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Related Concept Videos

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Cells are the smallest and basic units of life, whether it is a single cell that forms the entire organism, e.g., in a bacterium or trillions of them, e.g., in humans. No matter what organism a cell is a part of, they share specific characteristics.
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Related Experiment Video

Updated: Feb 12, 2026

Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
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B-Cell Lymphoma Following an Indolent Course Over 30 Years with Immunophenotypic Changes at Each Recurrence.

Shintaro Yamanaka1, Shinji Hasebe1, Tomomi Fujii2

  • 1Cancer Center, Ehime University Hospital, Toon city, Japan.

European Journal of Case Reports in Internal Medicine
|February 11, 2026
PubMed
Summary

Diffuse large B-cell lymphoma (DLBCL) can change its subtype over time, impacting treatment. Repeat biopsies are crucial for accurate diagnosis and personalized therapy in relapsed cases.

Keywords:
ABC typeDiffuse large B-cell lymphoma (DLBCL)GCB typegene expression profilingimmunophenotype

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Area of Science:

  • Hematology
  • Oncology
  • Immunophenotyping

Background:

  • Diffuse large B-cell lymphoma (DLBCL) is a heterogeneous malignancy with distinct subtypes.
  • The stability of cell-of-origin (COO) features in DLBCL over extended disease courses is not well understood.
  • Long-term patient data is essential for understanding disease evolution.

Purpose of the Study:

  • To investigate the potential for immunophenotypic and molecular evolution in DLBCL over a prolonged period.
  • To determine if the cell-of-origin profile of DLBCL remains static during repeated relapses and treatments.
  • To highlight the importance of reassessing DLBCL characteristics at relapse.

Main Methods:

  • A single patient case study with a diagnosis of DLBCL spanning over three decades (1988-2019).
  • Serial histopathological and immunophenotypic evaluations were performed throughout the patient's disease course and multiple relapses.
  • Treatment history including various chemotherapy regimens and targeted therapies was documented.

Main Results:

  • The patient exhibited DLBCL with sequential immunophenotypic shifts from a germinal center B-cell-like (GCB) to an activated B-cell-like (ABC)/non-GCB pattern.
  • The disease evolved to a CD30-positive anaplastic B-cell variant in later stages.
  • The patient underwent multiple treatment lines for successive relapses over 31 years.

Conclusions:

  • DLBCL can undergo significant stepwise immunophenotypic and molecular evolution over decades.
  • The COO profile of DLBCL is not static and can change during the disease course.
  • Repeat biopsies and comprehensive re-evaluation are critical for tailoring treatment strategies to the current state of relapsed DLBCL.