Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. HHS Vulnerability Disclosure, Help diagnosis is simple. Mantle cell lymphoma. S 2021 Sep 4;13(17):4460. doi: 10.3390/cancers13174460. Thorns et al28 found that FLs in inguinal lymph nodes were more commonly CD23+ compared with FL from other anatomic sites. For example, our white blood cells may recognize antigens on the surface of bacterial invaders and the white cells have the ability to respond to what is correctly perceived as a threat. CD23a is present on follicular B cells, whereas CD23b requires IL-4 to be expressed on T-cells, monocytes, Langerhans cells, eosinophils, and macrophages. (arrows), lymphoma cells are slightly larger than true non-neoplastic small The It is also possible that CD23 expression in FL may be associated with certain genomic alterations, such as those shown in the study by Katzenberger et al.29 In CLL/SLL, CD23 expression has been linked to the NOTCH2-protein kinase C--secretase signal transduction pathway.39,40 Deregulated NOTCH2 signaling has been demonstrated in diffuse large B-cell lymphoma41 and marginal zone lymphoma42 and may have a role in FL, as well. Blastic mantle cell lymphoma 100%; Hairy cell leukemia 41%; CD43 stains only 2% of splenic marginal zone lymphoma . HHS Vulnerability Disclosure, Help (C-E) Multinodular proliferation of small lymphocytes with nuclei nodules within fibrous connective tissue, forming a mass. 2020 Jun 17;10(6):69. doi: 10.1038/s41408-020-0335-0. JA Differential diagnosis of chronic lymphocytic leukemia/small follicular lymphomas. The CD11c+ cells in turn present the antigen to CD4+ T cells, which can lead to an enhanced antibody response. Hematology. Cheson CD23 expression was more common in FLs in inguinal LNs than in other sites: 20 of 23 (87%) vs 28 of 46 (61%; P = .029). Lymphoid enhancer-binding factor 1 (LEF1) is specific to CLL/SLL and is a good marker in the Horatiu Olteanu, MD, PhD and others, CD23 Expression in Follicular Lymphoma: Clinicopathologic Correlations, American Journal of Clinical Pathology, Volume 135, Issue 1, January 2011, Pages 4653, https://doi.org/10.1309/AJCP27YWLIQRAJPW. Furthermore, CD23 positivity was more common in FL involving inguinal lymph nodes (87% vs 61% in other anatomic sites) and in low-grade FL (83% for grade 12 vs 25% for grade 3 FL). CLL: CD19 +, CD23 +, CD5 +, CD43 +, CD200 +, . Falini B, Agostinelli C, Bigerna B, et al. Anti-CD30 (Ber-H2) was obtained from DAKO, Carpinteria, CA. MT Mantle cell lymphoma negative for t(11,14) involving the kidneys: a case report. The antigen is then transferred from CD23+ B cells to CD11c+ antigen presenting cells. Jerkeman Immunohistochemically, the infiltrate is positive for CD20, CD5, CD23 and BCL2. Boyd SD, Natkunam Y, Allen JR, Warnke RA. CD200 is an important marker of CLL/SLL in the differential diagnosis eCollection 2016. received research grants from Gilead Sciences and AstraZeneca, provided consultancy and participated in advisory boards from Janssen, Gilead Sciences, BMS, Abbvie, Roche, MSD, Takeda, Novartis and ADC Therapeutics, as well as participating in non-remunerated activities (consultancy and teaching) from Roche, Celgene, Takeda, Abbvie, BMS, MSD, Pfizer, Janssen and Takeda, and receiving travel support from Celgene, Roche, Janssen, Gilead Sciences and Abbvie. M IgE, in turn, is known to upregulate the cellular expression of CD23 and Fc epsilon RI (high-affinity IgE receptor). CD23 positivity was more common in inguinal lymph nodes and in low-grade cases. FOIA Qiu L, Xu J, Tang G, Wang SA, Lin P, Ok CY, Garces S, Yin CC, Khanlari M, Vega F, Medeiros LJ, Li S. Hum Pathol. marginal zone lymphomas are also positive for CD5 and such cases are often disseminated. Holder The age at diagnosis and sex distribution were not different between the 2 groups (male/female ratio, 1.3:1 for CD23+ FL vs 2.0:1 for CD23 FL). Regarding diffuse large B-cell lymphoma (DLBCL), CNS, testicular, and SS In addition to CD23 expression, EFS (P = .016) and OS (P = .009) were also longer in low-grade (12, combined) FLs compared with grade 3 FLs. Ward An official website of the United States government. The site is secure. A R Treatment and prognosis for B-cell and T-cell lymphomas are often different. Insights from IgE Immune Surveillance in Allergy and Cancer for Anti-Tumour IgE Treatments. Mod Pathol. Characteristics of CD5-positive splenic marginal zone lymphoma with leukemic manifestation ; clinical, flow cytometry, and histopathological findings of 11 cases. L265P.15 Similar reports have been They are negative for CD10, FMC7 (usually), and cyclinD1, although cyclinD1 may be Zhang W, Shi JN, Wang HN, Zhang T, Zhou X, Zhang HM, Zhu F. Ann Transl Med. Clinical data were obtained from retrospective review of medical records. diffuse involvement, which usually suggests more advanced disease.1. An official website of the United States government. Blood. Overall, 44 (83%) of 53 grade 1 and 2 FLs were CD23+ compared with 4 (25%) of 16 grade 3 FLs. For patients with CD23+ FL, the 36-month EFS and OS values were 93% and 98%, respectively (median follow-up, 33 months; range, 963 months), compared with 34% (P < .0001) and 77% (P = .002), respectively (median follow-up, 34 months; range, 863 months), for patients with CD23 FLs Figure 1B and Figure 1C. CD5 is another important marker of CLL/SLL. Olteanu Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) accounts for Of 69 FLs, 48 (70%) were CD23+. Curr Oncol. restriction or lack surface immunoglobulin. Similarly, Ahmad et al18 reported that only 7 (29%) of 24 FLs were CD23+ in peripheral blood and bone marrow specimens, even though the same group had shown a much higher rate of CD23 expression (73%) in FL in tissue specimens in a prior study.16 These observations raise the possibility of site-specific CD23 expression in FL and the possible role of the local environment in this immunophenotypic variation. Y MeSH trabecular bone, which is thought to be specific to follicular lymphoma, but macroglobulinemia. OW Approximately 5-10% of DLBCL are CD5-positive and some may manifest as primary splenic lesions. Kelemen et al. Morilla Disclaimer. . CD5 and CD23 positivity. It is tempting to speculate on the potential mechanisms that might explain the more favorable outcome associated with CD23 expression in FL. Of the 69 patients, 44 received R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone); 2 received rituximab and fludarabine; 5 received localized radiotherapy; and 4 received single agent rituximab. A newer category of medications called monoclonal antibodies work very well for some lymphomas. immunohistochemistry in small B-cell lymphomas. Epub 2016 Feb 11. Questions appear on p 164. The same population is also CD5 and surface light chain restricted (not shown). species. The proliferated cells have a large nucleus that is more than twice Marginal zone B-cell lymphoma (MZL) is composed of mucosa-associated lymphoid tissue (MALT) Pathan monoclonal B-cell lymphocytosis (MBL) is defined as a monoclonal B-cell count less than Expression of LEF1 in mantle cell lymphoma. Gauchat 8600 Rockville Pike involvement. Post-germinal B-cell neoplasms include the activated B-cell or ABC type diffuse large B-cell lymphoma, chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), marginal zone lymphoma of mucosa-associated lymphoid tissue, or MALT lymphoma and plasma cell neoplasms. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. associated with CD200 expression. Bookshelf The nodular parts (so called proliferation centers) consist of small and large cells and some large prominent paraimmunoblasts. L265P. Other small B-cell neoplasms that frequently involve the spleen and occasionally express CD5 include the splenic marginal zone lymphoma, hairy cell leukemia and, rarely, lymphoplasmacytic lymphoma. Patients with CD23+ MCL more often had an elevated leukocyte count (33% versus 18%, P = .009), bone marrow involvement (89% versus 78%, P = .02), stage 4 disease (87% versus 77%, P = .03), and a leukemic presentation (42% versus 11%, P = .0001). Small-sized lymphoma cells are et al. Gudkov SV, Shilyagina NY, Vodeneev VA, Zvyagin AV. Am J Transl Res. In univariate analysis, CD23 expression, low grade (12), and low FLIPI (12) were factors associated with improved EFS and OS, whereas age younger than 60 years was associated with an improved OS. J NL Federal government websites often end in .gov or .mil. Chu CD23 staining refers to lymphoid staining Follicular dendritic cells stain in many processes . HHS Vulnerability Disclosure, Help Epub 2023 May 1. patients with frequent IGHV mutations, absence of SOX11 expression, and an indolent However, we cannot answer medical or research questions or give advice. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted When compared to typical CLL, they showed FMC-7 expression and brighter than dim light chain expression. contrary, the majority of CLL/SLL cells are usually small lymphoma cells, but they are Antibodies to polyclonal immunoglobulin (goat) and (goat) were obtained from Coulter-Immunotech, Hialeah, FL. CD23 is associated with leukocytosis, a leukemic presentation, bone marrow involvement, CD200 expression, and a lower frequency of SOX11 positivity. Immunophenotypic Variations of Burkitt Lymphoma - Oxford Academic Some Considering that new therapeutic strategies, such as anti-CD20 monoclonal antibodies, have significantly improved the outcome in FL,5,33 it may soon be possible to identify certain higher risk subgroups of patients with FL who historically may not have been considered candidates for immediate therapy but who now might benefit from earlier treatment using novel therapies, including newer monoclonal antibodies. Occasionally large cell and marginal zone lymphomas may also be CD5 positive. Sekiguchi Y, Imai H, Wakabayashi M, Sawada T, Ichikawa K, Komatsu N, Noguchi M. Intern Med. The typical leg-type lymphomas highly frequently exhibit MYD88 mutation,16 and CNS and testicular patients have a poor prognosis, with most Of 69 FLs, 48 (70%) were CD23+. McKenna 2007 May;50(6):716-9. doi: 10.1111/j.1365-2559.2007.02678.x. MeSH It is interesting that 29 (83%) of 35 of the patients had diagnostic lymph node specimens from the inguinal region. SR Table 1 summarizes the clinical and laboratory features of the 69 patients constituting the study group. P Lymphoma cells are uniform and have Dutcher bodies. We sincerely thank Ms. Misa Sakamoto for immunohistological examination. Kelemen et al. Xu et al17 reported discordant CD23 expression between peripheral blood or bone marrow and lymph node samples in 5 (21%) of 24 FLs. In this article, we describe the ME Cases with plasmacytoid cells are highly similar to Although all CLLs are preceded by MBL, low-count (lower than Of 105 cases, 69 had tissue sections and flow cytometry data available for review. By using immunohistochemical analysis, Katzenberger et al29 demonstrated a high proportion of CD23+ cases in FLs with a diffuse growth pattern and a specific chromosomal alteration (deletion 1p36). Jaso JM et al.11 PAX5 aberrant expression incorporated in MIPI-SP risk scoring system exhibits additive value in mantle cell lymphoma. Although FMC-7 expression is seen in all CD23 positive mantle cell lymphomas, bright light chain expression is not universal. infrequently develop B-1 cell-related lymphomas. (ATM and BIRC3) and 17p (TP53) leads to Several prognostic parameters for FL have been identified in an effort to predict outcome in patients with this condition, culminating in the development of an FL-specific scoring system called the Follicular Lymphoma International Prognostic Index (FLIPI).6 The FLIPI has been validated in several independent series79 and recently modified (FLIPI2) based on prospectively collected data.10 These indices allow the separation of patients into 3 groups with distinct survival probabilities. sharing sensitive information, make sure youre on a federal M Methods: This paper reports nine patients with cutaneous B-cell lymphoma manifesting CD23 expression. Disclaimer. official website and that any information you provide is encrypted Ott et al. The Ann Arbor stage was also not different between the 2 groups. although rarely. . The https:// ensures that you are connecting to the National Library of Medicine government site. Follicular lymphoma (FL) is the second most common type of lymphoma and represents 20% to 25% of cases of non-Hodgkin lymphomas in the United States and Europe.1 This translates into approximately 14,000 patients diagnosed annually with FL in the United States.2 While the pathologic diagnosis is quite robust and reproducible, no consensus exists on the optimal management of FL. Event-free survival (EFS) and overall survival (OS) in patients with follicular lymphoma (FL). G for marginal zone B-cell lymphoma and is useful for diagnosis.13. Bone marrow biopsy demonstrates many features. The study was approved by the Medical College of Wisconsin (Milwaukee) and Froedtert Hospital Institutional Review Board/Human Research Review Committee. increased leukocyte count, bone marrow involvement, and leukemic presentation. B-Cell lymphoma.
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