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Tytuł pozycji:

Transformed mucosa-associated lymphoid tissue lymphomas: A single institution retrospective study including polymerase chain reaction-based clonality analysis.

Tytuł:
Transformed mucosa-associated lymphoid tissue lymphomas: A single institution retrospective study including polymerase chain reaction-based clonality analysis.
Autorzy:
Kiesewetter B; Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria.
Lamm W; Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria.
Dolak W; Department of Medicine III, Clinical Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Lukas J; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Mayerhoefer ME; Division of Nuclear Medicine, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Weber M; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Schiefer AI; Department of Pathology, Medical University of Vienna, Vienna, Austria.
Kornauth C; Department of Pathology, Medical University of Vienna, Vienna, Austria.
Bayer G; Department of Pathology, Medical University of Vienna, Vienna, Austria.
Simonitsch-Klupp I; Department of Pathology, Medical University of Vienna, Vienna, Austria.
Raderer M; Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria.
Źródło:
British journal of haematology [Br J Haematol] 2019 Aug; Vol. 186 (3), pp. 448-459. Date of Electronic Publication: 2019 May 24.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: Oxford : Wiley-Blackwell
Original Publication: Oxford : Blackwell Scientific Publications
MeSH Terms:
Lymphoma, B-Cell, Marginal Zone/*pathology
Polymerase Chain Reaction/*methods
Adult ; Aged ; Aged, 80 and over ; Disease Progression ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
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Contributed Indexing:
Keywords: MALT lymphoma; clonality analysis; diffuse large B-cell lymphoma; histological transformation; indolent lymphoma
Entry Date(s):
Date Created: 20190525 Date Completed: 20200707 Latest Revision: 20200707
Update Code:
20240104
PubMed Central ID:
PMC6771836
DOI:
10.1111/bjh.15953
PMID:
31124124
Czasopismo naukowe
Given the lack of consistent data regarding the clinico-pathological features and clonal lymphomagenesis of patients with mucosa-associated lymphoid tissue (MALT) lymphoma and histological transformation (HT), we have systematically analysed 379 patients (32% gastric, 68% extra-gastric; median follow-up 52 months) diagnosed with HT at the Medical University Vienna 1999-2017, and reassessed tissues of identified patients by polymerase chain reaction (PCR)-based clonality analysis. HT was documented in 12/379 patients (3·2%) and occurred at a median time of 22 months (range; 6-202 months) after diagnosis of MALT lymphoma. By PCR-based clonality analysis, we detected a clear-cut clonal relationship of MALT lymphoma and diffuse large B-cell lymphoma (DLBCL) in 8 of 11 analysed cases proving that the large majority of DLBCL following MALT lymphoma are clonally-related and constitute a real transformation. Interestingly, HT occurred within the first 2·5 years after diagnosis in patients with clonal relationship, whereas time to aggressive lymphoma was longer in patients identified as clonally-unrelated (most likely secondary) lymphoma (82-202 months), suggesting that HT is an early event in this disease. Survival of patients with HT was poor with 6/12 dying at 1·5-33 months after HT, however, patients with localized gastric transformation had a superior outcome with only 1/6 dying due to progression of lymphoma.
(© 2019 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd.)

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