Gastric small lymphocytic proliferation with immunoglobulin gene rearrangement in pseudolymphoma versus lymphoma

Samuel Harold Sigal, Scott H. Saul, Herbert E. Auerbach, Edward Raffensperger, Jeffrey A. Kant, John J. Brooks

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

The nature of gastric infiltrates consisting primarily of benign-appearing small lymphocytes is at present a controversial issue. Earlier reports of gastric lymphoma developing in gastric pseudolymphoma and more recent immunohistochemical studies demonstrating monoclonal B-cell populations in pseudolymphoma suggest that at least some cases represent low-grade lymphomas or clonal precursor lesions that may develop into lymphoma. Observations of a small lymphocytic infiltrate arising in the region of a gastric ulcer that lacked definitive morphologic evidence of malignancy (lymphoma) but was clearly a monoclonal B-cell proliferation by immunohistochemical and gene rearrangement studies support the notion that some gastric lymphoproliferative lesions that histologically have been called pseudolymphomas may include one or more clonal lymphoid expansions. A histopathologic/molecular model suggesting a potential pathway for the development of morphologically recognizable lymphoma from benign-appearing small lymphocytic infiltrates is presented, and the concept that for a variety of lymphoid proliferations clonality and malignancy may not be synonymous is discussed.

Original languageEnglish (US)
Pages (from-to)195-201
Number of pages7
JournalGastroenterology
Volume97
Issue number1
DOIs
StatePublished - Jul 1989
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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