Disease |
Anaplasic large cell lymphoma: translocations involving 2p23 are found in more than half cases of anaplasic large cell lymphoma (ALCL), a high grade non Hodgkin lymphoma (NHL). They involve ALK, and are therefore called ALK+ ALCL. The most frequent ALK+ ALCL being the the t(2;5)(p23;q35) with NPM1 -ALK fusion protein, which localises both in the cytoplasm and in the nucleus. The t(2;3)(p23;q21) is very rare., and, like other t(2;Var) involving various partners and ALK, the fusion protein has a cytoplasmic localization; they are therefore called "cytoplasm only" ALK+ ALCL. |
Epidemiology | only 2 cases to date: a 10 yr old girl and a 19 yr old man. |
Clinics | ALK+ ALCL without the t(2;5) (so called cytoplasmic only ALK cases) show clinical features similar to those of classical ALK+ ALCL: young age, male predominance, presentation with advanced disease, systemic symptoms, frequent involvement of extranodal sites, and a good prognosis. Nothing in particular is known concerning t(2;3) cases. |
Anaplastic large cell lymphomas, Primary systemic (T/Null cell type). |
Delsol G, Ralfkiaer E, Stein H, Wright D, Jaffe E |
World Health Organization (WHO) Classification of Tumors.. |
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Pathobiology of NPM-ALK and variant fusion genes in anaplastic large cell lymphoma and other lymphomas. |
Drexler HG, Gignac SM, von Wasielewski R, Werner M, Dirks WG |
Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 2000 ; 14 (9) : 1533-1559. |
PMID 10994999 |
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TRK-fused gene (TFG) is a new partner of ALK in anaplastic large cell lymphoma producing two structurally different TFG-ALK translocations. |
Hernández L, Pinyol M, Hernández S, Beá S, Pulford K, Rosenwald A, Lamant L, Falini B, Ott G, Mason DY, Delsol G, Campo E |
Blood. 1999 ; 94 (9) : 3265-3268. |
PMID 10556217 |
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Alk+ CD30+ lymphomas: a distinct molecular genetic subtype of non-Hodgkin's lymphoma. |
Morris SW, Xue L, Ma Z, Kinney MC |
British journal of haematology. 2001 ; 113 (2) : 275-295. |
PMID 11380391 |
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t(1;2)(q21;p23) and t(2;3)(p23;q21): two novel variant translocations of the t(2;5)(p23;q35) in anaplastic large cell lymphoma. |
Rosenwald A, Ott G, Pulford K, Katzenberger T, Kühl J, Kalla J, Ott MM, Mason DY, Müller-Hermelink HK |
Blood. 1999 ; 94 (1) : 362-364. |
PMID 10381534 |
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CD30(+) anaplastic large cell lymphoma: a review of its histopathologic, genetic, and clinical features. |
Stein H, Foss HD, Dürkop H, Marafioti T, Delsol G, Pulford K, Pileri S, Falini B |
Blood. 2000 ; 96 (12) : 3681-3695. |
PMID 11090048 |
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