PMID- 16424389 OWN - NLM STAT- MEDLINE DCOM- 20060614 LR - 20210206 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 107 IP - 10 DP - 2006 May 15 TI - Diffuse large B-cell lymphoma in pediatric patients belongs predominantly to the germinal-center type B-cell lymphomas: a clinicopathologic analysis of cases included in the German BFM (Berlin-Frankfurt-Munster) Multicenter Trial. PG - 4047-52 AB - Diffuse large B-cell lymphoma (DLBCL) in adults is a heterogeneous disease. Biologic subgroups of DLBCL with a favorable prognosis (germinal center B-cell-like, GCB) and with a poor prognosis (activated B-cell-like, ABC) have been defined by gene expression profiling and can be distinguished by immunohistochemistry. In contrast to their adult counterparts, children with DLBCL have an excellent prognosis. We analyzed 63 cases of DLBCL in pediatric patients by immunohistochemistry and fluorescence in situ hybridization (FISH) and found a striking predominance of a GCB subtype, which might explain the good clinical outcome in these lymphomas. Interestingly, FISH applied to 50 of these cases, as well as conventional cytogenetics available in 3 cases, revealed absence of the translocation t(14;18) involving the BCL2 gene, which is present in about 15% of adult GCB subtype DLBCL. Our data indicate that pediatric DLBCL differs from adult DLBCL and might comprise a biologically unique subgroup of DLBCL from which important insights into the pathogenesis and biology of this disease might be gained. FAU - Oschlies, Ilske AU - Oschlies I AD - Institute of Pathology, Department of Hematopathology and Lymph Node Registry Kiel, Niemannsweg 11, 24105 Kiel, Germany. FAU - Klapper, Wolfram AU - Klapper W FAU - Zimmermann, Martin AU - Zimmermann M FAU - Krams, Matthias AU - Krams M FAU - Wacker, Hans-Heinrich AU - Wacker HH FAU - Burkhardt, Birgit AU - Burkhardt B FAU - Harder, Lana AU - Harder L FAU - Siebert, Reiner AU - Siebert R FAU - Reiter, Alfred AU - Reiter A FAU - Parwaresch, Reza AU - Parwaresch R LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20060119 PL - United States TA - Blood JT - Blood JID - 7603509 SB - IM MH - Child MH - Child, Preschool MH - *Chromosomes, Human, Pair 14 MH - *Chromosomes, Human, Pair 18 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Leukemia, Lymphoid/*classification/genetics/mortality/pathology MH - Lymphoma, B-Cell/*classification/genetics/mortality/pathology MH - Male MH - Survival Analysis MH - *Translocation, Genetic EDAT- 2006/01/21 09:00 MHDA- 2006/06/15 09:00 CRDT- 2006/01/21 09:00 PHST- 2006/01/21 09:00 [pubmed] PHST- 2006/06/15 09:00 [medline] PHST- 2006/01/21 09:00 [entrez] AID - S0006-4971(20)63835-6 [pii] AID - 10.1182/blood-2005-10-4213 [doi] PST - ppublish SO - Blood. 2006 May 15;107(10):4047-52. doi: 10.1182/blood-2005-10-4213. Epub 2006 Jan 19.