Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern

Anaplastic large cell lymphoma with a small cell pattern is a rare T-cell lymphoma. This condition is more frequently seen in younger patients and should be considered when patients present with leucocytosis and constitutional symptoms. In this report, we describe our diagnostic work-up for one such...

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Main Authors: Rowan L. Grigoropoulos, Penny Wright, Mars B. van t'Veer, Mike A. Scott, George A. Follows
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2013/840253
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author Rowan L. Grigoropoulos
Penny Wright
Mars B. van t'Veer
Mike A. Scott
George A. Follows
author_facet Rowan L. Grigoropoulos
Penny Wright
Mars B. van t'Veer
Mike A. Scott
George A. Follows
author_sort Rowan L. Grigoropoulos
collection DOAJ
description Anaplastic large cell lymphoma with a small cell pattern is a rare T-cell lymphoma. This condition is more frequently seen in younger patients and should be considered when patients present with leucocytosis and constitutional symptoms. In this report, we describe our diagnostic work-up for one such case using blood, lymph node, and bone marrow aspirate samples, highlighting the variability of antigen expression seen in different sample types and methodologies. This case shows the importance of having a high index of suspicion and assessing CD30 and anaplastic lymphoma kinase expression in all suspected T-cell neoplasms even though this rare condition is not necessarily expected.
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language English
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series Case Reports in Hematology
spelling doaj-art-d08f0fd8478647729bf67086a2e5466b2025-02-03T05:57:38ZengWileyCase Reports in Hematology2090-65602090-65792013-01-01201310.1155/2013/840253840253Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell PatternRowan L. Grigoropoulos0Penny Wright1Mars B. van t'Veer2Mike A. Scott3George A. Follows4Department of Haematology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB20QQ, UKDepartment of Histopathology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB20QQ, UKDepartment of Haematology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB20QQ, UKDepartment of Haematology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB20QQ, UKDepartment of Haematology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB20QQ, UKAnaplastic large cell lymphoma with a small cell pattern is a rare T-cell lymphoma. This condition is more frequently seen in younger patients and should be considered when patients present with leucocytosis and constitutional symptoms. In this report, we describe our diagnostic work-up for one such case using blood, lymph node, and bone marrow aspirate samples, highlighting the variability of antigen expression seen in different sample types and methodologies. This case shows the importance of having a high index of suspicion and assessing CD30 and anaplastic lymphoma kinase expression in all suspected T-cell neoplasms even though this rare condition is not necessarily expected.http://dx.doi.org/10.1155/2013/840253
spellingShingle Rowan L. Grigoropoulos
Penny Wright
Mars B. van t'Veer
Mike A. Scott
George A. Follows
Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern
Case Reports in Hematology
title Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern
title_full Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern
title_fullStr Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern
title_full_unstemmed Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern
title_short Pitfalls in the Diagnosis of Anaplastic Large Cell Lymphoma with a Small Cell Pattern
title_sort pitfalls in the diagnosis of anaplastic large cell lymphoma with a small cell pattern
url http://dx.doi.org/10.1155/2013/840253
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