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Blood, 1 December 2000, Vol. 96, No. 12, pp. 3681-3695
REVIEW ARTICLE
CD30+ anaplastic large cell
lymphoma: a review of its histopathologic, genetic, and
clinical features
Harald Stein,
Hans-Dieter Foss,
Horst Dürkop,
Theresa Marafioti,
Georges Delsol,
Karen Pulford,
Stefano Pileri, and
Brunangelo Falini
From the Institute of Pathology and Consultation and
Reference Center for Lymph Node Pathology and Haematopathology,
University Hospital Benjamin Franklin, Free University, Berlin,
Germany; Laboratoire d' Anatomie et Cytologie Pathologiques,
Hôpital Purpan, Toulouse, France; Nuffield Department of Clinical
Laboratory Sciences, LRF Immunodiagnostics Unit, John Radcliffe
Hospital, University of Oxford, Oxford, England; Servizio di Anatomia
Patologica Sezione di Emolinfopatologia, Università degli Studi
di Bologna, Italy; and Dipartimento di Medicina Clinica e Sperimentale,
Sezione di Ematologia e Immunologia Clinica, Policlinico Monteluce,
Università degli Studi di Perugia, Italy.
Anaplastic large cell lymphoma (ALCL) represents a generally
recognized group of large cell lymphomas. Defining features consist of
a proliferation of predominantly large lymphoid cells with strong
expression of the cytokine receptor CD30 and a characteristic growth
pattern. With the use of molecular and clinical criteria, 3 entities of
ALCL have been identified: primary systemic anaplastic lymphoma kinase
(ALK)+ ALCL, primary systemic ALK ALCL, and
primary cutaneous ALCL. ALK expression is caused by chromosomal
translocations, most commonly t(2;5). ALK+ ALCL
predominantly affects young male patients and, if treated with
chemotherapy, has a favorable prognosis. It shows a broad morphologic
spectrum, with the "common type," the small cell variant, and the
lymphohistiocytic variant being most commonly observed. The knowledge
of the existence of these variants is essential in establishing a
correct diagnosis. ALK ALCL occurs in older patients,
affecting both genders equally and having an unfavorable prognosis. The
morphology and the immunophenotype of primary cutaneous ALCL show an
overlap with that of lymphomatoid papulosis. Both diseases have an
excellent prognosis, and secondary systemic dissemination is only
rarely observed. The described ALCL entities usually derive from
cytotoxic T cells. In contrast, large B-cell lymphomas with anaplastic
morphology are believed to represent not a separate entity but a
morphologic variant of diffuse large B-cell lymphoma. Malignant
lymphomas with morphologic features of both Hodgkin disease and ALCL
have formerly been classified as Hodgkin-like ALCL . Recent
immunohistologic studies, however, suggest that ALCLs
Hodgkin-like represent either cases of tumor cell-rich classic
Hodgkin disease or (less commonly) ALK+ ALCL or
ALK ALCL.

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P. Bonvini, T. Gastaldi, B. Falini, and A. Rosolen
Nucleophosmin-Anaplastic Lymphoma Kinase (NPM-ALK), a Novel Hsp90-Client Tyrosine Kinase: Down-Regulation of NPM-ALK Expression and Tyrosine Phosphorylation in ALK+ CD30+ Lymphoma Cells by the Hsp90 Antagonist 17-Allylamino,17-demethoxygeldanamycin
Cancer Res.,
March 1, 2002;
62(5):
1559 - 1566.
[Abstract]
[Full Text]
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B. Falini and D. Y. Mason
Proteins encoded by genes involved in chromosomal alterations in lymphoma and leukemia: clinical value of their detection by immunocytochemistry
Blood,
January 15, 2002;
99(2):
409 - 426.
[Abstract]
[Full Text]
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F. Turturro, M. D. Arnold, A. Y. Frist, and K. Pulford
Model of Inhibition of the NPM-ALK Kinase Activity by Herbimycin A
Clin. Cancer Res.,
January 1, 2002;
8(1):
240 - 245.
[Abstract]
[Full Text]
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F. Vinante, A. Rigo, M. T. Scupoli, and G. Pizzolo
CD30 triggering by agonistic antibodies regulates CXCR4 expression and CXCL12 chemotactic activity in the cell line L540
Blood,
January 1, 2002;
99(1):
52 - 60.
[Abstract]
[Full Text]
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S. J. Meech, L. McGavran, L. F. Odom, X. Liang, L. Meltesen, J. Gump, Q. Wei, S. Carlsen, and S. P. Hunger
Unusual childhood extramedullary hematologic malignancy with natural killer cell properties that contains tropomyosin 4-anaplastic lymphoma kinase gene fusion
Blood,
August 15, 2001;
98(4):
1209 - 1216.
[Abstract]
[Full Text]
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R. Suzuki, M. Seto, S. Nakamura, A. Nakagawa, K. Hara, and K. Takeuchi
Sarcomatoid Variant of Anaplastic Large Cell Lymphoma with Cytoplasmic ALK and {{alpha}}-Smooth Muscle Actin Expression: A Mimic of Inflammatory Myofibroblastic Tumor
Am. J. Pathol.,
July 1, 2001;
159(1):
383 - 384.
[Full Text]
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C. Villalva, F. Bougrine, G. Delsol, and P. Brousset
Bcl-2 Expression in Anaplastic Large Cell Lymphoma
Am. J. Pathol.,
May 1, 2001;
158(5):
1889 - 1890.
[Full Text]
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J. P. Greer, M. C. Kinney, and T. P. Loughran Jr.
T Cell and NK Cell Lymphoproliferative Disorders
Hematology,
January 1, 2001;
2001(1):
259 - 281.
[Abstract]
[Full Text]
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