PMID- 23457005 OWN - NLM STAT- MEDLINE DCOM- 20140722 LR - 20181202 IS - 1097-0339 (Electronic) IS - 1097-0339 (Linking) VI - 42 IP - 1 DP - 2014 Jan TI - A case of anaplastic lymphoma kinase-positive large B-cell lymphoma: aspiration cytology findings. PG - 69-72 LID - 10.1002/dc.22968 [doi] AB - Anaplastic lymphoma kinase-positive (ALK+) large B-cell lymphoma (LBCL) is a rare subtype of non-Hodgkin B-cell lymphoma that exhibits a more aggressive clinical course and poorer prognosis than the typical diffuse large B-cell lymphoma. In this study, we report the case of a 67-year-old man with left cervical lymph node swelling. Aspiration cytology revealed many clusters of cohesive, large, and solitary cells. The tumor cells had abundant cytoplasm and large round-to-oval nuclei with prominent nucleoli. The Giemsa staining specimens exhibited amorphous global bodies adjacent to some clusters. Histologically, large tumor cells occupied the lymph nodes in a sinusoidal pattern, and immunohistochemically, these cells were cytokeratin-, CD19(-), CD20(-), CD79a(-), CD3(-), CD30(-), CD138(+), IgG(-), IgA(+), and ALK(+). Chromogenic in situ hybridization revealed restricted immunoglobulin light-chain expression. Fluorescent in situ hybridization demonstrated translocation of the ALK gene. The tumor cells were negative for Epstein-Barr virus and human herpesvirus 8. It is important to differentiate ALK+LBCL from metastatic carcinoma and other lymphoma subtypes with similar histological features to ensure a proper treatment strategy and prediction of prognosis. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Nakatsuka, Shin-ichi AU - Nakatsuka S AD - Department of Pathology, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan. FAU - Oku, Kazuko AU - Oku K FAU - Nagano, Teruaki AU - Nagano T FAU - Kimura, Hayato AU - Kimura H FAU - Hanamoto, Atsushi AU - Hanamoto A FAU - Ito, Mahito AU - Ito M FAU - Hashimoto, Koji AU - Hashimoto K LA - eng PT - Case Reports PT - Journal Article DEP - 20130301 PL - United States TA - Diagn Cytopathol JT - Diagnostic cytopathology JID - 8506895 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Aged MH - Anaplastic Lymphoma Kinase MH - Biopsy, Needle MH - Humans MH - Lymphoma, B-Cell/*chemistry/enzymology/genetics/*pathology/therapy MH - Male MH - Receptor Protein-Tyrosine Kinases/*analysis/genetics MH - Translocation, Genetic OTO - NOTNLM OT - anaplastic lymphoma kinase OT - aspiration cytology OT - cohesiveness OT - large B-cell lymphoma EDAT- 2013/03/05 06:00 MHDA- 2014/07/23 06:00 CRDT- 2013/03/05 06:00 PHST- 2012/05/18 00:00 [received] PHST- 2012/10/26 00:00 [revised] PHST- 2013/01/01 00:00 [accepted] PHST- 2013/03/05 06:00 [entrez] PHST- 2013/03/05 06:00 [pubmed] PHST- 2014/07/23 06:00 [medline] AID - 10.1002/dc.22968 [doi] PST - ppublish SO - Diagn Cytopathol. 2014 Jan;42(1):69-72. doi: 10.1002/dc.22968. Epub 2013 Mar 1.