PMID- 26874918 OWN - NLM STAT- MEDLINE DCOM- 20160922 LR - 20181202 IS - 2210-7762 (Print) VI - 209 IP - 4 DP - 2016 Apr TI - Detection of an early adult T-cell leukemia-lymphoma clone in lymph nodes with anaplastic lymphoma kinase-negative anaplastic large cell lymphoma involvement. PG - 138-42 LID - S2210-7762(16)30001-1 [pii] LID - 10.1016/j.cancergen.2016.01.002 [doi] AB - A 58-year-old man was admitted to our hospital with systemic lymphadenopathy and was diagnosed with anaplastic lymphoma kinase-negative anaplastic large cell lymphoma (ALCL) by lymph node biopsy. Although he was a human T-cell leukemia virus type I (HTLV-1) carrier, Southern blot analysis of the lymph node did not show monoclonal integration of HTLV-1 provirus deoxyribonucleic acid (DNA). He achieved complete remission after chemotherapy and subsequently, autologous peripheral blood stem cell transplantation (auto-PBSCT) was performed. Fifteen months after the auto-PBSCT, abnormal lymphocytes in the peripheral blood gradually increased. Southern blot analysis revealed monoclonal integration of HTLV-1 provirus DNA and monoclonal rearrangement of TRB. He was diagnosed with chronic type adult T-cell leukemia-lymphoma (ATL), which immediately progressed to the acute type. He died of tumor progression despite intensive chemotherapy. We analyzed genomic alterations of the ALCL and ATL cells using array comparative genomic hybridization. We found that the genomic alteration pattern differed between the two diseases. T-cell receptor clonality analysis using polymerase chain reaction (PCR) showed that the T-cell clone of the ATL was present in the lymph nodes with ALCL involvement, but not in peripheral blood. This finding suggests that lymph nodes can serve as a niche for ATL development. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Tokunaga, Masahito AU - Tokunaga M AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. Electronic address: ma.tokunaga@jiaikai.jp. FAU - Yoshida, Noriaki AU - Yoshida N AD - Department of Pathology, Kurume University School of Medicine, Fukuoka, Japan. FAU - Nakano, Nobuaki AU - Nakano N AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Kubota, Ayumu AU - Kubota A AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Takeuchi, Shogo AU - Takeuchi S AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Takatsuka, Yoshifusa AU - Takatsuka Y AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Seto, Masao AU - Seto M AD - Department of Pathology, Kurume University School of Medicine, Fukuoka, Japan. FAU - Utsunomiya, Atae AU - Utsunomiya A AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160127 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 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 - Anaplastic Lymphoma Kinase MH - Cloning, Molecular MH - Humans MH - Leukemia-Lymphoma, Adult T-Cell/*diagnosis/pathology MH - Lymph Nodes/*pathology MH - Lymphoma, Large-Cell, Anaplastic/*diagnosis/enzymology/pathology MH - Male MH - Middle Aged MH - Receptor Protein-Tyrosine Kinases/analysis OTO - NOTNLM OT - ALK-negative anaplastic large cell lymphoma OT - T-cell clonality assay OT - adult T-cell leukemia-lymphoma OT - genomic alteration profiles OT - human T-cell leukemia virus type I EDAT- 2016/02/15 06:00 MHDA- 2016/09/23 06:00 CRDT- 2016/02/15 06:00 PHST- 2015/07/13 00:00 [received] PHST- 2015/11/22 00:00 [revised] PHST- 2016/01/22 00:00 [accepted] PHST- 2016/02/15 06:00 [entrez] PHST- 2016/02/15 06:00 [pubmed] PHST- 2016/09/23 06:00 [medline] AID - S2210-7762(16)30001-1 [pii] AID - 10.1016/j.cancergen.2016.01.002 [doi] PST - ppublish SO - Cancer Genet. 2016 Apr;209(4):138-42. doi: 10.1016/j.cancergen.2016.01.002. Epub 2016 Jan 27.