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Molecular Findings and Classification of Malignant Lymphomas

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Molecular Biology of Hematopoiesis 5

Summary

The Authors review the problem of lymphoma classification in the light of the Revised European-American Lymphoma (R.E.A.L.) scheme, recently proposed by the International Lymphoma Study Group (ILSG). In particular, the R.E.A.L. Classification is a list of clinico-pathologic entities, all well known from the literature, which the ILSG members agreeded on. Although it contains nothing new, for the first time it organically reports all the elements - including immunophenotype and molecular data - which characterize a given lymphoma entity. This approach corresponds to the need of objective criteria, which integrate the often puzzling morphologic findings. Furthermore, a better knowledge on the molecular events which contribute to tumour development and progression, is of paramount importance for the identification of more specific and successful therapies. Some relevant molecular findings included in the Classification and additional data obtained by the ILSG members following its publication are discussed.

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References

  1. . Rappaport H: Tumors of the Hematopoietic System, in Atlas of Tumor Pathology, Sect. 3, Fase. 8. Washington, D.C.: Armed Forces Institute of Pathology 1966.

    Google Scholar 

  2. . Lukes RJ, Collins RD: Immunologic characterization of human malignant lymphomas. Cancer 34: 1488, 1974.

    Article  PubMed  Google Scholar 

  3. . Dorfman RF: Classification of non-Hodgkin’s lymphomas. Lancet i: 1295, 1974.

    Google Scholar 

  4. . Bennett MH, Farrer-Brown G, Henry K, Jelliffe AM: Classification of non-Hodgkin’s lymphomas. Lancet ii: 405, 1974.

    Google Scholar 

  5. . Gérard-Marchant R, Hamlin I, Lennert K, Rilke F, Stansfeld AG, van Unnik JAM: Classification of non-Hodgkin’s lymphomas. Lancet ii: 406, 1974.

    Google Scholar 

  6. . Mathé G, Rappaport H, O’Conor GT, Torloni H: Histological and cytological typing of neoplastic diseases of haematopoietic and lymphoid tissues, in International Histological Classification of Tumors, No. 14. Geneva: World Health Organization, 1976.

    Google Scholar 

  7. . Non-Hodgkin’s lymphoma pathologic classification project. National Cancer Institute sponsored study of classifications of non-Hodgkin’s lymphomas: Summary and description of a Working Formulation for clinical usage. Cancer 49: 2112, 1982.

    Article  Google Scholar 

  8. . Lennert K: Malignant lymphomas other than Hodgkin’s disease. New York, Heidelberg, Berlin, Spinger-Verlag 1978.

    Google Scholar 

  9. . Stansfeld A, Diebold J, Kapanci Y, Kelenyi G, Lennert K, Mioduszewka O, Noel H, Rilke F, Sundstrom C, van Unnik J, Wright D: Updated Kiel classification for lymphomas. Lancet i: 292, 1988.

    Google Scholar 

  10. . Lennert K, Feller AC: Histopathology of non-Hodgkin’s lymphomas (based on the Updated Kiel Classification). Berlin, Heidelberg, New York, London, Paris, Tokyo, Hong Kong, Barcellona, Budapest, Springer-Verlag 1992.

    Google Scholar 

  11. . Banks P, Chan J, Cleary M, Delsol G, De Wolf-Peeters C, Gatter K, Grogan T, Harris N, Isaacson PG, Jaffe E, Mason D, Pileri S, Ralfkiaer E, Stein H, Warnke R: Mantle cell lymphoma: a proposal for unification of morphologic, immunologic and molecular data. Am J Surg Pathol 16: 637, 1992.

    Article  PubMed  CAS  Google Scholar 

  12. . Mason DY, Banks P, Chan J, Cleary M, Delsol G, De Wolf-Peeters C, Falini B, Gatter K, Grogan T, Harris N, Isaacson P, Jaffe E, Knowles D, Mller-Hermelink HK, Pileri S, Ralfkiaer E, Stein H, Warnke R: Nodular lymphocyte predominance Hodgkin’s disease. A distinct clinicopathological entity. Am J Surg Pathol 18: 526, 1994.

    Article  PubMed  CAS  Google Scholar 

  13. . Harris N, Jaffe E, Stein H, Banks PM, Chan J, Cleary M, Delsol G, De Wolf-Peeters C, Falini B, Gatter K, Grogan T, Isaacson P, Knowles D, Mason DY, Mller-Hermelink HK, Pileri S, Piris M, Ralfkiaer E, Warnke R: A Revised European-American Classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood 84: 1361, 1994.

    PubMed  CAS  Google Scholar 

  14. . Chan J, Banks PM, Cleary M, Delsol G, De Wolf-Peeters C, Falini B, Gatter K, Grogan T, Harris N, Isaacson P, Jaffe E, Knowles D, Mason DY, Mller-Hermelink HK, Pileri S, Piris M, Ralfkiaer E, Stein H, Warnke R: A proposal for classification of lymphoid neoplasms by the International Lymphoma Study Group. Histopathol 25: 517, 1994.

    Article  CAS  Google Scholar 

  15. . Chan J, Banks PM, Cleary M, Delsol G, De Wolf-Peeters C, Falini B, Gatter K, Grogan T, Harris N, Isaacson P, Jaffe E, Knowles D, Mason DY, Mller-Hermelink HK, Pileri SA, Piris M, Ralfkiaer E, Stein H, Warnke R: A Revised European-American Lymphoma Classification proposed by the International Lymphoma Study Group. Am J Clin Pathol 103: 543, 1995.

    PubMed  CAS  Google Scholar 

  16. . Stein H, Herbst H, Anagnostopoulos I, Niedobitek G, Dallenbach F, Kratzsch H-C: The nature of Hodgkin and Reed-Sternberg cells, their association with EBV, and their relationship to anaplastic large-cell lymphoma. Ann Oncol 2: 33, 1991.

    PubMed  Google Scholar 

  17. . Falini B, Pileri S, Pizzolo G, Durkop H, Flenghi L, Stirpe F, Martelli MF, Stein H: CD30 (Ki-1) molecule: a new cytokine receptor of the tumor necrosis factor receptor superfamily as a tool for diagnosis and immunotherapy. Blood 85: 1, 1995.

    PubMed  CAS  Google Scholar 

  18. . Chilosi M, Pizzolo G: Biopathologic features of Hodgkin’s disease. Leuk Lymphoma 16: 385, 1995.

    Article  PubMed  CAS  Google Scholar 

  19. . Corradini P, Voena C, Omede P, Astolfi M, Boccadoro M, Dalla-Favera R, Pileri A: Detection of circulating tumor cells in multiple myeloma by a PCR based method. Leuk 7: 1879, 1993.

    CAS  Google Scholar 

  20. . Bersagel PL, Smith AM, Szozepek A, Mant MJ, Betch AR, Pilarski LM: In multiple myeloma, clonotypic B lymphocytes are detectable among CD 19+ peripheral blood cells expressing CD38, CD56, and monotypic Ig light chain. Blood 85: 486, 1995.

    Google Scholar 

  21. Gerdes J, Stein H, Pileri S, Rivano MT, Gobbi M, Ralfkiaer E, Nielsen KM, Pallesen G, Bartels H, Palestro G, Delsol G: Prognostic relevance of tumour-cell growth fraction in malignant non-Hodgkin’s lymphomas. Lancet ii: 448, 1987.

    Google Scholar 

  22. . Leoncini L, Del Vecchio MT, Megha T, Barbieri P, Pileri S, Sabattini E, Tosi P, Kraft R, Cottier H: Correlations between apoptotic and proliferative indices in malignant non-Hodgkin’s lymphomas. Am J Pathol 142: 755, 1993.

    PubMed  CAS  Google Scholar 

  23. . Pileri SA, Sabattini E, Falini B, Tazzari PL, Gherlinzoni F, Michieli MG, Damiani D, Zucchini L, Gobbi M, Tsuruo T, Baccarani M: Immunohistochemical detection of the multidrug transport protein pi70 in human normal tissue and malignant lymphomas. Histopathol 19: 131, 1991.

    Article  CAS  Google Scholar 

  24. . Ruco LP, Pomponi D, Pigott R, Gearing AJH, Baiocchini A, Baroni CD: Cytokine production (IL-1 alpha, IL-1 beta and TNF alpha) and endothelial cell activation (ELAM-1 and HLA-DR) in reactive lymphade¬nitis, Hodgkin’s disease, and in non-Hodgkin’s lymphomas: an immunocytochemical study. Am J Pathol 140: 1337, 1992.

    PubMed  CAS  Google Scholar 

  25. . Lippman SM, Miller TP, Spier CM, Slymen DJ, Grogan TM: The prognostic significance of the immunophenotype in diffuse large-cell lymphoma: A comparative study of the T-cell and B-cell pheno-type. Blood 72: 436, 1988.

    PubMed  CAS  Google Scholar 

  26. . Coiffier B, Brousse N, Peuchmaur M, Berger F, Gisselbrecht C, Bryon PA, Diebold J: Peripheral T-cell lymphomas have a worse prognosis than B-cell lymphomas: A retrospective study of 361 immunophe-notyped patients treated with the LNH-84 regimen. Ann Oncol 1: 45, 1990.

    PubMed  CAS  Google Scholar 

  27. . Isaacson PG, Norton AJ: Extranodal lymphomas. Edinburgh, London, Madrid, Melbourne, New York, Tokyo, Churchill Livingstone, 1994, p 1.

    Google Scholar 

  28. . Nathwani B, Metter G, Miller T, Burke J, Mann R, Barcos M, Kjeldsberg C, Dixon D, Winberg C, Whitcomb C, Jones S: What should be the morphologic criteria for the subdivision of follicular lymphomas? Blood 68: 837, 1986.

    PubMed  CAS  Google Scholar 

  29. . Hastrup N, Hamilton-Dutoit S, Ralfkiaer E, Pallesen G: Peripheral T-cell lymphomas: an evaluation of reproducibility of the updated Kiel classification. Histopathol 18: 99, 1991.

    Article  CAS  Google Scholar 

  30. . Ott MM, Ott G, Kuse R, Porowski P, Gunzer U, Feller AC, Mller-Hermelink HK: The anaplastic variant of centrocytic lymphoma is marked by frequent rearrangements of the bei-J gene and high proliferation indices. Histopathol 24: 329, 1994.

    Article  CAS  Google Scholar 

  31. . Zukerberg LR, Yang W-I, Arnold A, Harris NL: Cyclin Dl expression in non-Hodgkin’s lymphoma. Detection by immunohistochemistry. Am J Clin Pathol 103: 756, 1995.

    PubMed  CAS  Google Scholar 

  32. . Hummel M, Tamaru J, Kalvelage B, Stein H: Mantle cell (previously centrocytic) lymphomas express VH genes with no or very little somatic mutations like the physiologic cells of the follicle mantle. Blood 84: 403, 1994.

    PubMed  CAS  Google Scholar 

  33. . Pileri S, Poggi S, Sabattini E, Santucci S, Melilli G, Falini B, Tosi P: Apoptosis as programmed cell death (PCD): cupio dissolvi in cell life. Curr Diagn Pathol 1: 48, 1994.

    Article  Google Scholar 

  34. . Isaacson PG: The MALT lymphoma concept updated. Ann Oncol 6: 319, 1995.

    PubMed  CAS  Google Scholar 

  35. Stein H: Personal communication.

    Google Scholar 

  36. . Lo Coco F, Ye BH, Lista F, Corradini P, Offit K, Knowles DM, Chaganti RSK, Dalla-Favera R: Rearrangements of bcl-6 gene in diffuse large cell non-Hodgkin’s lymphoma. Blood 83: 757, 1994.

    Google Scholar 

  37. . Offit K, Lo Coco F, Louie DC, Parsa NZ, Leung D, Portlock C, Ye BH, Lista F, Filippa DA, Rosenbaum A, Ladanyi M, Jhanwar S, Dalla-Favera R, Chaganti RSK: Rearrangement of the bcl-6 gene as a prognostic marker in diffuse large cell lymphoma. N Engl J Med 331: 74, 1994.

    Article  PubMed  CAS  Google Scholar 

  38. . Soler J, Bordes R, Ortuno F, Montagud M, Martorell J, Pons C, Nomdedeu J, Lopez-Lopez JJ, Prat J, Rutllant M: Aggressive natural killer leukemia/lymphoma in two patients with lethal midline granuloma. Br J Haematol 86: 659, 1994.

    Article  PubMed  CAS  Google Scholar 

  39. Mason DY, Bastard C, Rimokh R, Dastugue N, Huret J-L, Kristoffersson U, Magaud J-P, Nezelof C, Tilly H, Vannier J-P, Hemet J, Warnke R: CD30-positive large cell lymphomas (“Ki-1 lymphoma”) are associated with a chromosomal translocation involving 5q35 Br J Haematol 74: 161, 1990

    Google Scholar 

  40. . Morris SW, Kirstein MK, Valentine MB, Dittmer KG, Shapiro DN, Saltman DL, Look AT: Fusion of a kinase gene, ALK, to a nucleolar protein gene, NPM, in non-Hodgkin’s lymphomas. Science 263: 1281, 1994.

    Article  PubMed  CAS  Google Scholar 

  41. . Bullrich F, Morris SW, Hummel M, Pileri S, Stein H, Croce CM: Nucleophosmin (NPM) gene rearrange¬ment in Ki-1-positive lymphomas. Cancer Res 54: 2873, 1994.

    PubMed  CAS  Google Scholar 

  42. . Lopategui JR, Sun LH, Chan JKC, GafFey MJ, Frierson HF, Glackin C, Weiss LM: Low frequency association of the t(2;5)(p23;q35) chromosomal translocation with CD30+ lymphomas from American and Asian patients. Am J Pathol 146: 323, 1995.

    PubMed  CAS  Google Scholar 

  43. Wellmann A, Clark HM, Otsuki T, Jaffe ES, Raffeld M: Detection of the t(2;5)(p23;q25) in classical anaplastic large cell lymphoma (ALCL) by reverse transcripatse-polymerase chain reaction. Mod Pathol 8: 123a, 1995 (abstr).

    Google Scholar 

  44. . Shiota M, Fujimoto J, Takenaga M, Satoh H, Ichinohasama R, Abe Bae, Nakano M, Yamamoto T, Mori S: Diagnosis of t(2;5)(p23;q35)-associated Ki-1 lymphoma with immunohistochemistry. Blood 84: 3648, 1994.

    PubMed  CAS  Google Scholar 

  45. . Orscheschek K, Merz H, Hell J, Binder T, Bartels H, Feller AC: Large-cell anaplastic lymphoma-specific translocation (t[2;5] [p23;q35]) in Hodgkin’s disease: indication of a common pathogenesis? Lancet i: 87, 1995.

    Google Scholar 

  46. . Stein H, Delsol G: Data presented at the Fifth Meeting of the International Lymphoma Study Group. Hong Kong, April 24 - 26, 1995.

    Google Scholar 

  47. . Herbst H, Tippelmann G, Anagnostopoulos I, Gerdes J, Schwarting R, Boehn T, Pileri S, Jones DB, Stein H: Immunoglobulin and T cell receptor gene rearrangements in Hodgkin’s disease and Ki-1-positive anaplastic large cell lymphoma: Dissociation between phenotype and genotype. Leuk Res 13: 103, 1989.

    Article  PubMed  CAS  Google Scholar 

  48. . Brousset P, Chittal S, Schlaifer D, Icart J, Payen C, Rigal-Huguet F, Voigt J-J, Delsol G: Detection of Epstein-Barr virus messanger RNA in Reed-Sternberg cells of Hodgkin’s disease by in situ hybridization with biotinylated probes on specially processed modified acetone methyl bemzoate xylene (ModAMeX) sections. Blood 77: 1781, 1991.

    PubMed  CAS  Google Scholar 

  49. . Leoncini L, Pileri S, Sabattini E: Neoplastic cells of Hodgkin’s disease show differences in EBV expression between Kenya and Italy. Int J Cancer 65: 781, 1996.

    Article  PubMed  CAS  Google Scholar 

  50. . Küppers R, Rajewski K, Zhao M, Simons G, Lauman R, Fischer R, Hansmann M-L: Hodgkin’s disease: Hodgkin and Reed-Sternberg cells picked from histological sections show clonal immunoglobulin rearrangements and appear to derive from B cells at various stages of development. Proc Natl Acad Sci USA 91: 10962, 1994.

    Article  PubMed  Google Scholar 

  51. . Roth J, Daus H, Trümper L, Gause A, Salamon-Looijen M, Preundschuh M: Determination of immuno¬globulin heavy-chain rearrangement at the single-cell level in malignant lymphomas: No rearrangement is found in Hodgkin and Reed-Sternberg cells. Int J Cancer 57: 1, 1994.

    Article  Google Scholar 

  52. . Delabie J, Tierens A, Wu G, Weisenburger DD, Chan WC: Lymphocyte predominance Hodgkin’s disease: Lineage and clonality determination using single-cell assay. Blood 84: 3291, 1994.

    PubMed  CAS  Google Scholar 

  53. . Hummel M, Ziemann K, Lammert H, Pileri S, Sabattini E, Stein H: Classical Hodgkin’s Lymphoma of B-Immunophenotype: Frequently a Polyclonal Disease? N Engl J Med 333: 901, 1995.

    Article  PubMed  CAS  Google Scholar 

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© 1996 Plenum Press, New York

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Pileri, S.A. et al. (1996). Molecular Findings and Classification of Malignant Lymphomas. In: Abraham, N.G., Asano, S., Brittinger, G., Maestroni, G.J.M., Shadduck, R.K. (eds) Molecular Biology of Hematopoiesis 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0391-6_18

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  • DOI: https://doi.org/10.1007/978-1-4613-0391-6_18

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