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KMID : 0882420120830020263
Korean Journal of Medicine
2012 Volume.83 No. 2 p.263 ~ p.267
Transformation of CD5-Negative Follicular Lymphoma into CD5-Positive Diffuse Large B-Cell Lymphoma: A Case Report
Kim Hyeong-Kug

Cho In-Sung
Lee Hye-Kyung
Choi Yong-Hun
Cho Seong-Min
Moon Hyun-Jin
Lee Jin-A
Abstract
Diffuse large B-cell lymphoma (DLBCL) is the most frequent subtype of aggressive lymphomas. Approximately 10% of DLBCL cases express CD5 as a surface antigen. CD5-positive DLBCL can occur as the de novo or secondary type. De novo CD5-positive DLBCL arises without previous lymphoproliferative disease, and secondary CD5-positive DLBCL may or may not manifest as Richter syndrome. The transformation of follicular lymphoma (FL) into DLBCL occurs in approximately one-third of all cases. The transformation of CD5-negative low-grade B-cell lymphoma to CD5-positive DLBCL is extremely rare. We report the clinical features of a rare case that presented with a transformation from CD5-negative FL to CD5-positive DLBL over 11 years. This is the second such case published in the English literature.
KEYWORD
Lymphoma, large B-cell, diffuse, Lymphoma, follicular, Cell transformation, neoplastic
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