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CD5-positive diffuse large B cell lymphoma arising from a CD5-positive follicular lymphoma
  1. José Vassallo1,
  2. Marina Bousquet2,
  3. Cathy Quelen2,
  4. Talal Al Saati2,
  5. Georges Delsol3,
  6. Pierre Brousset3
  1. 1Department of Anatomic Pathology, Faculty of Medical Sciences, State University of Campinas, São Paulo, Brazil
  2. 2Department of Oncogenesis and Signaling in Hematopoietic Cells, Inserm U-563, Toulouse, France
  3. 3Laboratory of Pathology, Hôpital Purpan, Centre Hospitalier Universitaire, University of Toulouse, Toulouse, France
  1. Correspondence to:
 Professor J Vassallo
 Department of Anatomic Pathology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), PO Box 6111, CEP-13083-970 Campinas, São Paulo, Brazil; jvassallo{at}terra.com.br

Abstract

Follicular lymphoma (FL) is a neoplasm originating from germinal centre cells, corresponding to 25–40% of non-Hodgkin’s lymphomas. Transformation into diffuse large B cell lymphoma (DLBCL) occurs in about one-third of cases. CD5 is expressed in B-chronic lymphoid leukaemia/small lymphocytic lymphoma and mantle cell lymphoma, but can rarely be expressed in conjunction with CD10 in well-documented cases of FL. In this report one case of grade 1 FL is described, which transformed into a DLBCL 6 months after initial diagnosis, with both tumours expressing CD5. In both specimens, neoplastic cells were strongly positive for CD20, CD79a, bcl-2, bcl-6 and CD5 in virtually all cells. CD10 was strongly positive in initial specimens and weakly positive in the DLBCL. Investigation using the PCR confirmed the derivation of the DLBCL from the FL as they presented the same immunoglobulin heavy chain gene rearrangement and the same BCL2-JH break point.

  • DLBCL, diffuse large B cell lymphoma
  • FL, follicular lymphoma

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Footnotes

  • Competing interests: None declared.

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