Hematopoietic neoplasms of bone

2022-12-02   Paola Dal Cin, PhD , Judith VMG Bovée  

1.Brigham and Women's Hospital , Harvard Medical School, Boston , MA (USA)
2.Leiden University Medical Center, Leiden, The Netherlands

Keywords
Langerhans cell histiocytosis; Erdheim-Chester disease; Rosai-Dorfman disease;plasmacytoma;lymphomaa

Classification

Definition

Discriminating lymphoma/leukemia from small, blue, round cell tumors or some non-sarcoma bone lesions may also be problematic correlation with the clinical and radiologic feature of the lesion, and ancillary techniques,  as immunohistochemical and molecular genetic analyses,  are useful tools to characterize  these lesions. 1   Histiocytic disorders as Langerhans cell histiocytosis and Erdheim-Chester disease and sometime Rosai-Dorfman disease, are caused by mutations of the MAPK pathway, most often BRAFV600E, lending to the use of targeted-therapy (MEK and BRAF inhibitors) trial.2

Hematopoietic neoplasms of bone neoplasms
Solitary plasmacytoma of boneGenetic aberrations similar to plasma cell myeloma. See WHO2017 Classification of Classification of Tumour of Haematopietic and Lymphoid Tissues
Primary non-Hodgkin lymphoma of bone80% of the cases are diffuse large cell lympoma. See WHO2017 Classification of Tumour of Haematopietic and Lymphoid Tissues
Langerhans cell histiocytosisActivating mutation of the MAPK pathway (85%) mainly BRAF V600E (p.Val60oGlu) and MAP2K1 3
Erdheim-Chester diseaseActivating mutation of the MAPK pathway, mainly BRAF V600E (~50%) 4 or ARAF,NRAS, KRAS or MAP2K1 5
Rosai-Dorfman diseaseMutually exclusive missense mutations in NRAS, KRAS, MAP2K1, ARAF and BRAF (~49%) in sporadic form, and germline mutation in SLC29A3 and FAS 6

Article Bibliography

Reference NumberPubmed IDLast YearTitleAuthors
1313529902019Bone Pathology for Hematopathologists.Peker D et al
2311157242019Systemic Histiocytosis (Langerhans Cell Histiocytosis, Erdheim-Chester Disease, Destombes-Rosai-Dorfman Disease): from Oncogenic Mutations to Inflammatory Disorders.Papo M et al
3301573972018Langerhans-Cell Histiocytosis.Allen CE et al
4228795392012High prevalence of BRAF V600E mutations in Erdheim-Chester disease but not in other non-Langerhans cell histiocytoses.Haroche J et al
5321075332020Erdheim-Chester disease.Haroche J et al
6297204852018Consensus recommendations for the diagnosis and clinical management of Rosai-Dorfman-Destombes disease.Abla O et al

Citation

Paola Dal Cin, PhD ; Judith VMG Bovée

Hematopoietic neoplasms of bone

Atlas Genet Cytogenet Oncol Haematol. 2022-12-02

Online version: http://atlasgeneticsoncology.org/solid-tumor/208977/hematopoietic-neoplasms-of-bone