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Clinicopathologic features and treatment outcome of children with large-
cell lymphoma and the t(2;5)(p23;q35)
JT Sandlund, CH Pui, WM Roberts, VM Santana, SW Morris, CW Berard, RE Hutchison, RC Ribeiro, H Mahmoud and WM Crist
Department of Hematology-Oncology, St Jude Children's Research Hospital,
Memphis, TN 38101.
The t(2;5)(p23;q35) was detected in 9 of the 18 cases of large-cell
lymphoma with an abnormal karyotype among 115 children with large-cell
lymphoma treated at St Jude Children's Research Hospital from 1975 to 1993.
When the cases containing the t(2;5) were classified according to the
National Cancer Institute Working Formulation, 7 were large-cell,
immunoblastic and 2 were diffuse large cell; according to the Kiel
classification system, 6 were anaplastic large cell, 2 immunoblastic, and 1
centroblastic. CD30 expression was documented in 6 of 8 cases tested. All
patients had nodal disease and 6 had extranodal involvement (bone in 4
cases and skin in 3). Eight of nine had advanced disease at diagnosis
(stage Ill in 7 and stage IV in 1). Complete remission (CR) was attained in
all patients and 6 remain in first CR for 19+ to 97+ months. Three
relapsed, but successfully obtained second remissions; 2 are 58+ and 80+
months after retrieval therapy for local recurrences, and 1 patient died of
recurrent disease. The t(2;5)(p23;q35) is associated with, but not limited
to, anaplastic histology, a CD30+ T- cell phenotype, advanced stage disease
with nodal (+/- extranodal) involvement, and chemosensitivity at diagnosis
and relapse.
Volume 84,
Issue 8,
pp. 2467-2471,
10/15/1994
Copyright © 1994 by The American Society of Hematology

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