CD3-positive diffuse large B-cell lymphoma relapses as CD3-negative large B-cell lymphoma: Loss of aberrant antigen expression in B-cell lymphoma after chemotherapy.

Published

Journal Article

Aberrant expression of CD3 on diffuse large B-cell lymphoma (DLBCL) is rare, and its mechanism and biological significance are currently unclear. Herein we report a case of Epstein-Barr virus-negative, CD3-positive DLBCL in a 53 year-old male, who had a remote history of renal transplantation. After standard chemotherapy, the patient was in clinical remission. He relapsed three years later, but at this time with apparent loss of CD3 expression. PCR-based IGK gene rearrangement studies demonstrated clonal amplicons with an identical nucleotide size between the primary and secondary DLBCL, confirming the clonal relationship despite their phenotypic differences. To our knowledge, this is the first case of CD3-positive DLBCL that demonstrated a loss of aberrant CD3 on relapse. The chronologic change in phenotype seen in this case suggests that the source of the patient's lymphoma relapse may arise from either a quiescent subclone without CD3 expression, or from an upstream neoplastic precursor cell.

Full Text

Duke Authors

Cited Authors

  • Yang, L-H; Ingersoll, K; Zhao, Y; Luedke, C; Sebastian, S; Wang, E

Published Date

  • October 2018

Published In

Volume / Issue

  • 214 / 10

Start / End Page

  • 1738 - 1744

PubMed ID

  • 30025593

Pubmed Central ID

  • 30025593

Electronic International Standard Serial Number (EISSN)

  • 1618-0631

International Standard Serial Number (ISSN)

  • 0344-0338

Digital Object Identifier (DOI)

  • 10.1016/j.prp.2018.07.003

Language

  • eng