Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases

<p>Abstract</p> <p>Background</p> <p>To investigate the clinical and pathologic features as well as the <it>MYC</it> translocations of childhood Burkitt lymphoma (BL) from China.</p> <p>Methods</p> <p>Fourty-three cases of childhood B...

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Main Authors: Bi Cheng-Feng, Tang Yuan, Zhang Wen-Yan, Zhao Sha, Wang Xiao-Qing, Yang Qun-Pei, Li Gan-Di, Liu Wei-ping
Format: Article
Language:English
Published: BMC 2012-06-01
Series:Diagnostic Pathology
Online Access:http://www.diagnosticpathology.org/content/7/1/72
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author Bi Cheng-Feng
Tang Yuan
Zhang Wen-Yan
Zhao Sha
Wang Xiao-Qing
Yang Qun-Pei
Li Gan-Di
Liu Wei-ping
author_facet Bi Cheng-Feng
Tang Yuan
Zhang Wen-Yan
Zhao Sha
Wang Xiao-Qing
Yang Qun-Pei
Li Gan-Di
Liu Wei-ping
author_sort Bi Cheng-Feng
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>To investigate the clinical and pathologic features as well as the <it>MYC</it> translocations of childhood Burkitt lymphoma (BL) from China.</p> <p>Methods</p> <p>Fourty-three cases of childhood BL were retrospectively investigated in morphology, immunophenotype, genotype, treatments and survival analysis.</p> <p>Results</p> <p>Clinically, there was a marked male predominance in sex distribution (M: F = 9.75:1); abdomen was the most frequent extranodal sites of involvement (46.5 %), followed by jaws and facial bones (16.3 %). Two third of the patients were in stageI ~ II. Morphologically, 69.76 % of the cases showed classical histologic features, while 30.24 % of them showed greater nuclear pleomorphism in size and shape. Five cases (11.6 %) were positive for EBER1/2. Thirty-one of the 40 cases (77.5 %) had the aberration of <it>IGH/MYC</it> translocation while 7 (17.5 %) had non-<it>IGH/MYC</it> translocation. Thirty patients (69.7 %) received operation and/or chemotherapy while 13 patients (30.3 %) received no treatment. Twenty-seven patients (62.8 %) died of the tumor, 16 alive, with the average survival time 4.9 and 48.7 months respectively. High IPI, advanced clinical stage, increased serum level of LDH and no chemotherapy received as well as tumor size ≥10 cm were related to the lower survival rates of the tumor.</p> <p>Conclusions</p> <p>Several differences were showed in this group of BL, including a much higher ratio of male patients, more cases in stageII, clinically inconsistent treatment and a very poor outcome.</p> <p>Virtual slides</p> <p>The virtual slide(s) for this article can be found here <url>http://www.diagnosticpathology.diagnomx.eu/vs/1552295877710135</url></p>
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spelling doaj.art-8dbfc766a9ba40be8c38588b8b12151d2022-12-21T21:18:00ZengBMCDiagnostic Pathology1746-15962012-06-01717210.1186/1746-1596-7-72Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 casesBi Cheng-FengTang YuanZhang Wen-YanZhao ShaWang Xiao-QingYang Qun-PeiLi Gan-DiLiu Wei-ping<p>Abstract</p> <p>Background</p> <p>To investigate the clinical and pathologic features as well as the <it>MYC</it> translocations of childhood Burkitt lymphoma (BL) from China.</p> <p>Methods</p> <p>Fourty-three cases of childhood BL were retrospectively investigated in morphology, immunophenotype, genotype, treatments and survival analysis.</p> <p>Results</p> <p>Clinically, there was a marked male predominance in sex distribution (M: F = 9.75:1); abdomen was the most frequent extranodal sites of involvement (46.5 %), followed by jaws and facial bones (16.3 %). Two third of the patients were in stageI ~ II. Morphologically, 69.76 % of the cases showed classical histologic features, while 30.24 % of them showed greater nuclear pleomorphism in size and shape. Five cases (11.6 %) were positive for EBER1/2. Thirty-one of the 40 cases (77.5 %) had the aberration of <it>IGH/MYC</it> translocation while 7 (17.5 %) had non-<it>IGH/MYC</it> translocation. Thirty patients (69.7 %) received operation and/or chemotherapy while 13 patients (30.3 %) received no treatment. Twenty-seven patients (62.8 %) died of the tumor, 16 alive, with the average survival time 4.9 and 48.7 months respectively. High IPI, advanced clinical stage, increased serum level of LDH and no chemotherapy received as well as tumor size ≥10 cm were related to the lower survival rates of the tumor.</p> <p>Conclusions</p> <p>Several differences were showed in this group of BL, including a much higher ratio of male patients, more cases in stageII, clinically inconsistent treatment and a very poor outcome.</p> <p>Virtual slides</p> <p>The virtual slide(s) for this article can be found here <url>http://www.diagnosticpathology.diagnomx.eu/vs/1552295877710135</url></p>http://www.diagnosticpathology.org/content/7/1/72
spellingShingle Bi Cheng-Feng
Tang Yuan
Zhang Wen-Yan
Zhao Sha
Wang Xiao-Qing
Yang Qun-Pei
Li Gan-Di
Liu Wei-ping
Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases
Diagnostic Pathology
title Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases
title_full Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases
title_fullStr Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases
title_full_unstemmed Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases
title_short Sporadic Burkitt lymphomas of children and adolescents in Chinese: a clinicopathological study of 43 cases
title_sort sporadic burkitt lymphomas of children and adolescents in chinese a clinicopathological study of 43 cases
url http://www.diagnosticpathology.org/content/7/1/72
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