Clinical, pathological, and genetic features of the patients reported in this study
Patient . | Age, y . | Immune profile . | Sample at diagnosis . | Karyotype* . | FISH pattern . | Mutation status . | Stage† . | Treatment/ response . | Status . | Survival, m . |
---|---|---|---|---|---|---|---|---|---|---|
1 | 70 | CD4+, CD5+, CD7+, CD10+, BCL6+, PD1 (ICOS and CXCL13: NA), EBER+ | Lymph node | 46,XX,der(1)(5q35.3→5q33.3::5q21.3→5q33.3::1p34→1q44),der(5)t(1;5)(p34;q21.3) | SYK BA: 2F | NF | II | 2007: rituximab; CR; 2010/Rl: rituximab and mini-CHOP; NR; RT/PR; 2011/progression chlorambucil | Dead | 60 |
FER BA: 1F1R1G | ||||||||||
ITK BA: NI | ||||||||||
2 | 61 | CD4+, CD5+, CD7+, CD10+, BCL6+, PD1+, ICOS+, CXCL13+, EBER+ | Lymph node | 47,XX,+X,+2,del(6)(q11.1q22.3),+7,der(8)t(8;18)(p11.2;q12.1),der(15) t(15;16)(q26.1;q22.1),der(16)(20q13.3→20p13::16p13.3→p13.1::16p11.1→p13.1::16p13.1→q22.1::15q26.1→q26.3),–18,–20 | SYK BA: 2F | TET2H1380Y | II | CHOP, remains PET positive | Dead | 8 |
ITK BA: 2F | TET2S1449fs | |||||||||
FER BA: 2F | ||||||||||
FES BA: 1F1R1G | ||||||||||
3 | 83 | CD4+, CD2–, CD7–, CD10+, BCL6–, PD1+, ICOS+, CXCL13+, EBER+ | Spleen | 46,X,–X,der(2)dup(2)(q33.1q33.3)t(2;11)(q37.3;q23.3),t(3;14)(p13;q32.2),del(5)(q14.2q23.2),del(6)(p21.31p24.1),der(8)t(8;8)(p11.21;q22.3),der(11)t(X;11)(q21.1;p15.5),+19 | SYK BA: 2F | RHOAG17V | IVBS | Splenectomy plus chlorambucil; progressive disease | Dead | 1 |
ITK BA: 2F | IDH2R172K | |||||||||
FER BA: 1F | TET2T1499fs | |||||||||
FES BA: 2F | TET2Q1687X | |||||||||
LSI IGH: 14F, der(3)F | ||||||||||
4 | 71 | CD3+, CD4+, CD5+, CD23+/ FDC, PD1+, CXCL13+, ICOS+, CD10p+, BCL6w+, EBER+ | Lymph node | 46,XX | SYK BA: 2F | RHOAG17V | III | CHOP; CR | Alive | 160 |
ITK BA: 2F | IDH2R172S | |||||||||
FER BA: 2F | TET2Q769X | |||||||||
FES BA: 2F | TET2W1219fs | |||||||||
DNMT3AR771P | ||||||||||
5 | 58 | CD3+, CD4+, CD5+, CD7–, CD10–, PD1+, ICOS+, BCL6+, CXCL13+, CD21+/FDC, EBER+ | Lymph node | 46,XX | SYK BA: 2F | RHOAG17V | IIIS | CHOP; CR | Alive | 111 |
ITK BA: 2F | IDH2R172S | |||||||||
FER BA: 2F | TET2N1714fs | |||||||||
FES BA: 2F | TET2K1752fs | |||||||||
6 | 76 | CD3+, CD4+, PD1+, ICOS+, CXCL13+, CD10+, BCL6+, CD23+/FDC, EBER+ | Lymph node | 47,XX,+5 | SYK BA: 2F | RHOAG17V | IIIS | CHOP; CR | Alive | 20 |
ITK BA: 3F | IDH2R172M | |||||||||
FER BA: 3F | TET2Y1294C | |||||||||
FES BA: 2F |
Patient . | Age, y . | Immune profile . | Sample at diagnosis . | Karyotype* . | FISH pattern . | Mutation status . | Stage† . | Treatment/ response . | Status . | Survival, m . |
---|---|---|---|---|---|---|---|---|---|---|
1 | 70 | CD4+, CD5+, CD7+, CD10+, BCL6+, PD1 (ICOS and CXCL13: NA), EBER+ | Lymph node | 46,XX,der(1)(5q35.3→5q33.3::5q21.3→5q33.3::1p34→1q44),der(5)t(1;5)(p34;q21.3) | SYK BA: 2F | NF | II | 2007: rituximab; CR; 2010/Rl: rituximab and mini-CHOP; NR; RT/PR; 2011/progression chlorambucil | Dead | 60 |
FER BA: 1F1R1G | ||||||||||
ITK BA: NI | ||||||||||
2 | 61 | CD4+, CD5+, CD7+, CD10+, BCL6+, PD1+, ICOS+, CXCL13+, EBER+ | Lymph node | 47,XX,+X,+2,del(6)(q11.1q22.3),+7,der(8)t(8;18)(p11.2;q12.1),der(15) t(15;16)(q26.1;q22.1),der(16)(20q13.3→20p13::16p13.3→p13.1::16p11.1→p13.1::16p13.1→q22.1::15q26.1→q26.3),–18,–20 | SYK BA: 2F | TET2H1380Y | II | CHOP, remains PET positive | Dead | 8 |
ITK BA: 2F | TET2S1449fs | |||||||||
FER BA: 2F | ||||||||||
FES BA: 1F1R1G | ||||||||||
3 | 83 | CD4+, CD2–, CD7–, CD10+, BCL6–, PD1+, ICOS+, CXCL13+, EBER+ | Spleen | 46,X,–X,der(2)dup(2)(q33.1q33.3)t(2;11)(q37.3;q23.3),t(3;14)(p13;q32.2),del(5)(q14.2q23.2),del(6)(p21.31p24.1),der(8)t(8;8)(p11.21;q22.3),der(11)t(X;11)(q21.1;p15.5),+19 | SYK BA: 2F | RHOAG17V | IVBS | Splenectomy plus chlorambucil; progressive disease | Dead | 1 |
ITK BA: 2F | IDH2R172K | |||||||||
FER BA: 1F | TET2T1499fs | |||||||||
FES BA: 2F | TET2Q1687X | |||||||||
LSI IGH: 14F, der(3)F | ||||||||||
4 | 71 | CD3+, CD4+, CD5+, CD23+/ FDC, PD1+, CXCL13+, ICOS+, CD10p+, BCL6w+, EBER+ | Lymph node | 46,XX | SYK BA: 2F | RHOAG17V | III | CHOP; CR | Alive | 160 |
ITK BA: 2F | IDH2R172S | |||||||||
FER BA: 2F | TET2Q769X | |||||||||
FES BA: 2F | TET2W1219fs | |||||||||
DNMT3AR771P | ||||||||||
5 | 58 | CD3+, CD4+, CD5+, CD7–, CD10–, PD1+, ICOS+, BCL6+, CXCL13+, CD21+/FDC, EBER+ | Lymph node | 46,XX | SYK BA: 2F | RHOAG17V | IIIS | CHOP; CR | Alive | 111 |
ITK BA: 2F | IDH2R172S | |||||||||
FER BA: 2F | TET2N1714fs | |||||||||
FES BA: 2F | TET2K1752fs | |||||||||
6 | 76 | CD3+, CD4+, PD1+, ICOS+, CXCL13+, CD10+, BCL6+, CD23+/FDC, EBER+ | Lymph node | 47,XX,+5 | SYK BA: 2F | RHOAG17V | IIIS | CHOP; CR | Alive | 20 |
ITK BA: 3F | IDH2R172M | |||||||||
FER BA: 3F | TET2Y1294C | |||||||||
FES BA: 2F |
BA, break-apart; CHOP, cyclophosphamide, doxorubicin, vincristine, and prednisone; CR, complete remission; F, fused signal; FDC, follicular dendritic cell; G, green signal; NA, not available; NF, not found; NI, not informative because of a poor resolution of signals on inv(5); NR, no response; p, partial; PET, positron emission tomography; PR, partial response; R, red signal; Rl, relapse; RT, radiotherapy; w, weak.
Corrected after FISH and array comparative genomic hybridization studies (data not shown).
Staging according to Ann Arbor.