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Related Experiment Video

Updated: May 12, 2025

Performing and Processing FNA of Anterior Fat Pad for Amyloid
09:41

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Published on: October 30, 2010

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[Localized AL amyloidosis].

N A Kashchavtseva1, I G Rekhtina1, A M Kovrigina1,2

  • 1National Medical Research Center for Hematology.

Terapevticheskii Arkhiv
|May 6, 2025
PubMed
Summary
This summary is machine-generated.

Localized light chain (AL) amyloidosis, a rare condition, can manifest as amyloidomas in various tissues. Targeted therapy showed stabilization in three patients, but its standard use requires further research.

Keywords:
amyloidomalocalized AL amyloidosis

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Area of Science:

  • Oncology
  • Pathology
  • Immunology

Background:

  • Localized light chain (AL) amyloidosis (amyloidoma) is a rare neoplastic disorder.
  • Its pathogenesis and therapeutic strategies remain poorly understood.
  • This study focuses on localized AL amyloidosis affecting the respiratory tract, eyes, and facial soft tissues.

Purpose of the Study:

  • To present clinical observations of localized AL amyloidosis.
  • To investigate the cellular origin and amyloid typing in these rare cases.
  • To evaluate the efficacy of systemic combination therapy with targeted drugs.

Main Methods:

  • Chromogenic in situ hybridization (CISH) with immunoglobulin light chain probes to identify the cell substrate.
  • FITC-labeled antibodies for kappa and lambda light chain detection in amyloid typing.
  • Systemic combination therapy with targeted drugs followed by one-year follow-up.

Main Results:

  • Three clinical cases of localized AL amyloidosis with amyloid masses containing monotypic plasma cells were observed.
  • Amyloid typing confirmed the light chain origin of the deposits.
  • All patients achieved process stabilization within one year of follow-up with targeted therapy.

Conclusions:

  • Localized AL amyloidosis presents as amyloidomas with embedded monotypic plasma cells.
  • Systemic combination therapy with targeted drugs demonstrated stabilization in observed cases.
  • The role of clone-reducing therapy in localized AL amyloidosis warrants further investigation and confirmation.