PMID- 20620602 OWN - NLM STAT- MEDLINE DCOM- 20100730 LR - 20120605 IS - 1873-4456 (Electronic) IS - 0165-4608 (Linking) VI - 200 IP - 2 DP - 2010 Jul 15 TI - Detection of a t(4;14)(p16;q32) in two cases of lymphoma showing both the immunophenotype of chronic lymphocytic leukemia. PG - 170-4 LID - 10.1016/j.cancergencyto.2010.03.009 [doi] AB - Reciprocal IGH/14q32 translocations are detectable in 55-70% of patients with plasma cell myeloma; e.g., the adverse t(4;14)(p16;q32) fusing the IGH and FGFR3 genes (immunoglobulin heavy chain/fibroblast growth factor receptor 3). In a minority of patients with B-lineage chronic lymphocytic leukemia (CLL), reciprocal IGH/14q32 translocations have been reported as well. We describe the occurrence of a t(4;14)(p16;q32) in two lymphoma patients showing the immunophenotype of B-CLL, which, to our knowledge, is the first report on such an association. The first patient, a 72-year-old female, showed mature lymphocyte infiltration of the bone marrow and marked splenomegaly. Immunophenotyping revealed aberrant CD5 expression and light-chain lambda restriction on mature B-lymphocytes corresponding to a B-CLL. Interphase fluorescence in situ hybridization (FISH) plus chromosome banding revealed a t(4;14)(p16;q32) in addition to an unbalanced der(16)t(8;16)(q23;p13) and a del(8)(p11). The second patient, a male of 65 years, showed marked peripheral leukocytosis. Immunophenotyping revealed the phenotype of CLL/PLL (chronic lymphocytic leukemia/prolymphocytic leukemia). Again, FISH together with karyotyping revealed a t(4;14)(p16;q32). These two cases with an t(4;14), but the immunophenotype of B-CLL, demonstrate the genetic variability of B-cell lymphomas and the potential of specific metaphase cultivation techniques using oligonucleotides to increase our insights in the genetic pathways of these heterogeneous disorders. CI - Copyright (c) 2010 Elsevier Inc. All rights reserved. FAU - Bacher, Ulrike AU - Bacher U AD - Interdisciplinary Clinic for Stem Cell Transplantation, University Cancer Center Hamburg, Martinistrasse 52, Hamburg, Germany. FAU - Haferlach, Torsten AU - Haferlach T FAU - Schnittger, Susanne AU - Schnittger S FAU - Weiss, Tamara AU - Weiss T FAU - Burkhard, Oswald AU - Burkhard O FAU - Bechtel, Britta AU - Bechtel B FAU - Kern, Wolfgang AU - Kern W FAU - Haferlach, Claudia AU - Haferlach C LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Immunoglobulin Heavy Chains) RN - EC 2.7.10.1 (FGFR3 protein, human) RN - EC 2.7.10.1 (Receptor, Fibroblast Growth Factor, Type 3) SB - IM MH - Aged MH - *Chromosomes, Human, Pair 14 MH - *Chromosomes, Human, Pair 4 MH - Female MH - Humans MH - Immunoglobulin Heavy Chains/genetics MH - Immunophenotyping MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics MH - Lymphoma, B-Cell/*genetics MH - Male MH - Receptor, Fibroblast Growth Factor, Type 3/genetics MH - *Translocation, Genetic EDAT- 2010/07/14 06:00 MHDA- 2010/07/31 06:00 CRDT- 2010/07/13 06:00 PHST- 2009/10/20 00:00 [received] PHST- 2010/03/15 00:00 [revised] PHST- 2010/03/30 00:00 [accepted] PHST- 2010/07/13 06:00 [entrez] PHST- 2010/07/14 06:00 [pubmed] PHST- 2010/07/31 06:00 [medline] AID - S0165-4608(10)00142-1 [pii] AID - 10.1016/j.cancergencyto.2010.03.009 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2010 Jul 15;200(2):170-4. doi: 10.1016/j.cancergencyto.2010.03.009.