PMID- 17217996 OWN - NLM STAT- MEDLINE DCOM- 20070404 LR - 20171116 IS - 0046-8177 (Print) IS - 0046-8177 (Linking) VI - 38 IP - 3 DP - 2007 Mar TI - Orbital marginal zone lymphomas: an immunohistochemical, polymerase chain reaction, and fluorescence in situ hybridization study. PG - 435-42 AB - Many studies have been performed on chromosomal aberrations of extranodal marginal zone lymphomas. However, only a few have been published so far on ocular adnexal marginal zone lymphomas. We studied 18 cases of orbital lymphoid cell infiltrates. Using fluorescence in situ hybridization (FISH), we studied some of the most common chromosomal aberrations found in extranodal marginal zone lymphomas as: trisomies 3, and rearrangements of the 18q21 MALTI gene to detect the translocations t(11;18)(q21;q21) and t(14;18)(q32;q21)MALT1. Our goals were as follows: (1) study those aberrations in our material and compare them with the literature, (2) check their prognostic significance, and (3) check whether studying those aberrations with FISH can be used as a diagnostic tool to differentiate reactive from neoplastic infiltrates, in addition to immunohistochemistry and polymerase chain reaction. We found a high frequency of trisomies 3 (68%) and 18 (56.6%), the highest published so far in orbital lymphomas. On the other hand, no rearrangement was seen in any of our cases. The histologic picture and the clinical course were the same when there was one or more aberrations. As for the diagnostic significance, the presence of a prior, concurrent, or subsequent lymphoma in almost all the positive for aberrations cases suggests that either the orbital infiltrates in these cases are lymphomas, or they have, at least, a malignant potential or a genetic instability. Therefore, the demonstration of these numerical aberrations by FISH may be an additional sensitive, reliable, and relatively simple tool to differentiate reactive from neoplastic orbital lymphoid cell infiltrates when the immunohistochemistry and polymerase chain reaction, performed in a busy and routine-based histopathology laboratory, are unsatisfactory. FAU - Schiby, Ginette AU - Schiby G AD - Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Sheba Medical Center, Tel Hashomer 52621, Israel. gschiby@yahoo.com FAU - Polak-Charcon, Sylvie AU - Polak-Charcon S FAU - Mardoukh, Corine AU - Mardoukh C FAU - Rosenblatt, Kinneret AU - Rosenblatt K FAU - Goldberg, Iris AU - Goldberg I FAU - Kneller, Abraham AU - Kneller A FAU - Rosner, Mordechai AU - Rosner M FAU - Kopolovic, Juri AU - Kopolovic J LA - eng PT - Journal Article DEP - 20070110 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Neoplasm Proteins) 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 - Adult MH - Aged MH - Aged, 80 and over MH - Caspases/genetics MH - Chromosomes, Human, Pair 18/genetics MH - Chromosomes, Human, Pair 3/genetics MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphoma/*genetics/*pathology MH - Male MH - Middle Aged MH - Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein MH - Neoplasm Proteins/genetics MH - Orbital Neoplasms/*genetics/*pathology MH - Polymerase Chain Reaction MH - Trisomy/genetics/pathology EDAT- 2007/01/16 09:00 MHDA- 2007/04/05 09:00 CRDT- 2007/01/16 09:00 PHST- 2006/05/03 00:00 [received] PHST- 2006/08/29 00:00 [revised] PHST- 2006/09/01 00:00 [accepted] PHST- 2007/01/16 09:00 [pubmed] PHST- 2007/04/05 09:00 [medline] PHST- 2007/01/16 09:00 [entrez] AID - S0046-8177(06)00562-4 [pii] AID - 10.1016/j.humpath.2006.09.007 [doi] PST - ppublish SO - Hum Pathol. 2007 Mar;38(3):435-42. doi: 10.1016/j.humpath.2006.09.007. Epub 2007 Jan 10.