In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations

We report three elderly patients with follicular lymphoma in situ (FLIS) each highlighting a unique pattern of disease presentation and progression. The first patient had incidentally detected FLIS with peripheral blood spill and yet had an 11-year uneventful follow up. The second patient with an ov...

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Main Authors: Uma Sakhadeo, Ashwini Mane, Tanuja Shet
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2012;volume=55;issue=2;spage=218;epage=221;aulast=Sakhadeo
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author Uma Sakhadeo
Ashwini Mane
Tanuja Shet
author_facet Uma Sakhadeo
Ashwini Mane
Tanuja Shet
author_sort Uma Sakhadeo
collection DOAJ
description We report three elderly patients with follicular lymphoma in situ (FLIS) each highlighting a unique pattern of disease presentation and progression. The first patient had incidentally detected FLIS with peripheral blood spill and yet had an 11-year uneventful follow up. The second patient with an overt follicular lymphoma (FL) developed high-grade transformation in jejunum with FLIS extensively involving the Payers patches. The third patient had a FLIS but that qualified as higher grade and was treated in spite of lack of overt FL mainly because of higher grade and patient subsequently did develop overt FL. The first case of typical FLIS confirms that peripheral blood spill does not connote poor prognosis in FLIS, the second case illustrates that FLIS may colonize mucosa-associated lymphoid tissue as part of homing in process of a disseminated FL and the third case validates the aggressive nature of high-grade FLIS.
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spelling doaj.art-19e827d08f7749728d0fd745bc79825c2022-12-22T02:30:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292012-01-0155221822110.4103/0377-4929.97878In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentationsUma SakhadeoAshwini ManeTanuja ShetWe report three elderly patients with follicular lymphoma in situ (FLIS) each highlighting a unique pattern of disease presentation and progression. The first patient had incidentally detected FLIS with peripheral blood spill and yet had an 11-year uneventful follow up. The second patient with an overt follicular lymphoma (FL) developed high-grade transformation in jejunum with FLIS extensively involving the Payers patches. The third patient had a FLIS but that qualified as higher grade and was treated in spite of lack of overt FL mainly because of higher grade and patient subsequently did develop overt FL. The first case of typical FLIS confirms that peripheral blood spill does not connote poor prognosis in FLIS, the second case illustrates that FLIS may colonize mucosa-associated lymphoid tissue as part of homing in process of a disseminated FL and the third case validates the aggressive nature of high-grade FLIS.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2012;volume=55;issue=2;spage=218;epage=221;aulast=SakhadeoFollicular lymphomafollicular lymphoma in situnon-Hodgkin′s lymphoma
spellingShingle Uma Sakhadeo
Ashwini Mane
Tanuja Shet
In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations
Indian Journal of Pathology and Microbiology
Follicular lymphoma
follicular lymphoma in situ
non-Hodgkin′s lymphoma
title In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations
title_full In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations
title_fullStr In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations
title_full_unstemmed In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations
title_short In situ follicular neoplasia/lymphoma: Three illustrative cases exemplifying unique disease presentations
title_sort in situ follicular neoplasia lymphoma three illustrative cases exemplifying unique disease presentations
topic Follicular lymphoma
follicular lymphoma in situ
non-Hodgkin′s lymphoma
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2012;volume=55;issue=2;spage=218;epage=221;aulast=Sakhadeo
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AT tanujashet insitufollicularneoplasialymphomathreeillustrativecasesexemplifyinguniquediseasepresentations