B cell lymphoma to plasma cell tumor

From: Anne Avery, DVM, PHD (aavery@CVMBS.COLOSTATE.EDU)
Date: Thu Jul 01 1999 - 17:49:10 EST


Hello,
I hope that I may be forgiven for asking a question that is not 
strictly flow, but I thought some of the clinical immunologists might 
be able to help with this question.  We have followed a case of 
canine lymphoma that was a non-antibody producing B cell 
lymphoma at presentation.  The dog was treated and went into clinical 
remission.  He re-presented with an abdominal mass that 
consisted of IgA producing plasma cells (the dog had a monoclonal 
gammopathy). Sequencing of CDR3 of the 
initial lymphoma and the subsequent plasma cell tumor demonstrated 
that they were from the same clone.  The original tumor expressed 
CD21 but not the plasma cell tumor that occurred later 
(unfortunately we have limited phenotyping ability in this 
species, so this was the only useful antibody).

We have only recently developed the ability to type canine lymphomas 
by sequencing their antigen-combining region, and so we have little 
experience following lymphomas in dogs through chemotherapy.  I have 
two questions:
1)  Is it common for non-hodgkins lymphomas in people to exhibit the 
same type of differentiation (i.e. this tumor appears to have become 
more differentiated after chemotherapy)?
2)  If this were a human patient how would you expect the 
immunophenotype of the two tumors to differ?

Thanks in advance for your help.
Anne Avery


====================================
Anne Avery, VMD, PHD
Department of Pathology
Colorado State Univ
Ft. Collins, CO 80523-1671, USA
  voice:(970)491-1170
  fax:(970)491-0603
 
aavery@cvmbs.colostate.edu
====================================



This archive was generated by hypermail 2b29 : Wed Apr 03 2002 - 11:53:40 EST