Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features

Anaplastic lymphoma kinase (ALK)-positive large B-cell lymphoma (ALK+ LBCL) is a rare subtype of diffuse large B-cell lymphoma. It is characterized by plasmacytic differentiation and cytoplasmic ALK positivity. Immunophenotype of ALK+ LBCL defines the terminally differentiated B-lineage cell charact...

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Main Authors: Komal S Galani, Vijaya S Gadage, P G Subramanian, Sridhar Epari, Sitaram Ghogale, Sumeet Gujral
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Dermatopathology and Diagnostic Dermatology
Subjects:
Online Access:http://www.ijdpdd.com/article.asp?issn=2349-6029;year=2014;volume=1;issue=2;spage=75;epage=78;aulast=Galani
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author Komal S Galani
Vijaya S Gadage
P G Subramanian
Sridhar Epari
Sitaram Ghogale
Sumeet Gujral
author_facet Komal S Galani
Vijaya S Gadage
P G Subramanian
Sridhar Epari
Sitaram Ghogale
Sumeet Gujral
author_sort Komal S Galani
collection DOAJ
description Anaplastic lymphoma kinase (ALK)-positive large B-cell lymphoma (ALK+ LBCL) is a rare subtype of diffuse large B-cell lymphoma. It is characterized by plasmacytic differentiation and cytoplasmic ALK positivity. Immunophenotype of ALK+ LBCL defines the terminally differentiated B-lineage cell characterized by the absence of B-cell antigens and expression of antigen associated with plasma cell differentiation. It is characterized by an aggressive behavior and poor response to standard chemotherapy. Advanced clinical stage and extranodal disease are associated with worse survival. We present a very rare case of ALK+ LBCL in a young immunocompetent lady who presented with multiple subcutaneous nodules and discuss the role of flow cytometry for prompt and accurate confirmation of the diagnosis.
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spelling doaj.art-ea921ce6f8614106a5dd82b21e71b0572022-12-21T18:32:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatopathology and Diagnostic Dermatology2349-60292349-60292014-01-0112757810.4103/2349-6029.147298Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic featuresKomal S GalaniVijaya S GadageP G SubramanianSridhar EpariSitaram GhogaleSumeet GujralAnaplastic lymphoma kinase (ALK)-positive large B-cell lymphoma (ALK+ LBCL) is a rare subtype of diffuse large B-cell lymphoma. It is characterized by plasmacytic differentiation and cytoplasmic ALK positivity. Immunophenotype of ALK+ LBCL defines the terminally differentiated B-lineage cell characterized by the absence of B-cell antigens and expression of antigen associated with plasma cell differentiation. It is characterized by an aggressive behavior and poor response to standard chemotherapy. Advanced clinical stage and extranodal disease are associated with worse survival. We present a very rare case of ALK+ LBCL in a young immunocompetent lady who presented with multiple subcutaneous nodules and discuss the role of flow cytometry for prompt and accurate confirmation of the diagnosis.http://www.ijdpdd.com/article.asp?issn=2349-6029;year=2014;volume=1;issue=2;spage=75;epage=78;aulast=GalaniAnaplastic lymphoma kinase positiveflow cytometrylarge B-cell lymphoma
spellingShingle Komal S Galani
Vijaya S Gadage
P G Subramanian
Sridhar Epari
Sitaram Ghogale
Sumeet Gujral
Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features
Indian Journal of Dermatopathology and Diagnostic Dermatology
Anaplastic lymphoma kinase positive
flow cytometry
large B-cell lymphoma
title Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features
title_full Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features
title_fullStr Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features
title_full_unstemmed Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features
title_short Anaplastic lymphoma kinase-positive large B-cell lymphoma: Unusual clinical and immunophenotypic features
title_sort anaplastic lymphoma kinase positive large b cell lymphoma unusual clinical and immunophenotypic features
topic Anaplastic lymphoma kinase positive
flow cytometry
large B-cell lymphoma
url http://www.ijdpdd.com/article.asp?issn=2349-6029;year=2014;volume=1;issue=2;spage=75;epage=78;aulast=Galani
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AT vijayasgadage anaplasticlymphomakinasepositivelargebcelllymphomaunusualclinicalandimmunophenotypicfeatures
AT pgsubramanian anaplasticlymphomakinasepositivelargebcelllymphomaunusualclinicalandimmunophenotypicfeatures
AT sridharepari anaplasticlymphomakinasepositivelargebcelllymphomaunusualclinicalandimmunophenotypicfeatures
AT sitaramghogale anaplasticlymphomakinasepositivelargebcelllymphomaunusualclinicalandimmunophenotypicfeatures
AT sumeetgujral anaplasticlymphomakinasepositivelargebcelllymphomaunusualclinicalandimmunophenotypicfeatures