PMID- 31739126 OWN - NLM STAT- MEDLINE DCOM- 20200921 LR - 20200921 IS - 2210-7762 (Print) VI - 240 DP - 2020 Jan TI - Molecular and phenotypic characterization of an early T-cell precursor acute lymphoblastic lymphoma harboring PICALM-MLLT10 fusion with aberrant expression of B-cell antigens. PG - 40-44 LID - S2210-7762(19)30290-X [pii] LID - 10.1016/j.cancergen.2019.11.002 [doi] AB - T-cell acute lymphoblastic leukemia/lymphoma (T-ALL/LBL) is usually diagnosed based on the presence of immature lymphoid marker terminal deoxynucleotidyl transferase (TdT), and T-cell specific markers, specifically CD3, by immunohistochemistry (IHC) staining on bone marrow and/or extramedullary tissue. We present a novel, TdT and CD3 negative, aggressive early T-cell precursor LBL (ETP-LBL) initially misdiagnosed as a high grade B-cell lymphoma due to expression of CD79a and the erroneous detection of BCL2/IGH fusion. The patient was eventually evaluated using molecular diagnostic techniques, including fluorescence in situ hybridization (FISH) and next generation sequencing (NGS) assays that demonstrated PICALM-MLLT10 fusion and a NOTCH1 mutation in the absence of BCL2/IGH fusion. The use of NGS, specifically mate-pair sequencing (MPseq), subsequently confirmed an in-frame PICALM-MLLT10 fusion. Our retrospective analysis showed that PICALM-MLLT10 fusion has no association with CD3/TdT negativity, as 6/49 T-ALL/LBL cases from Mayo Clinic database (01/1998-09/2018), including this case, were noted to have PICALM-MLLT10 fusion; however, none of the other cases were associated with CD3/TdT negativity. We emphasize the importance of a comprehensive hematopathologic evaluation including multiple molecular studies for the appropriate interrogation and classification of a difficult acute leukemia diagnosis, and to prevent potential diagnostic errors of clinical significance. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Khurana, Sharad AU - Khurana S AD - Department of Hematology/Oncology, Mayo Clinic, Mangurian Building, 4500 San Pablo Road, Jacksonville, FL 32224, United States. Electronic address: khurana.sharad@mayo.edu. FAU - Melody, Megan E AU - Melody ME AD - Department of Internal Medicine, Mayo Clinic, Jacksonville, FL, United States. FAU - Ketterling, Rhett P AU - Ketterling RP AD - Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States. FAU - Peterson, Jess F AU - Peterson JF AD - Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States. FAU - Luoma, Ivy M AU - Luoma IM AD - Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States. FAU - Vazmatzis, George AU - Vazmatzis G AD - Center for Individualized Medicine-Biomarker Discovery, Mayo Clinic, Rochester, MN, United States. FAU - Tun, Han W AU - Tun HW AD - Department of Hematology/Oncology, Mayo Clinic, Mangurian Building, 4500 San Pablo Road, Jacksonville, FL 32224, United States. FAU - Foran, James M AU - Foran JM AD - Department of Hematology/Oncology, Mayo Clinic, Mangurian Building, 4500 San Pablo Road, Jacksonville, FL 32224, United States. FAU - Jiang, Liuyan AU - Jiang L AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL, United States. LA - eng PT - Case Reports PT - Journal Article DEP - 20191109 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 RN - 0 (BCL2-IgH fusion protein, human) RN - 0 (CD79 Antigens) RN - 0 (CD79A protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (PICALM-MLLT10 fusion protein, human) SB - IM MH - Adult MH - B-Lymphocytes/*immunology/metabolism MH - Biopsy MH - CD79 Antigens/analysis/immunology/*metabolism MH - Diagnostic Errors MH - Humans MH - Lymphoma, B-Cell/blood/diagnosis/genetics/immunology MH - Male MH - Mediastinal Neoplasms/blood/*diagnosis/genetics/immunology MH - Mediastinum/diagnostic imaging/pathology MH - Oncogene Proteins, Fusion/*genetics MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/blood/*diagnosis/genetics/immunology MH - Tomography, X-Ray Computed OTO - NOTNLM OT - Early T-cell precursor LBL (ETP-LBL) OT - Fluorescence in situ hybridization (FISH) OT - Immunohistochemistry (IHC) OT - Mate-pair sequencing (MPseq) OT - Next generation sequencing (NGS) OT - PICALM-MLLT10 EDAT- 2019/11/19 06:00 MHDA- 2020/09/22 06:00 CRDT- 2019/11/19 06:00 PHST- 2019/05/28 00:00 [received] PHST- 2019/10/21 00:00 [revised] PHST- 2019/11/06 00:00 [accepted] PHST- 2019/11/19 06:00 [pubmed] PHST- 2020/09/22 06:00 [medline] PHST- 2019/11/19 06:00 [entrez] AID - S2210-7762(19)30290-X [pii] AID - 10.1016/j.cancergen.2019.11.002 [doi] PST - ppublish SO - Cancer Genet. 2020 Jan;240:40-44. doi: 10.1016/j.cancergen.2019.11.002. Epub 2019 Nov 9.