PMID- 16917511 OWN - NLM STAT- MEDLINE DCOM- 20070105 LR - 20230210 IS - 0893-3952 (Print) IS - 0893-3952 (Linking) VI - 19 IP - 11 DP - 2006 Nov TI - MALT1 gene rearrangements and NF-kappaB activation involving p65 and p50 are absent or rare in primary MALT lymphomas of the breast. PG - 1402-8 AB - Mucosa associated lymphoid tissue (MALT) lymphomas arising in the breast are uncommon and few cases have been assessed for MALT lymphoma-associated translocations, BCL-10 expression, or NF-kappaB activation. In this study, we analyzed eight cases of primary breast MALT lymphoma. We also included 14 cases of primary breast diffuse large B-cell lymphoma since some of these may represent transformation of MALT lymphoma, known to occur at extra-mammary MALT sites. All cases were assessed for MALT1 gene rearrangements by fluorescence in situ hybridization (FISH). Using immunohistochemical methods, all cases were assessed for BCL-10, and subsets were assessed for NF-kappaB p65 and p50. None of the cases had MALT1 gene rearrangements by FISH. Of eight MALT lymphomas, BCL-10 was positive in seven (88%), with moderate nuclear and cytoplasmic staining in six, and a weak cytoplasmic staining in one. NF-kappaB p65 (n=8) and p50 (n=5) were negative or showed only cytoplasmic staining (ie inactivated) in all cases. Of 14 diffuse large B-cell lymphoma cases, BCL-10 was positive in 12 (87%), with weak-to-moderate cytoplasmic staining in 10, weak cytoplasmic and focally nuclear staining in one, and a moderate-to-strong nuclear and cytoplasmic staining in one. NF-kappaB p65 (n=11) showed cytoplasmic staining in all cases, whereas p50 (n=8) showed nuclear positivity (ie activated) in two (25%) cases. We conclude that MALT1 gene rearrangements are absent or rare in primary breast MALT lymphoma and diffuse large B-cell lymphoma. In MALT lymphomas, the moderate BCL-10 nuclear expression in six neoplasms is inconsistent with the FISH results, suggesting that BCL-10 immunostaining overestimates the frequency of MALT1 gene rearrangements. We also could not demonstrate NF-kappaB activation using nuclear staining for p65 and p50. In contrast, breast diffuse large B-cell lymphomas are heterogeneous. Weak cytoplasmic BCL-10 staining in most cases and evidence of NF-kappaB p50 activation in a subset differs from breast MALT lymphomas. FAU - Talwalkar, Sameer S AU - Talwalkar SS AD - Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. FAU - Valbuena, Jose R AU - Valbuena JR FAU - Abruzzo, Lynne V AU - Abruzzo LV FAU - Admirand, Joan H AU - Admirand JH FAU - Konoplev, Sergej N AU - Konoplev SN FAU - Bueso-Ramos, Carlos E AU - Bueso-Ramos CE FAU - Medeiros, L Jeffrey AU - Medeiros LJ LA - eng PT - Journal Article DEP - 20060818 PL - United States TA - Mod Pathol JT - Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc JID - 8806605 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (B-Cell CLL-Lymphoma 10 Protein) RN - 0 (BCL10 protein, human) RN - 0 (NF-kappa B) RN - 0 (NF-kappa B p50 Subunit) RN - 0 (Neoplasm Proteins) RN - 0 (Transcription Factor RelA) RN - EC 3.4.22.- (Caspases) RN - EC 3.4.22.- (MALT1 protein, human) RN - EC 3.4.22.- (Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein) SB - IM MH - Adaptor Proteins, Signal Transducing/analysis MH - Adult MH - Aged MH - Aged, 80 and over MH - B-Cell CLL-Lymphoma 10 Protein MH - Breast Neoplasms/chemistry/*genetics/*pathology MH - Breast Neoplasms, Male/genetics MH - Caspases/*genetics MH - Female MH - Gene Expression Regulation, Neoplastic MH - *Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphoma, B-Cell, Marginal Zone/chemistry/*genetics/*pathology MH - Lymphoma, Large B-Cell, Diffuse/genetics MH - Male MH - Middle Aged MH - Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein MH - NF-kappa B/*analysis MH - NF-kappa B p50 Subunit/analysis MH - Neoplasm Proteins/*genetics MH - Transcription Factor RelA/analysis EDAT- 2006/08/19 09:00 MHDA- 2007/01/06 09:00 CRDT- 2006/08/19 09:00 PHST- 2006/08/19 09:00 [pubmed] PHST- 2007/01/06 09:00 [medline] PHST- 2006/08/19 09:00 [entrez] AID - S0893-3952(22)02040-3 [pii] AID - 10.1038/modpathol.3800668 [doi] PST - ppublish SO - Mod Pathol. 2006 Nov;19(11):1402-8. doi: 10.1038/modpathol.3800668. Epub 2006 Aug 18.