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CD5-negative mantle cell lymphoma: clinicopathologic features of an indolent variant that confers a survival advantage.


ABSTRACT: Conventionally, mantle cell lymphoma (MCL) is an aggressive CD5-positive B-cell malignancy with poor prognosis and limited survival. However, a small subset of patients presents with indolent disease and can be managed on a 'watch and wait' approach. CD5-negative MCL has recently been recognized as a more favorable variant of MCL, but its clinical and biological implications remain ill-defined. We performed the most extensive review to-date of all reported cases of CD5-negative MCL and included unpublished cases diagnosed at our institutions to further characterize this disease subset. Based on our analysis of 356 cases of CD5-negative MCL, we conclude that median overall survival exceeds 14 years and is independent of favorable prognostic markers such as leukemic non-nodal disease, absence of SOX11, and low Ki-67.

SUBMITTER: Soleimani A 

PROVIDER: S-EPMC9481052 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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CD5-negative mantle cell lymphoma: clinicopathologic features of an indolent variant that confers a survival advantage.

Soleimani Arshia A   Navarro Alba A   Liu Delong D   Herman Sarah E M SEM   Chuang Shih-Sung SS   Slavutsky Irma I   Narbaitz Marina M   Safah Hana H   Schmieg John J   Lefante John J   Roschewski Mark M   Wilson Wyndham H WH   Wiestner Adrian A   Saba Nakhle S NS  

Leukemia & lymphoma 20211115 4


Conventionally, mantle cell lymphoma (MCL) is an aggressive CD5-positive B-cell malignancy with poor prognosis and limited survival. However, a small subset of patients presents with indolent disease and can be managed on a 'watch and wait' approach. CD5-negative MCL has recently been recognized as a more favorable variant of MCL, but its clinical and biological implications remain ill-defined. We performed the most extensive review to-date of all reported cases of CD5-negative MCL and included  ...[more]

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