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Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
Published on: March 30, 2018
Instances of mantle cell lymphoma morphologically mimicking other subtypes of B-cell lymphoid proliferation
Maurice J Schuetz1, Nadeem Zafar, Mohammad A Vasef
1Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Insights
Mantle cell lymphoma (MCL) is a B-cell cancer characterized by CD5 antigen coexpression. While cyclin D1 positivity is diagnostic, MCL can mimic other lymphomas morphologically.
Area of Science:
- Hematology
- Oncology
- Pathology
Background:
- Mantle cell lymphoma (MCL) is a mature B-cell neoplasm defined by CD5 antigen coexpression.
- Genetic hallmark t(11;14) leads to cyclin D1 protein upregulation in MCL.
- Diagnosis typically relies on morphology, CD20/CD5 coexpression, and cyclin D1 immunohistochemistry.
Purpose of the Study:
- To investigate unusual morphologic presentations of mantle cell lymphoma.
- To highlight diagnostic challenges posed by MCL mimicking other B-cell lymphomas.
Main Methods:
- Immunohistochemical confirmation of cyclin D1 positivity in MCL cases.
- Morphologic analysis of MCL with overlapping features of other B-cell lymphomas.
Main Results:
- Identified cases of cyclin D1-positive MCL exhibiting diverse morphologic features.
- Observed overlap with follicular, marginal zone, small lymphocytic, and Burkitt lymphomas.
Conclusions:
- Mantle cell lymphoma can present with significant morphologic heterogeneity.
- Awareness of these overlapping features is crucial for accurate diagnosis and patient management.
Abstract:
Mantle cell lymphoma is a well-characterized category of mature B-cell lymphoma with aberrant coexpression of CD5 antigen. This subtype of lymphoma is genetically defined by t(11;14) resulting in upregulation of cyclin D1 protein. In clinical practice, mantle cell lymphoma is typically diagnosed based on combination of morphology, CD20/CD5 coexpression, and nuclear staining of cyclin D1 protein by immunohistochemistry. Although other neoplastic processes can also be cyclin D1 positive, documentation of cyclin D1 positivity in a CD5-positive B-cell process is virtually diagnostic of mantle cell lymphoma. However, on morphologic grounds, it is well known that mantle cell lymphoma can mimic other subtypes of B-cell lymphoid neoplasm. We identified several unusual examples of immunohistochemically confirmed cyclin D1-positive mantle cell lymphoma with morphologic features overlapping with a wide variety of other subtypes of mature B-cell lymphomas including follicular, marginal zone, small lymphocytic and Burkitt lymphoma.
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