CD10-positive mantle cell lymphoma : clinicopathologic and prognostic study of 30 cases

Mantle cell lymphoma is usually negative for CD10 which is useful in distinguishing MCL from other CD10 + B cell lymphomas. Here we assessed the clinicopathologic features of 30 cases of CD10+ MCL, the largest series to date in the English literature, and compared them with a group of 212 typical MCL cases (CD5+, CD10-negative, CD23-negative, cyclin D1+). The 30 patients with CD10+ MCL included 17 men and 13 women with a median age of 68 years. Compared with CD10-negative MCL, patients with CD10+ MCL showed a lower male predominance (p = 0.01), more often had a diffuse growth pattern (p = 0.04) and blastoid/pleomorphic morphology (p < 0.0001), and more often showed BCL6 expression (p = 0.009). In all MCL patients, CD10 expression was not associated with overall survival (OS) (p = 0.16). However, in more aggressive subsets of MCL patients including those with high Ki67 (> 60%), blastoid/pleomorphic morphology, or high MCL International Prognostic Index (MIPI), CD10 expression was associated with a worse OS (p = 0.003, 0.04, and 0.001, respectively). High Ki67 (> 60%), blastoid/pleomorphic morphology, and high MIPI were also been identified as poor prognostic factors patients with in CD10+ MCL (p = 0.001, 0.0003, and 0.01, respectively). In summary, CD10+ MCL more often has a diffuse growth pattern, blastoid/pleomorphic morphology, and BCL6 expression. In MCL patients with a high Ki-67 (> 60%), blastoid/pleomorphic morphology, or high MIPI, CD10 expression contributes to an even worse prognosis. MCL should be included in the differential diagnosis of CD10 + B cell lymphomas.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Oncotarget - 9(2018), 14 vom: 20. Feb., Seite 11441-11450

Sprache:

Englisch

Beteiligte Personen:

Xu, Jie [VerfasserIn]
Medeiros, L Jeffrey [VerfasserIn]
Saksena, Annapurna [VerfasserIn]
Wang, Michael [VerfasserIn]
Zhou, Jiehao [VerfasserIn]
Li, Jingyi [VerfasserIn]
Yin, C Cameron [VerfasserIn]
Tang, Guilin [VerfasserIn]
Wang, Lifu [VerfasserIn]
Lin, Pei [VerfasserIn]
Li, Shaoying [VerfasserIn]

Links:

Volltext

Themen:

CD10
Journal Article
Mantle cell lymphoma
Pathology
Prognosis

Anmerkungen:

Date Revised 20.11.2019

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.18632/oncotarget.23571

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM282019170