PMID- 25125625 OWN - NLM STAT- MEDLINE DCOM- 20141017 LR - 20150813 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 142 IP - 3 DP - 2014 Sep TI - Aberrations of MYC are a common event in B-cell prolymphocytic leukemia. PG - 347-54 LID - 10.1309/AJCPUBHM8U7ZFLOB [doi] AB - OBJECTIVES: B-cell prolymphocytic leukemia (B-PLL) remains a controversial entity, and its molecular pathogenesis is largely unknown. Patients are older, typically having marked lymphocytosis and splenomegaly in the absence of lymphadenopathy. It is defined as a mature B-cell leukemia with more than 55% circulating prolymphocytes. Leukemic mantle cell lymphoma and chronic lymphocytic leukemia in prolymphocytic transformation must be excluded. METHODS: Case archives were retrospectively reviewed for B-PLL in patients without a previous diagnosis of chronic lymphocytic leukemia or other B-cell neoplasm. RESULTS: We identified six cases of B-PLL with available cytogenetic data, five of which showed evidence of aberrations in MYC. Three cases showed additional signals for the MYC gene by fluorescence in situ hybridization (FISH), and two cases demonstrated t(8;14)MYC/IGH by karyotyping or FISH. High levels of MYC protein expression were detected in all cases tested with MYC aberrations. CONCLUSIONS: These results suggest that deregulation of MYC plays an important role in the pathogenesis of B-PLL and expands the spectrum of B-cell neoplasms associated with aberrations of MYC. CI - Copyright(c) by the American Society for Clinical Pathology. FAU - Flatley, Ellen AU - Flatley E AD - From the Department of Pathology, Oregon Health & Science University, Portland; FAU - Chen, Andy I AU - Chen AI AD - Department of Hematology-Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland; FAU - Zhao, Xiangrong AU - Zhao X AD - Hematopathology Section, Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, MD; and. FAU - Jaffe, Elaine S AU - Jaffe ES AD - Hematopathology Section, Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, MD; and. FAU - Dunlap, Jennifer B AU - Dunlap JB AD - From the Department of Pathology, Oregon Health & Science University, Portland; FAU - Pittaluga, Stefania AU - Pittaluga S AD - Hematopathology Section, Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, MD; and. FAU - Abdullah, Shahed AU - Abdullah S AD - Hematopathology Section, Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, Bethesda, MD; and. FAU - Olson, Susan B AU - Olson SB AD - Knight Diagnostic Laboratory, Knight Cancer Institute, Oregon Health & Science University, Portland. FAU - Spurgeon, Stephen E AU - Spurgeon SE AD - Department of Hematology-Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland; FAU - Fan, Guang AU - Fan G AD - From the Department of Pathology, Oregon Health & Science University, Portland; fang@ohsu.edu. LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Aged MH - Aged, 80 and over MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Prolymphocytic, B-Cell/*genetics/pathology MH - Leukocytosis/*genetics/pathology MH - Lymphocytes/pathology MH - Male MH - Middle Aged MH - Proto-Oncogene Proteins c-myc/*genetics MH - Retrospective Studies OTO - NOTNLM OT - Cytogenetics OT - FISH OT - Leukemia OT - MYC OT - Prolymphocytic leukemia EDAT- 2014/08/16 06:00 MHDA- 2014/10/18 06:00 CRDT- 2014/08/16 06:00 PHST- 2014/08/16 06:00 [entrez] PHST- 2014/08/16 06:00 [pubmed] PHST- 2014/10/18 06:00 [medline] AID - 142/3/347 [pii] AID - 10.1309/AJCPUBHM8U7ZFLOB [doi] PST - ppublish SO - Am J Clin Pathol. 2014 Sep;142(3):347-54. doi: 10.1309/AJCPUBHM8U7ZFLOB.