中华皮肤科杂志 ›› 2008, Vol. 41 ›› Issue (6): 374-376.

• 论著 • 上一篇    下一篇

原发性皮肤的边缘区B细胞淋巴瘤的BCL10表达与染色体异常

李百周 孔蕴毅 杨文涛 等   

  1. 上海复旦大学附属肿瘤医院病理科 上海复旦大学附属肿瘤医院病理科 上海复旦大学附属肿瘤医院病理科
  • 收稿日期:2007-06-26 修回日期:2007-08-30 发布日期:2008-06-15
  • 通讯作者: 李百周 E-mail:alexlibz@gmail.com

BCL10 expression and chromosomal aberration in primary cutaneous marginal zone B-cell lymphoma

  

  • Received:2007-06-26 Revised:2007-08-30 Published:2008-06-15

摘要: 目的 探讨原发性皮肤边缘区B细胞淋巴瘤(PCMZL)中BCL10蛋白的表达和相关染色体的异常。 方法 收集17例PCMZL,用免疫组化检测BCL10的表达,用荧光原位杂交(FISH)的方法分别检测API2-MALT1、BCL10、MALT1和IgH基因的异常。结果 在17例PCMZL中,BCL10的阳性率为94.1%(16/17),其中细胞质阳性率为64.7%(11/17),细胞核阳性率为29.4%(5/17)。在FISH检测中,所有病例都不存在t(11;18),t(1;14)和t(14;18)染色体异常。与其他部位的MALT淋巴瘤相比较,在PCMZL中染色体易位的发生率不常见,可能这些遗传学异常不是PCMZL发生中的重要因素,而有其他目前未知的因素参与肿瘤的发生。结论 BCL10的核表达与是否出现上述的染色体异常无关,是否代表更具侵袭性的一种预后标记,尚需长期随访观察。

Abstract: Objective To study the expression of BCL10 and associated chromosomal aberration in primary cutaneous marginal zone B-cell lymphoma (PCMZL). Methods Tissue specimens were collected from 17 patients with PCMZL. Immunohistochemistry was used to detect the expression of BCL10. Fluorescence in situ hybridization (FISH) was performed to examine the presence of API2-MALT1 fusion gene and chromosomal aberration in BCL10, MALT1 as well as IgH genes in these cases. Results Of these patients, 94.1% (16/17) expressed BCL10 protein. The cytoplasmic expression of BCL10 was observed in 64.7%(11/17) of the patients, and nuclear expression in 29.4% (5/17). As shown by FISH test, neither API2- MALT1 fusion gene nor chromosomal aberration in BCL10, MALT1 or IgH genes was present in these patients. Conclusions Compared with MALT lymphomas originating from tissues other than skin, PCMZL is uncommonly associated with chromosomal abnormalities; it is possible that there are unknown factors contributing to its tumorigenesis. Nuclear BCL10 is unrelated to the presence of chromosomal aberration in BCL10, MALT1 or IgH genes. Further follow-up is required to clarify the association between nuclear BCL10 and poor prognosis of PCMZL.