Re: clinical case

From: Anja Porwit (Anja.Porwit@ks.se)
Date: Tue Sep 11 2001 - 01:57:26 EST


>Hello Silvana,
>Your description fits best the splenic immunocytoma or marginal zone
B-cell lymphoma, they cannot be distinguished by phenotype only. You may
want to check the reference below.
>
>Berger F, Felman P, Thieblemont C, Pradier T, Baseggio L, Bryon PA, Salles
G, Callet-Bauchu E, Coiffier B.
>Non-MALT marginal zone B-cell lymphomas: a description of clinical
presentation and outcome in 124 patients.
>Blood. 2000 Mar 15;95(6):1950-6
>
>Kind regards
>Anna
>
>
>>
>>I would like to submit a clinical case:
>>54-year-old male with lymphocytosis ( WBC 50.000 mm3) , splenomegaly
>>without lymphoadenopathy . Small lymphocytes in the PB, some of them with
>>nucleoli, small amount of cytoplasm without villous , ipogammaglobulinemia
>>with a small monoclonal component ( IgG K). At the Immunophenotype the
>>lymphocytes are: CD19 ++, CD20 ++, CD22 ++, CD23 +, CD10 neg, CD5 neg,
>>CD11c +, CD103 neg, FMC7 ++.
>>Which lymphoproliferative disorder could match with this immunopheotype and
>>such morphology?
>>Thank you in advance for your help
>>Silvana
>>
>>
Anna Porwit
Hematopathology Lab.
Department of Pathology, Radiumhemmet
Karolinska Hospital, 171 76 Stockholm, Sweden
Anja.Porwit@ks.se
tel.:+46-851774518
fax.:+46-851775843



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