PMID- 20614267 OWN - NLM STAT- MEDLINE DCOM- 20101005 LR - 20211020 IS - 1936-0568 (Electronic) IS - 1936-055X (Print) IS - 1936-055X (Linking) VI - 1 IP - 2 DP - 2007 Dec TI - Plasmablastic lymphoma of head and neck: report of two new cases and correlation with c-myc and IgVH gene mutation status. PG - 150-5 LID - 10.1007/s12105-007-0006-5 [doi] AB - Plasmablastic lymphoma (PBL) is a rare acquired immunodeficiency syndrome-associated non-Hodgkin's lymphoma (AIDS-NHL), with predilection for the mucosa of oral cavity. It usually has a plasmablastic morphology, expressing plasma cell-associated antigens with weak or absent expression of B-cell-associated markers. To further define the immunophenotypic and molecular genetics of these tumors, we investigated two cases of plasmablastic lymphomas of the head and neck for c-myc gene rearrangement and immunoglobulin heavy chain (IgV(H)) hypermutation status. For the first time we report a case of AIDS-related PBL that, by fluorescence in situ hybridization (FISH), shows a c-myc gene rearrangement. Although current literature suggests that most cases of c-myc gene rearranged AIDS-NHL are Burkitt's lymphoma, our case has an immunophenotype characteristic for PBL. In this case, IgV(H) hypermutation analysis showed a somatic hypermutation, indicative of germinal center transit. The concurrent B-cell immunophenotype of BCL-6(-)/CD138(+)/MUM-1(+) also suggests a post-germinal center B-cell origin of this lymphoma. The immunophenotype of our second case (BCL-6(-)/CD138(+)/MUM-1(+)) also suggests a post-germinal center B-cell origin. However, IgV(H) hypermutation analysis was not possible in this case. FAU - Hassan, Anjum AU - Hassan A AD - Department of Pathology and Immunology, Division of Anatomic Pathology, Washington University School of Medicine, 660 South Euclid Ave., St. Louis, MO 63110, USA. ahassan@path.wustl.edu FAU - Kreisel, Friederike AU - Kreisel F FAU - Gardner, Laura AU - Gardner L FAU - Lewis, James S Jr AU - Lewis JS Jr FAU - El-Mofty, Samir K AU - El-Mofty SK LA - eng PT - Case Reports PT - Journal Article DEP - 20071026 PL - United States TA - Head Neck Pathol JT - Head and neck pathology JID - 101304010 RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (Immunoglobulin Variable Region) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Adult MH - Gene Rearrangement, B-Lymphocyte MH - Humans MH - Immunoglobulin Heavy Chains/*genetics/immunology MH - Immunoglobulin Variable Region/*genetics/immunology MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - Lymphoma, AIDS-Related/genetics/immunology/*pathology MH - Lymphoma, Large-Cell, Immunoblastic/genetics/immunology/*pathology MH - Male MH - Middle Aged MH - Mouth Neoplasms/genetics/immunology/*pathology MH - Mutation MH - Proto-Oncogene Proteins c-myc/*genetics MH - Somatic Hypermutation, Immunoglobulin/genetics/immunology PMC - PMC2807524 OTO - NOTNLM OT - Acquired immunodeficiency syndrome-associated non-Hodgkin's lymphoma OT - Immunoglobulin variable heavy chain hypermutation status OT - Plasmablastic lymphoma OT - c-myc gene rearrangement EDAT- 2007/12/01 00:00 MHDA- 2010/10/06 06:00 PMCR- 2007/12/01 CRDT- 2010/07/09 06:00 PHST- 2007/02/27 00:00 [received] PHST- 2007/04/27 00:00 [accepted] PHST- 2010/07/09 06:00 [entrez] PHST- 2007/12/01 00:00 [pubmed] PHST- 2010/10/06 06:00 [medline] PHST- 2007/12/01 00:00 [pmc-release] AID - 6 [pii] AID - 10.1007/s12105-007-0006-5 [doi] PST - ppublish SO - Head Neck Pathol. 2007 Dec;1(2):150-5. doi: 10.1007/s12105-007-0006-5. Epub 2007 Oct 26.