Histological and clinical features of cytotoxic CTCLs
. | WHO criteria . | Fusion result . | Demographic features . | Clinical outcomes . | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Case . | γδ TCR . | CD8+ . | Epidermis . | Assay . | Transcript . | Age, y . | Sex . | Race . | Status . | Skin involvement . | Survival . |
PCAETCL | |||||||||||
NU1 | NEG | POS | 1.5 (P) | NGS | KHDRBS1-JAK2 | 69 | M | AA | DOD | HN, T, E | 15 |
NU2 | NEG | POS | 2 (P) | Archer | CAPRIN1-JAK2 | 46 | M | M | AWD | HN, T, G, E | 26 |
NU3 | NEG | POS | 2.5 | NGS | PICALM-JAK2 | 84 | M | C | AWD | G, T, E | 26 |
NU4 | NEG | POS | 3 | NGS | PICALM-JAK2 | 31 | M | H | AWOD* | HN, T, O, E | 3 |
PE12 | NEG | POS | 1.5 (P) | Archer | PCM1-JAK2 | 67 | M | C | N/A | HN, T, G, E | 12 |
MGH3 | NEG | POS | 3 | Archer | CAPRIN1-JAK2 | 69 | M | C | DOD | T, E | 19 |
MOF4 | NEG | POS | 1.5 (P) | Archer | STAT3-JAK2 | 80 | F | C | DOD | HN, T, E | 7 |
WIS5 | NEG | POS | 1.5 (P) | Archer | SELENO1-ABL1 | 88 | M | C | DOD | T, E | 2 |
MGH6 | NEG | POS | 1.5 (P) | Archer | PCM1-JAK2 | 75 | M | N/A | N/A | HN, T, E | 9 |
CD8−/CD4− cytotoxic CTCL-NOS | |||||||||||
NU5 | NEG | NEG | 3 | Archer | Negative | 75 | F | C | AWD | HN | 39 |
NU6 | NEG | NEG | 2.5 | NGS | Negative | 20 | M | AA | DOD | HN, T, E | 0 |
NU7 | NEG | NEG | 1 | NGS | Negative | 75 | F | C | AWD | HN, T, E | 35 |
NU8 | NEG | NEG | 2 | Archer | Negative | 67 | M | C | AWD | E | 8 |
NU9 | NEG | NEG | 0 | NGS | Negative | 47 | F | C | AWD | HN, T, E | 11 |
NU10 | NEG | NEG | 1 (MF) | Archer | Negative | 45 | M | C | AWD | T, G, E | 36 |
NU11 | NEG | NEG | 2 | NGS | Negative | 61 | M | C | DOD | HN, E | 21 |
NU15 | NEG | NEG | 3 | Archer | Negative | 89 | F | C | AWD | HN | 8 |
NU13 | NEG | NEG | 2 | NGS | Negative | 86 | M | C | DOD | T, E | 20 |
NU14 | NEG | NEG | 2 | NGS | Negative | 63 | M | C | DOD | HN, T, E | 14 |
CD8+ cytotoxic CTCL-NOS that did not meet criteria for PCAETCL | |||||||||||
NU12 | NEG | VAR | 2 (N) | Archer | INTS4-TP63 | 76 | M | H | AWD | HN, E | 7 |
NU16 | NEG | POS | 1 | NGS | Negative | 72 | M | C | DOD | HN, T, E | 1 |
BWH2 | NEG | POS | 0 | Archer | Negative | 64 | M | C | AWD | HN, E | 3 |
PE9 | NEG | POS | 0.5 | Archer | Negative | 75 | M | C | AWD | HN, T, O, E | 43 |
PE10 | NEG | POS | 0.5 (MF) | Archer | Negative | 67 | M | AA | N/A | HN, T, G, E | 4 |
PE11 | NEG | POS | 0.5 (MF) | Archer | Negative | 82 | M | C | N/A | E | 7 |
PE14 | NEG | POS | 1.5 | Archer | Negative | 52 | F | C | DOD | T, E | 37 |
ST15 | NEG | POS | 1 | Archer | Negative | 75 | M | A | DOD | HN, T, O, E | 7.9 |
UCI8 | NEG | POS | 1.5 | Archer | Negative | 63 | M | C | DOD | HN, T, E | 14 |
UT22 | NEG | POS | 2 (MF) | NGS | Negative | 70 | M | C | AWD | HN, T, E | 10 |
PCGDTL | |||||||||||
COH16 | POS | NEG | 2 | Archer | Negative | 78 | M | C | DOD | T, G, E | 22 |
COH17 | POS | SUBSET | 0 | Archer | Negative | 68 | M | C | DOD | E | 15 |
COH18 | POS | NEG | 0 | Archer | Negative | 63 | M | C | DOD | T, E | 1 |
COH19 | POS | NEG | 2 | Archer | Negative | 81 | M | C | DOD | HN, T, G, E | 50 |
COH20 | POS | NEG | 2 (MF) | Archer | Negative | 75 | F | C | AWD | T, E | 15 |
COH21 | POS | POS | 1.5 | Archer | Negative | 40 | M | C | AWD | HN, T, E | 64 |
. | WHO criteria . | Fusion result . | Demographic features . | Clinical outcomes . | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Case . | γδ TCR . | CD8+ . | Epidermis . | Assay . | Transcript . | Age, y . | Sex . | Race . | Status . | Skin involvement . | Survival . |
PCAETCL | |||||||||||
NU1 | NEG | POS | 1.5 (P) | NGS | KHDRBS1-JAK2 | 69 | M | AA | DOD | HN, T, E | 15 |
NU2 | NEG | POS | 2 (P) | Archer | CAPRIN1-JAK2 | 46 | M | M | AWD | HN, T, G, E | 26 |
NU3 | NEG | POS | 2.5 | NGS | PICALM-JAK2 | 84 | M | C | AWD | G, T, E | 26 |
NU4 | NEG | POS | 3 | NGS | PICALM-JAK2 | 31 | M | H | AWOD* | HN, T, O, E | 3 |
PE12 | NEG | POS | 1.5 (P) | Archer | PCM1-JAK2 | 67 | M | C | N/A | HN, T, G, E | 12 |
MGH3 | NEG | POS | 3 | Archer | CAPRIN1-JAK2 | 69 | M | C | DOD | T, E | 19 |
MOF4 | NEG | POS | 1.5 (P) | Archer | STAT3-JAK2 | 80 | F | C | DOD | HN, T, E | 7 |
WIS5 | NEG | POS | 1.5 (P) | Archer | SELENO1-ABL1 | 88 | M | C | DOD | T, E | 2 |
MGH6 | NEG | POS | 1.5 (P) | Archer | PCM1-JAK2 | 75 | M | N/A | N/A | HN, T, E | 9 |
CD8−/CD4− cytotoxic CTCL-NOS | |||||||||||
NU5 | NEG | NEG | 3 | Archer | Negative | 75 | F | C | AWD | HN | 39 |
NU6 | NEG | NEG | 2.5 | NGS | Negative | 20 | M | AA | DOD | HN, T, E | 0 |
NU7 | NEG | NEG | 1 | NGS | Negative | 75 | F | C | AWD | HN, T, E | 35 |
NU8 | NEG | NEG | 2 | Archer | Negative | 67 | M | C | AWD | E | 8 |
NU9 | NEG | NEG | 0 | NGS | Negative | 47 | F | C | AWD | HN, T, E | 11 |
NU10 | NEG | NEG | 1 (MF) | Archer | Negative | 45 | M | C | AWD | T, G, E | 36 |
NU11 | NEG | NEG | 2 | NGS | Negative | 61 | M | C | DOD | HN, E | 21 |
NU15 | NEG | NEG | 3 | Archer | Negative | 89 | F | C | AWD | HN | 8 |
NU13 | NEG | NEG | 2 | NGS | Negative | 86 | M | C | DOD | T, E | 20 |
NU14 | NEG | NEG | 2 | NGS | Negative | 63 | M | C | DOD | HN, T, E | 14 |
CD8+ cytotoxic CTCL-NOS that did not meet criteria for PCAETCL | |||||||||||
NU12 | NEG | VAR | 2 (N) | Archer | INTS4-TP63 | 76 | M | H | AWD | HN, E | 7 |
NU16 | NEG | POS | 1 | NGS | Negative | 72 | M | C | DOD | HN, T, E | 1 |
BWH2 | NEG | POS | 0 | Archer | Negative | 64 | M | C | AWD | HN, E | 3 |
PE9 | NEG | POS | 0.5 | Archer | Negative | 75 | M | C | AWD | HN, T, O, E | 43 |
PE10 | NEG | POS | 0.5 (MF) | Archer | Negative | 67 | M | AA | N/A | HN, T, G, E | 4 |
PE11 | NEG | POS | 0.5 (MF) | Archer | Negative | 82 | M | C | N/A | E | 7 |
PE14 | NEG | POS | 1.5 | Archer | Negative | 52 | F | C | DOD | T, E | 37 |
ST15 | NEG | POS | 1 | Archer | Negative | 75 | M | A | DOD | HN, T, O, E | 7.9 |
UCI8 | NEG | POS | 1.5 | Archer | Negative | 63 | M | C | DOD | HN, T, E | 14 |
UT22 | NEG | POS | 2 (MF) | NGS | Negative | 70 | M | C | AWD | HN, T, E | 10 |
PCGDTL | |||||||||||
COH16 | POS | NEG | 2 | Archer | Negative | 78 | M | C | DOD | T, G, E | 22 |
COH17 | POS | SUBSET | 0 | Archer | Negative | 68 | M | C | DOD | E | 15 |
COH18 | POS | NEG | 0 | Archer | Negative | 63 | M | C | DOD | T, E | 1 |
COH19 | POS | NEG | 2 | Archer | Negative | 81 | M | C | DOD | HN, T, G, E | 50 |
COH20 | POS | NEG | 2 (MF) | Archer | Negative | 75 | F | C | AWD | T, E | 15 |
COH21 | POS | POS | 1.5 | Archer | Negative | 40 | M | C | AWD | HN, T, E | 64 |
Assays used for fusion detection were Archer or next generation sequencing (NGS) methods. Archer (Heme fusion assay) is a custom-targeted anchored multiplex PCR-based RNA-seq assay for gene fusion detection. Fusions from RNA-seq or WGS were discovered by STAR-Fusion19 followed by manual inspection by WGS/RNA-Seq reads. Survival is reported in months from date of diagnosis to date of death (or hematopoietic stem cell transplant). Race: A, Asian; AA, African American; C, Caucasian; M, Middle Eastern; H, Hispanic. Status: AWD, alive with disease; AWOD, alive without disease; DOC, died of other cause; DOD, died of disease. Skin involvement: E, extremities; G, genitals; HN, head/neck; O, oral mucosa; T, trunk. Epidermis density is described as 0, very low epidermal infiltrate density of the lymphoma cells; 1, low epidermal density of lymphoma cells; 2, intermediate density of lymphoma cells; 3, high density of lymphoma cells.
M, mixed features, describing a histological pattern that have features of mycosis fungoides (MF), such as Pautrier microabscesses or lichenoid infiltrates; N, Neurotropism, neural invasion of lymphoid infiltrates NEG, negative for expression determined by immunohistochemistry (IHC); P, pagetoid, describing a pattern of lymphocytic infiltration where it is densest at the basal layer, and infiltration density becomes less sparse, but still present, at the top layer of the epidermis; POS, positive for expression determined by IHC; SUBSET, a subset of the population was positive for expression determined by IHC; TCR, T-cell receptor; VAR, variable expression determined by IHC.
Hematopoietic stem cell transplant.