Waldenstrom macroglobulinemia with 11q deletion: A rarely diagnosed entity with review of literature

IF 0.1 Q4 HEMATOLOGY Iraqi Journal of Hematology Pub Date : 2023-10-30 DOI:10.4103/ijh.ijh_51_23
Ranjana Giri, Pallavi Mishra, Mouli Mishra, Nageswar Sahu, Biswajit Bhuyan
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Abstract

Abstract Waldenstrom macroglobulinemia (WM) is a rare, chronic, and indolent B-cell lymphoproliferative disorder characterized by bone marrow infiltration by small lymphocytes, lymphoplasmacytoid cells, and plasma cells along with the presence of a detectable monoclonal immunoglobulin M. It represents 1%–2% of hematological malignancies with an overall incidence of 3–4 cases/million persons/year. Some deletions are associated with a more aggressive IgM gammopathy and have a high probability of symptomatic transformation. 6q deletion, the most common cytogenetic abnormality, which is present in 42% of cases whereas 11q deletion is rare in WM and is present in only 8% of cases. We are presenting a case of a 70-year-old male patient diagnosed as WM with 11q deletion.
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Waldenstrom巨球蛋白血症伴11q缺失:一种罕见的诊断实体与文献回顾
华氏巨球蛋白血症(Waldenstrom macroglobulinemia, WM)是一种罕见的慢性惰性b淋巴细胞增生性疾病,以骨髓小淋巴细胞、淋巴浆细胞样细胞和浆细胞浸润为特征,并伴有可检测到的单克隆免疫球蛋白m。它占血液系统恶性肿瘤的1%-2%,总发病率为3-4例/百万人/年。一些缺失与更具侵袭性的IgM伽玛病有关,并且有很高的症状转化的可能性。6q缺失是最常见的细胞遗传学异常,在42%的病例中存在,而11q缺失在WM中很少见,仅在8%的病例中存在。我们报告一例70岁男性患者,诊断为11q缺失的WM。
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