Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis

Abstract Lymphoplasmacytic lymphoma (LPL) and marginal zone lymphoma (MZL) frequently infiltrate the bone marrow with similar histologic and immunohistochemical characteristics posing diagnostic problems. Bone marrow biopsy specimens from 25 LPL and 16 MZL have been studied, correlating with clinica...

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Main Authors: Patricia García‐Abellás, Ana Ferrer Gómez, Diego Bueno Sacristán, Miguel Piris Villaespesa, María Talavera Yagüe, María Eugenia Reguero Callejas, Mónica García‐Cosío
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.573
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author Patricia García‐Abellás
Ana Ferrer Gómez
Diego Bueno Sacristán
Miguel Piris Villaespesa
María Talavera Yagüe
María Eugenia Reguero Callejas
Mónica García‐Cosío
author_facet Patricia García‐Abellás
Ana Ferrer Gómez
Diego Bueno Sacristán
Miguel Piris Villaespesa
María Talavera Yagüe
María Eugenia Reguero Callejas
Mónica García‐Cosío
author_sort Patricia García‐Abellás
collection DOAJ
description Abstract Lymphoplasmacytic lymphoma (LPL) and marginal zone lymphoma (MZL) frequently infiltrate the bone marrow with similar histologic and immunohistochemical characteristics posing diagnostic problems. Bone marrow biopsy specimens from 25 LPL and 16 MZL have been studied, correlating with clinical, laboratory parameters and the MYD88_p.L265P mutation. Paratrabecular and interstitial infiltration pattern, serum IgM paraprotein levels, and MYD88_p.L265P mutation were significantly more frequent in LPL. Nodular or intrasinusoidal pattern with lymphocytosis and splenomegaly were associated with MZL diagnosis. Different clinical and histological parameters should be collected when LPL or MZL is suspected in bone marrow biopsy specimens.
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spelling doaj.art-63b8b6b532eb4cd1bc5fe350507ad6ea2023-10-03T16:50:47ZengWileyeJHaem2688-61462022-11-01341181118710.1002/jha2.573Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosisPatricia García‐Abellás0Ana Ferrer Gómez1Diego Bueno Sacristán2Miguel Piris Villaespesa3María Talavera Yagüe4María Eugenia Reguero Callejas5Mónica García‐Cosío6Department of Pathology Ramón y Cajal Universitary Hospital Madrid SpainDepartment of Pathology Ramón y Cajal Universitary Hospital Madrid SpainDepartment of Pathology Ramón y Cajal Universitary Hospital Madrid SpainDepartment of Hematology Ramón y Cajal Universitary Hospital Madrid SpainDepartment of Genetics Ramón y Cajal Universitary Hospital Madrid SpainDepartment of Pathology Ramón y Cajal Universitary Hospital Madrid SpainHead of Hematopathology Department Ramón y Cajal Universitary Hospital; Alcalá University, Madrid, Spain; Instituto Ramon y Cajal de Investigacion Sanitaria, Madrid, Spain; CIBERONC Madrid SpainAbstract Lymphoplasmacytic lymphoma (LPL) and marginal zone lymphoma (MZL) frequently infiltrate the bone marrow with similar histologic and immunohistochemical characteristics posing diagnostic problems. Bone marrow biopsy specimens from 25 LPL and 16 MZL have been studied, correlating with clinical, laboratory parameters and the MYD88_p.L265P mutation. Paratrabecular and interstitial infiltration pattern, serum IgM paraprotein levels, and MYD88_p.L265P mutation were significantly more frequent in LPL. Nodular or intrasinusoidal pattern with lymphocytosis and splenomegaly were associated with MZL diagnosis. Different clinical and histological parameters should be collected when LPL or MZL is suspected in bone marrow biopsy specimens.https://doi.org/10.1002/jha2.573bone marrowdiagnosislymphoplasmacytic lymphomamarginal zone lymphomaWaldenström macroglobulinemia
spellingShingle Patricia García‐Abellás
Ana Ferrer Gómez
Diego Bueno Sacristán
Miguel Piris Villaespesa
María Talavera Yagüe
María Eugenia Reguero Callejas
Mónica García‐Cosío
Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis
eJHaem
bone marrow
diagnosis
lymphoplasmacytic lymphoma
marginal zone lymphoma
Waldenström macroglobulinemia
title Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis
title_full Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis
title_fullStr Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis
title_full_unstemmed Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis
title_short Lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow: A diagnostic dilemma. Useful clinicopathological features to accurate the diagnosis
title_sort lymphoplasmacytic lymphoma and marginal zone lymphoma involving bone marrow a diagnostic dilemma useful clinicopathological features to accurate the diagnosis
topic bone marrow
diagnosis
lymphoplasmacytic lymphoma
marginal zone lymphoma
Waldenström macroglobulinemia
url https://doi.org/10.1002/jha2.573
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