Evidence of BRAF V600E in indeterminate cell tumor and interdigitating dendritic cell sarcoma

Ann Diagn Pathol. 2015 Jun;19(3):113-6. doi: 10.1016/j.anndiagpath.2015.02.008. Epub 2015 Mar 5.

Abstract

BRAF V600E mutations have been reported in several histiocytic and dendritic cell neoplasms. In this case series, we report BRAF V600E-positive histiocytic and dendritic cell neoplasms in association with lymphomas and lymphoid proliferations. This is a review of cases with immunohistochemistry for BRAF V600E, with additional immunohistochemistry to categorize tumors. We report the first case of BRAF V600E-positive indeterminate cell tumor in association with angioimmunoblastic T-cell lymphoma. We also report a case of BRAF V600E-positive interdigitating dendritic cell sarcoma in a patient with positive B-cell polymerase chain reaction. It is unclear if these neoplasms developed as transdifferentiation of lymphoid neoplasms or if they developed independently. These cases illustrate the expanding spectrum of BRAF V600E-positive histiocytic and dendritic cell tumors and suggest that attention should be paid to lymphomas for possible coincident presentation of these disorders.

Keywords: BRAF V600E; Indeterminate cell tumor; Interdigitating dendritic cell sarcoma; Langerhans cell histiocytosis.

Publication types

  • Case Reports

MeSH terms

  • B-Lymphocytes / enzymology
  • B-Lymphocytes / pathology
  • Cell Transdifferentiation / physiology
  • Dendritic Cell Sarcoma, Interdigitating / enzymology*
  • Dendritic Cell Sarcoma, Interdigitating / genetics
  • Dendritic Cell Sarcoma, Interdigitating / pathology
  • Female
  • Flow Cytometry
  • Histiocytosis, Langerhans-Cell / enzymology
  • Histiocytosis, Langerhans-Cell / genetics
  • Histiocytosis, Langerhans-Cell / pathology
  • Humans
  • Immunohistochemistry
  • Lymphoma, T-Cell / enzymology
  • Lymphoma, T-Cell / pathology
  • Male
  • Middle Aged
  • Mutation
  • Polymerase Chain Reaction
  • Proto-Oncogene Proteins B-raf / metabolism*

Substances

  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf