Table 3.

Pathologic and genetic features that can facilitate the distinction between BL, BCLU, and DLBCL

Pathologic and genetic features that can facilitate the distinction between BL, BCLU, and DLBCL4
Pathologic and genetic features that can facilitate the distinction between BL, BCLU, and DLBCL4

*Approximately 5% of otherwise classical BL cases lack a detectable MYC rearrangement.

IG-MYC: juxtaposition of MYC to one of the IG loci: IGH@ at 14q32, IGK@ at 2p12, or IGL@ at 22q11. Non-IG-MYC tumors contain an MYC rearrangement but no juxtaposition to one of the IG loci.

‡DHLs contain an MYC/8q24 translocation in combination with a BCL2/18q21 (most frequent) and/or BCL6/3q27 translocation. The partner of BCL2/18q21 is mostly the IGH@ locus at 14q32.

§Simple karyotype: no or only few cytogenetic or (array) comparative genomic hybridization abnormalities other than the MYC rearrangement. For array comparative genomic hybridization, a lymphoma with 6 or more abnormalities has been assigned as “MYC-complex.”

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