PMID- 23482616 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130314 LR - 20211021 IS - 1000-9604 (Print) IS - 1993-0631 (Electronic) IS - 1000-9604 (Linking) VI - 23 IP - 2 DP - 2011 Jun TI - Clinical Impact of t(14;18) in Diffuse Large B-cell Lymphoma. PG - 160-4 LID - 10.1007/s11670-011-0160-x [doi] AB - OBJECTIVE: Recent studies have suggested that t(14;18) is present in a significant proportion of diffuse large B-cell lymphomas (DLBCLs). However, the prognostic significance of this translocation and its relationship with BCL-2 protein expression remains controversial. Our study aimed to investigate the predictive power of t(14;18) and BCL-2 protein expression in the prognosis of DLBCLs. METHODS: Biopsy specimens from 106 DLBCLs were analyzed using interphase fluorescence in situ hybridization (FISH). Immunophenotypic analysis of CD20, CD3, CD10, BCL-6, MUM1 and BCL-2 was performed by immunohistochemistry. SPSS 13.0 software was used for statistical analysis. RESULTS: The t(14;18) was identified in 27 of 106 cases (25.5%). The percentages of tumor cells expressing CD10, BCL-6, MUM1 and BCL-2 were 21.7%, 26.4%, 56.6% and 73.6%, respectively. The presence of this translocation was significantly correlated with the expression of CD10 and immunophenotypic subtype (p<0.001). No association was observed between BCL-2 protein expression and the presence of t(14;18). Multivariate analysis confirmed that both t(14;18) and BCL-2 expression were significantly associated with survival. Moreover, patients with t(14;18) had worse prognosis, compared with those with BCL-2 expression (for overall survival: hazard ratio, 4.235; 95%CI, 2.153-8.329, p<0.001 vs. hazard ration, 2.743; 95%CI, 1.262-5.962, p=0.011). CONCLUSIONS: The t(14;18) is a useful prognostic tool for the evaluation of DLBCL immunophenotype and prognosis. The prognosis of GCB (germinal centre-like B cell) DLBCL patients should be made with the consideration of the presence of this translocation, and the detection of t(14;18) should be included as a routine diagnostic test in these cases. FAU - Zhang, Hong-Wei AU - Zhang HW AD - Department of Biochemistry and Molecular Biology, Shanxi Medical University, Taiyuan 030013, China; FAU - Cheng, Niu-Liang AU - Cheng NL FAU - Chen, Zhen-Wen AU - Chen ZW FAU - Wang, Jin-Fen AU - Wang JF FAU - Li, Su-Hong AU - Li SH FAU - Bai, Wei AU - Bai W LA - eng PT - Journal Article PL - China TA - Chin J Cancer Res JT - Chinese journal of cancer research = Chung-kuo yen cheng yen chiu JID - 9315242 PMC - PMC3587538 OTO - NOTNLM OT - 18), FISH, Survival analysis, Diffuse large B-cell lymphoma OT - Chromosome translocation, t(14 EDAT- 2011/06/01 00:00 MHDA- 2011/06/01 00:01 PMCR- 2011/06/01 CRDT- 2013/03/14 06:00 PHST- 2010/12/14 00:00 [received] PHST- 2011/03/17 00:00 [accepted] PHST- 2013/03/14 06:00 [entrez] PHST- 2011/06/01 00:00 [pubmed] PHST- 2011/06/01 00:01 [medline] PHST- 2011/06/01 00:00 [pmc-release] AID - cjcr-23-02-160 [pii] AID - 10.1007/s11670-011-0160-x [doi] PST - ppublish SO - Chin J Cancer Res. 2011 Jun;23(2):160-4. doi: 10.1007/s11670-011-0160-x.