EBV-Positive Pleomorphic Variant Transformation of CD5-Negative Mantle Cell Lymphoma: A Rare Case Report and Literature Review.

IF 0.7 Q4 HEMATOLOGY Case Reports in Hematology Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI:10.1155/2024/3267739
Amy Song, Julie Y Li, Samuel G Cockey, Richard Shao, Hailing Zhang
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Abstract

Mantle cell lymphoma (MCL) is a mature B-cell lymphoma associated with cyclin D family rearrangements and typically expresses CD5 and cyclin D1. Epstein-Barr virus- (EBV-) positive MCL is rare, and the role of EBV infection and its transformation in MCL remains unclear. We present a case of CD5-negative classic MCL that progressed to an EBV + pleomorphic MCL six years after the initial diagnosis. Molecular studies confirmed the same clonal origin. To the best of our knowledge, the EBV-positive transformation of CD5-negative MCL into a pleomorphic variant has rarely been reported, and its recognition is important for the diagnosis and the management of patients with MCL.

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CD5 阴性套细胞淋巴瘤的 EBV 阳性多形变异转化:罕见病例报告和文献综述。
套细胞淋巴瘤(MCL)是一种成熟的 B 细胞淋巴瘤,与细胞周期蛋白 D 家族重排有关,通常表达 CD5 和细胞周期蛋白 D1。Epstein-Barr 病毒(EBV)阳性的 MCL 非常罕见,EBV 感染及其在 MCL 中的转化作用仍不清楚。我们报告了一例 CD5 阴性的典型 MCL 病例,该病例在初诊六年后进展为 EBV + 多形性 MCL。分子研究证实了相同的克隆起源。据我们所知,EBV 阳性的 CD5 阴性 MCL 转变为多形性变体的病例很少见报道,认识到这一点对于 MCL 患者的诊断和治疗非常重要。
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发文量
51
审稿时长
13 weeks
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