PMID- 27600807 OWN - NLM STAT- MEDLINE DCOM- 20170215 LR - 20181113 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 469 IP - 5 DP - 2016 Nov TI - Cellular-level characterization of B cells infiltrating pulmonary MALT lymphoma tissues. PG - 575-580 AB - Mucosa-associated lymphoid tissue (MALT) lymphoma mainly consists of three types of tumor B cells, small (centrocyte-like), scattered large transformed, and intraepithelial. However, it is difficult to differentiate tumor B cells from reactive B cells at the cellular level. We examined five cases of API2-MALT1 fusion-positive MALT lymphoma of the lung. A single paraffin section for each case was subjected to sequential retrieval of whole-slide imaging (WSI) data of hematoxylin and eosin (HE) staining, immunofluorescence staining for CD79a, and fluorescence in situ hybridization (FISH) for the MALT1 split. We counted the number of MALT1 split-positive or MALT1 split-negative cells among CD79a-positive cells. The MALT1 split was detected in 59, 46, and 76 % of small, large, and intraepithelial B cells, respectively. A review of the HE-WSI data showed that cytomorphological distinction between the MALT1 split-positive and MALT1 split-negative B cells was virtually impossible. None of CD79a-negative lymphoid cells, epithelial cells, and microvascular endothelial cells was positive for MALT1 splits. As API2-MALT1 fusion is an early and critical event in the lymphomatogenesis, our findings are best interpreted as that a considerable number of B cells, either small, large, or intraepithelial, are reactive cells and that it is difficult to distinguish cytomorphologically between tumor B cells and reactive B cells. These findings suggest that the tumor architecture may be the central factor for making a correct histopathological diagnosis of MALT lymphoma. The sequential WSI of HE staining, immunofluorescence staining, and FISH as described here is a useful tool for pathological analysis at the cellular level. FAU - Fujii, Keiichiro AU - Fujii K AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Ishibashi, Ken-Ichiro AU - Ishibashi KI AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Kato, Junki AU - Kato J AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Kan, Jushin AU - Kan J AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Fujii, Kana AU - Fujii K AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Ito, Yohei AU - Ito Y AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Takino, Hisashi AU - Takino H AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Masaki, Ayako AU - Masaki A AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Murase, Takayuki AU - Murase T AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. FAU - Inagaki, Hiroshi AU - Inagaki H AUID- ORCID: 0000-0001-6157-636X AD - Department of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. hinagaki@med.nagoya-cu.ac.jp. LA - eng PT - Journal Article DEP - 20160906 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (CD79 Antigens) RN - 0 (CD79A protein, human) RN - 0 (Oncogene Proteins, Fusion) SB - IM MH - B-Lymphocytes/*pathology MH - CD79 Antigens/metabolism MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Lung Neoplasms/diagnosis/*pathology MH - Lymphoma, B-Cell, Marginal Zone/diagnosis/*pathology MH - Oncogene Proteins, Fusion/genetics MH - Translocation, Genetic/genetics OTO - NOTNLM OT - API2-MALT1 fusion OT - Fluorescence in situ hybridization OT - Immunofluorescence OT - MALT lymphoma OT - Microenvironment OT - Whole-slide imaging EDAT- 2016/10/28 06:00 MHDA- 2017/02/16 06:00 CRDT- 2016/09/08 06:00 PHST- 2016/05/09 00:00 [received] PHST- 2016/08/29 00:00 [accepted] PHST- 2016/07/24 00:00 [revised] PHST- 2016/10/28 06:00 [pubmed] PHST- 2017/02/16 06:00 [medline] PHST- 2016/09/08 06:00 [entrez] AID - 10.1007/s00428-016-2012-z [pii] AID - 10.1007/s00428-016-2012-z [doi] PST - ppublish SO - Virchows Arch. 2016 Nov;469(5):575-580. doi: 10.1007/s00428-016-2012-z. Epub 2016 Sep 6.