Aberrant immunophenotypes of mantle cell lymphomas

Leuk Lymphoma. 2003 Feb;44(2):269-73. doi: 10.1080/1042819021000035653.

Abstract

Mantle cell lymphomas (MCL) are characterized by cytomorphological criteria, a distinct immunophenotype and a characteristic chromosomal aberration (t(11;14)). In morphological variants of MCL the immunohistochemical constellation with CD5-positivity and CD23-negativity is a helpful and decisive diagnostic aid to differentiate MCL from other B-cell-lymphomas, e.g. lymphocytic lymphomas (B-CLL). In this study the morphological, immunophenotypical, and genetical features of 50 MCL were analysed. Five cases revealed an aberrant immunophenotype with lacking expression of CD5 (n = 3) and positive reactivity to CD23 (n = 2) while cyclin D1 expression could be demonstrated in all 5 cases. These constellations show that there is, besides morphological subgroups, a small group of MCL with aberrant immunophenotypes, which has to be taken into account in the differential diagnosis to lymphocytic lymphoma and other lymphomas.

MeSH terms

  • Aged
  • Antigens, CD / analysis*
  • CD5 Antigens / analysis
  • Cyclin D1 / analysis
  • Female
  • Genes, bcl-1
  • Genes, bcl-2
  • Humans
  • Immunophenotyping*
  • Lymphoma, Mantle-Cell / diagnosis
  • Lymphoma, Mantle-Cell / genetics
  • Lymphoma, Mantle-Cell / immunology*
  • Male
  • Middle Aged
  • Receptors, IgE / analysis
  • Translocation, Genetic

Substances

  • Antigens, CD
  • CD5 Antigens
  • Receptors, IgE
  • Cyclin D1