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Annals of Hematology

, Volume 97, Issue 10, pp 2001–2003 | Cite as

Splenic marginal zone lymphoma with a de novo t(8;14)(q24;q32) and a prolymphocytoid evolution responsive to rituximab-bendamustine

  • Greta Scapinello
  • Marco Pizzi
  • Stefania Vio
  • Mitja Nabergoj
  • Andrea Visentin
  • Annalisa Martines
  • Laura Bonaldi
  • Livio Trentin
  • Gianpietro Semenzato
  • Francesco Piazza
Letter to the Editor

Dear Editor,

Splenic marginal zone lymphoma (SMZL) is a low-grade B cell non-Hodgkin lymphoma (NHL) characterized by the involvement of the spleen, bone marrow, and peripheral blood [1, 2]. Cytogenetically, deletion or translocation of 7q32 is reported in 40% of patients, complete or partial trisomy of 3q in 30–80% and gain of 12q in 15–20% [3, 4, 5]. While a t(8;14) IGH/MYC may occur in the setting of transformation to a high-grade NHL [6], these alterations are extremely rare at diagnosis [7]. Also, a prolymphocytic evolution has been rarely recognized and it has been associated with a poor outcome [8]. We describe here a unique case of SMZL that displayed concurrently a t(8;14)(q24;q32) at diagnosis and a prolymphocytic evolution.

In a 51-year-old female admitted to the Padua University Hospital for recurrent bronchopneumonitis, a clonal B lymphocytosis of CD5 -small mature cells with compacted nuclear chromatin, moderately abundant slightly basophilic cytoplasm and typical membrane...

Abbreviations

SMZL

splenic marginal zone lymphoma

NHL

non-Hodgkin lymphoma

CD

cluster of differentiation

MYC

myelocytomatosis mutated

LDH

lactate dehydrogenase

Notes

Acknowledgements

We are grateful to the patient for the availability of the collection of the data; nurses and colleagues from the Division of Hematology at the Department of Medicine, Padua University Hospital (PUH). We thank Dr. E. Piva from the Clinical Pathology Division of the PUH for the precious collaboration in preparing the PB smears.

Author contributions

GrS, MN, AV, LT, GS, and FP collected clinical data, supervised the work, and wrote the paper. SV performed the radiological analysis. MP performed the histological analysis. LB and AM performed the cytogenetic analysis.

Funding information

This work was made possible in part by the AIRC grant IG 18387 to FP.

Compliance with ethical standards

Declarations

The consent to publication of the material was previously obtained. The principles of the Declaration of Helsinki were followed. The Padua Region Ethic Committee approved the work (n. 4089/AO17). Data are available at the Department of Medicine, Padua University Hospital, Division of Hematology, Surgical Pathology, Radiology, and at the Istituto Oncologico Veneto (IOV), Division of Cytodiagnostics.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Greta Scapinello
    • 1
  • Marco Pizzi
    • 2
  • Stefania Vio
    • 3
  • Mitja Nabergoj
    • 1
    • 4
  • Andrea Visentin
    • 1
  • Annalisa Martines
    • 5
  • Laura Bonaldi
    • 5
  • Livio Trentin
    • 1
  • Gianpietro Semenzato
    • 1
    • 6
  • Francesco Piazza
    • 1
    • 6
  1. 1.Hematology Unit, Department of Medicine - DIMEDUniversity of PadovaPadovaItaly
  2. 2.Surgical Pathology and Cytopathology Unit, Department of Medicine - DIMEDUniversity of PadovaPadovaItaly
  3. 3.Radiology Unit, Department of Medicine - DIMEDUniversity of PadovaPadovaItaly
  4. 4.Division of Hematology, Department of OncologyGeneva University HospitalsGenevaSwitzerland
  5. 5.Immunology and Molecular Oncology UnitVeneto Institute of Oncology, IOV-IRCCSPadovaItaly
  6. 6.Laboratory of Normal and Malignant HematopoiesisVenetian Institute of Molecular MedicinePadovaItaly

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