PMID- 21923812 OWN - NLM STAT- MEDLINE DCOM- 20120322 LR - 20171116 IS - 1468-3083 (Electronic) IS - 0926-9959 (Linking) VI - 25 IP - 10 DP - 2011 Oct TI - Lacking CD56 expression in a relapsing cutaneous blastic plasmacytoid dendritic cell neoplasm after allogeneic bone marrow transplantation: FISH analysis revealed loss of 11q. PG - 1225-9 LID - 10.1111/j.1468-3083.2010.03922.x [doi] AB - BACKGROUND: Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare entity characterized by a CD4+/CD56+/CD123+ immunophenotype and a fatal clinical course. The average survival of 12-14 months may be prolonged by allogeneic bone marrow transplantation (BMT). OBJECTIVES: We report about a male patient who suffered from BPDCN with a typical histology and co-expression of CD4/CD123 and a CD56 expression by 80% of the tumour cells. The cutaneous tumour relapse after chemotherapy and allogeneic BMT was completely negative for CD56. METHODS: We performed interphase fluorescence in situ hybridization (FISH) analysis of tumour tissue, asserved before and after BMT, using specific probes for chromosome 11, which encompass the CD56 gene region. RESULTS: The tumour cells revealed a partial loss of 11q as well as a monosomy of chromosome 11. CONCLUSION: This case demonstrates for the first time that loss of CD56 expression can also occur as a secondary event after chemotherapy and BMT. In our case, DNA loss of 11q23 could be responsible for the negativity of 20% of tumour cells as observed before chemotherapy. However, the complete loss of CD56 expression in the relapsed tumour cannot be explained by the loss of 11q23 alone. Additional factors such as chemotherapy-induced mutations might also have contributed. CI - (c) 2010 The Authors. Journal of the European Academy of Dermatology and Venereology (c) 2010 European Academy of Dermatology and Venereology. FAU - Mitteldorf, C AU - Mitteldorf C AD - Department of Dermatology, Georg August University Gottingen, Germany. christina.mitteldorf@klinikum-hildesheim.de FAU - Bertsch, H P AU - Bertsch HP FAU - Baumgart, M AU - Baumgart M FAU - Haase, D AU - Haase D FAU - Wulf, G AU - Wulf G FAU - Schon, M P AU - Schon MP FAU - Rosenwald, A AU - Rosenwald A FAU - Neumann, C AU - Neumann C FAU - Kaune, K M AU - Kaune KM LA - eng PT - Case Reports PT - Journal Article DEP - 20101125 PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 RN - 0 (CD56 Antigen) RN - 5J49Q6B70F (Vincristine) RN - 6PLQ3CP4P3 (Etoposide) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - 9PHQ9Y1OLM (Prednisolone) RN - CHOEP protocol SB - IM MH - Adult MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/pharmacology/therapeutic use MH - *Bone Marrow Transplantation MH - CD56 Antigen/genetics/*metabolism MH - Chromosomes, Human, Pair 11/drug effects/*genetics MH - Cyclophosphamide/administration & dosage MH - Dendritic Cells/*pathology MH - Doxorubicin/administration & dosage MH - Etoposide/administration & dosage MH - Fatal Outcome MH - Hematologic Neoplasms/*metabolism/pathology/*therapy MH - Humans MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - Male MH - Neoplasm Recurrence, Local/metabolism/pathology/therapy MH - Prednisolone/administration & dosage MH - Skin/metabolism/pathology MH - Skin Neoplasms/*metabolism/pathology/*therapy MH - Transplantation, Homologous MH - Vincristine/administration & dosage EDAT- 2011/09/20 06:00 MHDA- 2012/03/23 06:00 CRDT- 2011/09/20 06:00 PHST- 2011/09/20 06:00 [entrez] PHST- 2011/09/20 06:00 [pubmed] PHST- 2012/03/23 06:00 [medline] AID - 10.1111/j.1468-3083.2010.03922.x [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2011 Oct;25(10):1225-9. doi: 10.1111/j.1468-3083.2010.03922.x. Epub 2010 Nov 25.