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Annals of Oncology 6:789-794, 1995
© 1995 European Society for Medical Oncology


research-article

Incidence and prognostic significance of t(14; 18) translocation in follicle center cell lymphoma of low and high grade

A report from southern Sweden

A. Johnson1,4, A. Brumn1, M. Dictor2, E. Rambech2, M. Akerman2 and H. Anderson3

1Departments ofOncology
2Pathology
3Southern Swedish Regional Tumor Registry, University Hospital Lund, Sweden

4Correspondence to: Dr. Anna Johnson Department of Oncology University Hospital S-221 85 Lund Sweden

Background: The t(14; 18)(q21;q32) is the most common recurrent genetic defect in follicle center cell lymphoma (FCC). Conflicting reports exist in regard to a possible prognostic significance for the translocation

Patients and methods: In a single center, 102 patients with either low-grade (n=50) or high-grade (n=52) FCC (Kiel classification) and a median follow-up of 82 months were retrospectively studied to determine survival in relation to t(14; 18) as shown by either PCR of the bcl-2 rearrangement in paraffinized tissue or karyotype analysis

Results: t(14; 18) was detected in 30 of 50 (60%) low-grade FCC and in 12 of 52 (23%) high-grade FCC. The presence of the t(14; 18) was not related to morphologic bone marrow involvement or other clinical parameters, but it was related to age: in low-grade FCC, patients with t(14; 18) were an average of 17 years younger (p = 0.002) than those without the translocation In the group with high-grade histology, 30% survived beyond 60 months regardless of t(14;18) status (p = 0.92). Patients with low-grade histology and t(14; 18) fared better than those without, irrespective of age (p = 0.01). No significant difference in disease-free survival related to t(14;18) was found in either low- or high-grade FCC

Conclusions: The incidence of t(14; 18) is in accord with that of other European reports. T(14;18) does not define a prognostic subset of high-grade FCC, but is significantly correlated with a better survival in low-grade FCC. The association of t (14; 18) with younger age and indolent lymphoma is perplexing in light of recent findings of an age-related increase in t (14; 18) in normal subjects

bcl-2 rearrangement, follicle center cell lymphoma, histopathologic grade, prognosis, t(14; 18) translocation


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