Novel developments in the pathogenesis and diagnosis of extranodal marginal zone lymphoma
Publication year
2017Source
Journal of Hematopathology, 10, 3-4, (2017), pp. 91-107ISSN
Publication type
Article / Letter to editor
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Organization
Pathology
Journal title
Journal of Hematopathology
Volume
vol. 10
Issue
iss. 3-4
Page start
p. 91
Page end
p. 107
Subject
Radboudumc 2: Cancer development and immune defence RIMLS: Radboud Institute for Molecular Life Sciences; Radboudumc 9: Rare cancers RIMLS: Radboud Institute for Molecular Life SciencesAbstract
Extranodal marginal zone lymphoma (EMZL), mostly represented by mucosa-associated lymphoid tissue (MALT) type, also referred to as MALT lymphoma, is a clinically heterogeneous entity within the group of low-grade B cell lymphomas that arises in a wide range of different extranodal sites, including the stomach, lung, ocular adnexa, and skin. It represents the third most common non-Hodgkin lymphoma in the Western world, and the median age of occurrence is around 60 years. One characteristic aspect in a subset of EMZL detectable in about 25% of the cases is the presence of specific chromosomal translocations involving the genes MALT1 and BCL10, which lead to activation of the NF-kappaB signaling pathway. Another unique aspect is that several infectious agents, such as Helicobacter pylori in the case of gastric EMZL, and autoimmune disorders, like Sjogren syndrome, have been implicated in the pathogenesis of this cancer. Recent findings as summarized in this review have further improved our understanding of the complex pathobiology of this disease and have been essential to better define novel treatment strategies. In addition, many of these specific features are currently being implemented for the diagnosis of EMZL.
This item appears in the following Collection(s)
- Academic publications [245262]
- Electronic publications [132597]
- Faculty of Medical Sciences [93207]
- Open Access publications [106237]
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