151. [Clinical and biological characteristics of non-IgM lymphoplasmacytic lymphoma].
- Author
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Zou D, Yi S, Liu H, Li Z, Lyu R, Liu W, Ru K, Zhang P, Chen H, Qi J, Zhao Y, and Qiu L
- Subjects
- Adult, Aged, Antigens, CD, Chromosome Aberrations, Female, Humans, Immunoglobulin M, In Situ Hybridization, Fluorescence, Integrin alpha Chains, Male, Middle Aged, Retrospective Studies, Waldenstrom Macroglobulinemia, Leukemia, Lymphocytic, Chronic, B-Cell
- Abstract
Objective: To observe the clinical and biological characteristics of Non-IgM-secreting lymphoplasmacytic lymphoma (LPL) and draw the differences between non-IgM LPL and Waldenström macroglobulinemia (WM)., Methods: Records of 13 patients with non-IgM LPL were retrospectively analyzed between January 2000 and December 2013. The cytogenetic aberrations were detected by fluorescence in situ hybridisation (FISH)., Results: In the cohort, 7 males and 6 females with a median age of 63 years (range 43 to 74), two patients were IgA secreting, 6 with IgG secreting and 5 patients without monoclonal globulin. The major complaint at diagnosis included anemia associated symptom (53.8%), mucocutaneous hemorrhage and superficial lymphadenopathy (15.4%). Eight patients had B symptom at diagnosis. All of the 13 patients had bone marrow involvement and anemia, and 10 patients had 2 or 3 lineage cytopenia. In 5 patients with available immunophenotypic data, all expressed CD19, CD20, CD22 and CD25, but missed the expression of CD10, CD103 and CD38. Two cases had CD5 or sIgM positive alone. Another 2 patients were CD23 or CD11c positive and 3 patients were FMC7 positive. Cytogenetic aberrations had been detected by FISH in 7 patients, but only two (28.6%) patients had aberrations with del(6q)., Conclusion: The clinical and biological characteristics had no significantly difference between non-IgM LPL and WM.
- Published
- 2015
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