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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
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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