Follicular center-cell lymphoma with plasmacytic differentiation, monoclonal paraprotein, and peripheral blood involvement. Recapitulation of normal B-cell development

Am J Surg Pathol. 1985 Oct;9(10):764-70. doi: 10.1097/00000478-198510000-00009.

Abstract

A patient with a nodular and diffuse small-cleaved follicular center-cell lymphoma that exhibited definite plasmacytic differentiation, a related monoclonal gammopathy, and circulating population of small lymphocytes is presented. Aside from showing that the presence of numerous plasma cells is not a reliable criterion for the diagnosis of a reactive follicular proliferation, the case is an example of a lymphoma without a block in maturation. The "neoplastic" B-cells show development to follicular center cells and beyond, to functioning plasma cells, and probably also to recirculating "memory" cells. It also suggests that plasmacytoid lymphocytic lymphomas (Lukes-Collins classification) might represent a heterogeneous group of lymphoid neoplasms with some closely related to follicular center-cell lymphomas and others more closely related to small lymphocytic lymphoma/B-cell chronic lymphocytic leukemia.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Monoclonal / analysis*
  • B-Lymphocytes / immunology
  • B-Lymphocytes / pathology
  • Female
  • Humans
  • Immunoenzyme Techniques
  • Immunoglobulins / analysis
  • Lymph Nodes / immunology
  • Lymph Nodes / pathology
  • Lymphoma / diagnosis
  • Lymphoma / immunology
  • Lymphoma / pathology*
  • Middle Aged
  • Paraproteins / analysis*
  • Plasma Cells / immunology
  • Plasma Cells / pathology*

Substances

  • Antibodies, Monoclonal
  • Immunoglobulins
  • Paraproteins