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Extracavitary primary effusion lymphoma: clinical, morphological, phenotypic and cytogenetic characterization using nuclei enrichment technique.
[primary effusion lymphoma]
Primary
effusion
lymphoma
(
PEL
)
is
a
rare
form
of
aggressive
B-
cell
lymphoma
,
which
typically
manifests
as
malignant
effusion
in
the
body
cavities
.
However
,
extracavitary
solid
variants
are
also
described
.
The
aim
of
this
study
was
to
investigate
copy
number
aberrations
in
two
cases
of
solid
PEL
at
their
first
occurrences
and
relapse
by
applying
a
newly
developed
methodology
of
tumour
nuclei
enrichment
.
Using
histological
and
genetic
techniques
,
a
novel
protocol
for
tumour
nuclei
enrichment
by
flow
sorting
and
array-comparative
genomic
hybridization
,
we
characterized
two
cases
of
extracavitary
PEL
,
one
of
which
later
relapsed
as
effusion
.
Both
primary
tumours
were
positive
for
HHV
8
and
EBV
,
confined
to
lymph
nodes
,
and
aberrantly
expressed
CD
3
,
yet
displaying
clonal
immunoglobulin
gene
rearrangements
indicating
B-
cell
origin
.
Cytogenetic
characterization
of
primary
tumours
revealed
modest
number
of
aberrations
,
partially
overlapping
with
previously
reported
affected
loci
.
The
effusional
relapse
in
case
1
was
cytogenetically
related
to
the
primary
tumour
but
showed
dramatic
increase
of
chromosomal
instability
.
We
for
the
first
time
demonstrate
a
cytogenetic
relationship
between
solid
and
effusional
presentations
of
PEL
.
Moreover
,
we
provide
an
indirect
evidence
of
multiple
malignant
clones
,
which
gave
rise
to
clonally-related
,
yet
karyotypically
different
relapsing
lymphoma
manifestations
.
Diseases
Validation
Diseases presenting
"extracavitary solid variants"
symptom
primary effusion lymphoma
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