Lymphomatous polyp of mantle cell type in the duodenum complicated by gastric cancer: a case of trisomy 3 and t(11;14)(q13;q32)

Ann Hematol. 2002 Apr;81(4):224-7. doi: 10.1007/s00277-002-0434-y. Epub 2002 Feb 28.

Abstract

We experienced a rare case of a lymphomatous polyp of mantle cell type forming a polypoid mass lesion in the duodenum bulbous together with advanced gastric cancer. A total gastrectomy was performed, and the specimen revealed atypical small- to medium-sized lymphoid cells with indented nuclei, which infiltrated the Peyer's patch and formed a nodular mass in the lamina propria and submucosa of the duodenum. The lymphoma cells also infiltrated the lymphoid follicle of the gastric mucosa, spleen, and regional lymph node with a typical mantle zone pattern. Flow cytometric analysis of the single cells of the lymph node and immunohistochemistry of a paraffin-embedded specimen revealed that the lymphoma cells expressed surface CD5, CD19, CD20, and nuclear cyclin D1. Chromosomal analysis of this single cell suspension revealed that these lymphoma cells have trisomy 3 in conjunction with t(11;14)(q13;q32), which is frequently seen in mucosa-associated lymphoid tissue lymphomas (MALToma) in the stomach and is also reported in mantle cell lymphoma as a secondary genetic alteration. Our report suggests that trisomy 3 may be a common chromosomal abnormality in lymphomatous polyps of mantle cell type.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / genetics
  • Adenocarcinoma / pathology
  • Chromosomes, Human, Pair 11*
  • Chromosomes, Human, Pair 14*
  • Chromosomes, Human, Pair 3
  • Clone Cells / immunology
  • Clone Cells / pathology
  • Cytogenetic Analysis
  • Duodenal Neoplasms / diagnosis
  • Duodenal Neoplasms / genetics
  • Duodenal Neoplasms / pathology*
  • Humans
  • Immunophenotyping
  • Intestinal Polyps / diagnosis
  • Intestinal Polyps / genetics
  • Intestinal Polyps / pathology*
  • Lymphoma, Mantle-Cell / diagnosis
  • Lymphoma, Mantle-Cell / genetics
  • Lymphoma, Mantle-Cell / pathology*
  • Male
  • Middle Aged
  • Neoplasm Invasiveness / pathology
  • Neoplasms, Second Primary / diagnosis
  • Neoplasms, Second Primary / genetics
  • Neoplasms, Second Primary / pathology
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / genetics
  • Stomach Neoplasms / pathology*
  • Translocation, Genetic*
  • Trisomy