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Published Online First: 29 June 2007. doi:10.1136/jcp.2007.049825
Journal of Clinical Pathology 2008;61:377-381
Copyright © 2008 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

ORIGINAL ARTICLES

Duodenal follicular lymphomas share common characteristics with mucosa-associated lymphoid tissue lymphomas

Y Sato, K Ichimura, T Tanaka, K Takata, T Morito, H Sato, E Kondo, H Yanai, N Ohara, T Oka and T Yoshino

Department of Pathology, Okayama University Graduate School of Medical, Dentistry and Pharmaceutical Sciencies, Okayama, Japan

Correspondence to:
Dr Tadashi Yoshino, Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan; yoshino{at}md.okayama-u.ac.jp

Background: Follicular lymphomas occasionally arise in the extra-nodal organs and are frequently found in the duodenum. They are often localised tumours with multiple polyps around the ampulla of Vater.

Aims: To examine a IgH/bcl-2 hybrid gene and VH gene to investigate the nature of the lymphoma cells and how they differ from nodal follicular lymphomas and MALT lymphomas.

Methods: Of 40 patients reported previously, 35 with duodenal follicular lymphoma were studied in detail with respect to clinicopathological characteristics.

Results: 37/40 patients were in clinical stage I (n = 30) or stage II (n = 7). Clonal immunoglobulin gene rearrangement was detected in 53.3% of examined cases, and rearrangement of IgH/bcl-2 gene at the major break point was detected in 27% of cases. Three of 8 examined cases were VH4 (38%); 2 out of them were VH4-34. As VH4 deviation is one of the common characteristics of MALT lymphomas and 2/3 were identical, duodenal follicular lymphomas have a similar aetiology to MALT lymphomas. Clinical course was also similar to that of MALT lymphomas.

Conclusions: Results suggest that duodenal follicular lymphomas have intermediate characteristics of MALT lymphomas and nodal follicular lymphomas.


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This article has been cited by other articles:

  • Sentani, K., Maeshima, A. M., Nomoto, J., Maruyama, D., Kim, S.-W., Watanabe, T., Kobayashi, Y., Tobinai, K., Matsuno, Y. (2008). Follicular Lymphoma of the Duodenum: A Clinicopathologic Analysis of 26 Cases. Jpn J Clin Oncol 0: hyn069v1-6 [Abstract] [Full Text]  

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