related Experiment Video

Updated: Oct 12, 2025

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
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Mantle cell lymphoma presenting with lethal atraumatic splenic rupture.

Frederick Eyerer1,2, Juli-Anne Gardner1,2, Katherine A Devitt1,2

  • 1University of Vermont Medical Center, Department of Pathology and Laboratory Medicine, Burlington, VT, USA.

Autopsy & Case Reports
|November 22, 2021
PubMed
Summary

Mantle cell lymphoma, a cancer with a specific gene fusion, can present aggressively. This case highlights a rare, lethal splenic rupture in a patient with pleomorphic mantle cell lymphoma and variant CCND1 signals.

Keywords:
Cyclin DLymphoma, MalignantLymphoma, Mantle-CellSplenic Rupture

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Area of Science:

  • Hematology
  • Oncology
  • Genetics

Background:

  • Mantle cell lymphoma (MCL) is a B-cell neoplasm defined by the t(11;14) translocation, leading to CCND1-IGH fusion.
  • MCL exhibits a wide clinical spectrum, from indolent to highly aggressive disease.
  • Atraumatic splenic rupture is a rare but potentially fatal complication in hematologic malignancies.

Observation:

  • A rare case of pleomorphic mantle cell lymphoma (MCL) is presented.
  • The patient exhibited an unusual finding of three fusion signals, indicative of variant CCND1 gene patterns.
  • The presentation was marked by a lethal, atraumatic splenic rupture.

Findings:

  • Variant CCND1 signal patterns in MCL may be associated with aggressive disease phenotypes.
  • The specific genetic alterations in this pleomorphic MCL case contributed to its aggressive course.
  • Atraumatic splenic rupture occurred in the context of advanced, aggressive MCL.

Implications:

  • Understanding variant CCND1 signal patterns is crucial for predicting MCL behavior and prognosis.
  • This case underscores the importance of considering rare complications like splenic rupture in MCL patients.
  • Further research into the pathophysiology of splenic rupture in hematologic cancers is warranted.