Wang Huan-You, Li Shiyong, Woodford Randall L, Mills Stacey E, Cousar John B
Departments of Pathology, University of Texas Southwestern Medical Center at Dallas, USA.
Diagn Mol Pathol. 2010 Sep;19(3):169-71. doi: 10.1097/PDM.0b013e3181c994ec.
Interdigitating dendritic cell sarcoma (IDCS) is an extremely rare neoplasia of interdigitating dendritic cells. Two single case reports documenting IDCS harboring t(14;18) translocation involving immunoglobulin heavy chain (IGH) and BCL2 have been reported recently; however, one of the 2 IDCS has a synchronous follicular lymphoma, the absence or presence of a follicular lymphoma in the remaining case is not mentioned. In this study, by using polymerase chain reaction and fluorescence in situ hybridization techniques, we have showed that there is neither t(14;18)/IGH-BCL2 nor IGH gene rearrangement in 4 de novo IDCS without a concurrent or known history of a B-cell lymphoma, including follicular lymphoma, indicating that BCL2 chromosomal translocation is not a general feature of de novo IDCS.
交指状树突状细胞肉瘤(IDCS)是一种极其罕见的交指状树突状细胞肿瘤。最近有两篇单病例报告记录了IDCS存在涉及免疫球蛋白重链(IGH)和BCL2的t(14;18)易位;然而,其中1例IDCS伴有同步滤泡性淋巴瘤,另一例中是否存在滤泡性淋巴瘤未提及。在本研究中,通过聚合酶链反应和荧光原位杂交技术,我们发现4例初发IDCS中既没有t(14;18)/IGH-BCL2,也没有IGH基因重排,这些病例均无并发或已知的B细胞淋巴瘤病史,包括滤泡性淋巴瘤,这表明BCL2染色体易位并非初发IDCS的普遍特征。