PMID- 15350300 OWN - NLM STAT- MEDLINE DCOM- 20041207 LR - 20071115 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 153 IP - 2 DP - 2004 Sep TI - Cytogenetics and fluorescence in situ hybridization studies of diffuse large B-cell lymphoma in children and young adults. PG - 115-21 AB - Diffuse large B-cell lymphoma (DLBCL), the most common subtype of adult non-Hodgkin lymphoma (NHL), is infrequently seen in adolescents and is rare in children. Due to the infrequency of the disease, single institution-based cytogenetic and fluorescence in situ hybridization (FISH) studies of pediatric DLBCL have not been reported so far and, hence, the possible differences in pediatric and adult DLBCL have not been evaluated. We performed cytogenetic and FISH analyses of 7 pediatric and 5 young adult DLBCL cases referred to the University of Nebraska Medical Center. Karyotypic studies revealed numeric and structural chromosome abnormalities in all cases. Loss of chromosomes 2, 3, 4, 6, 12, 15, 16, and 17, and gain of 12, 18, and X were observed in more than 20% of the cases (#10878;3 cases). Sex chromosome abnormalities and cytogenetically unidentifiable chromosomes and/or segments were observed in 80% (10/12) of the cases. Recurrent breakpoints (observed in 3 or more cases) included 14q32 (IGH) and 17p13 (TP53), which clustered in the young adult group. The breakpoints 7q36, 9p24, 13q34, and 16q24 were noted in two cases each. We performed interphase FISH studies to verify the possible rearrangements of the breakpoints that are frequently implicated in adult DLBCL. Our results confirmed that the pediatric cases did not show rearrangements of 3q27 (BCL6), 14q32 (IGH), 18q21 (BCL2), 8q24 (CMYC), and 17p13 (TP53), except for one case with IGH;BCL2 dual fusion [t(14;18)(q32;q21)] and one with a 17p13 (TP53) deletion. Although 3q27 was noted to be rearranged by conventional cytogenetics in two young adult DLBCL cases, FISH investigations verified that BCL6 was not disrupted. The t(8;14)(q24;q32) with rearranged CMYC ascertained by FISH, was observed in a single young adult DLBCL case. These results highlight a distinctly different representation of cytogenetic abnormalities in pediatric versus adult DLBCL. FAU - Dave, Bhavana J AU - Dave BJ AD - Human Genetics Laboratory, Munroe Meyer Institute for Genetics and Rehabilitation, 985440 Nebraska Medical Center, Omaha, NE 68198-5440, USA. bdave@unmc.edu FAU - Weisenburger, Dennis D AU - Weisenburger DD FAU - Higgins, Christine M AU - Higgins CM FAU - Pickering, Diane L AU - Pickering DL FAU - Hess, Michelle M AU - Hess MM FAU - Chan, Wing C AU - Chan WC FAU - Sanger, Warren G AU - Sanger WG LA - eng GR - CA36727/CA/NCI NIH HHS/United States GR - U01 CA84967/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - Adolescent MH - Adult MH - Child MH - Chromosome Aberrations MH - Chromosome Mapping MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Lymphoma, B-Cell/*genetics/pathology MH - Lymphoma, Large B-Cell, Diffuse/*genetics/pathology MH - Male EDAT- 2004/09/08 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/09/08 05:00 PHST- 2003/11/05 00:00 [received] PHST- 2004/01/06 00:00 [revised] PHST- 2004/01/08 00:00 [accepted] PHST- 2004/09/08 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/09/08 05:00 [entrez] AID - S0165460804000275 [pii] AID - 10.1016/j.cancergencyto.2004.01.008 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2004 Sep;153(2):115-21. doi: 10.1016/j.cancergencyto.2004.01.008.