Table 4

Clinicopathologic features of “pediatric-type” (BCL2-N/HPI) follicular lymphomas

Age < 18 years (n = 12)Age ≥ 18 years (n = 22)P
Clinical features    
    M:F 12:0 14:8 .03 
    Head and neck site 10/12 (83) 15/22 (68) .44 
    Stage I 12/12 (100) 22/22 (100) 1.0 
Histologic features    
    Marginal zone differentiation 2/12 (17) 2/22 (9) .60 
    Follicle size > 2 mm diameter 9/12 (75) 10/21 (48) .15 
    > 50% “Starry-sky” follicles 9/12 (75) 11/22 (50) .27 
    Histologic grade 3 6/12 (50) 11/22* (50) 1.0 
Immunophenotypic features    
    BCL2+ tumor cells ( ≥ 2+ intensity) 3/12 (25) 3/22 (14) .64 
    Ki67 PI (median) 90% (40-95%) 65% (40-95%) .06 
Treatment    
    Excision only 9/12 (75) 5/18 (28) ND 
    Radiation therapy only 0/12 (0) 3/18 (17)  
    Chemotherapy (at initial diagnosis or after radiation therapy) 3/12 (25) 10/18 (56)  
Median follow-up, mo 53 60 .84 
Age < 18 years (n = 12)Age ≥ 18 years (n = 22)P
Clinical features    
    M:F 12:0 14:8 .03 
    Head and neck site 10/12 (83) 15/22 (68) .44 
    Stage I 12/12 (100) 22/22 (100) 1.0 
Histologic features    
    Marginal zone differentiation 2/12 (17) 2/22 (9) .60 
    Follicle size > 2 mm diameter 9/12 (75) 10/21 (48) .15 
    > 50% “Starry-sky” follicles 9/12 (75) 11/22 (50) .27 
    Histologic grade 3 6/12 (50) 11/22* (50) 1.0 
Immunophenotypic features    
    BCL2+ tumor cells ( ≥ 2+ intensity) 3/12 (25) 3/22 (14) .64 
    Ki67 PI (median) 90% (40-95%) 65% (40-95%) .06 
Treatment    
    Excision only 9/12 (75) 5/18 (28) ND 
    Radiation therapy only 0/12 (0) 3/18 (17)  
    Chemotherapy (at initial diagnosis or after radiation therapy) 3/12 (25) 10/18 (56)  
Median follow-up, mo 53 60 .84 

Values are no. (%) unless otherwise noted.

BCL2-N indicates no BCL2 gene rearrangement or gain by FISH; F, female; HPI, high (> 30%) Ki67 proliferation index; M, male; and ND, not done.

*

Includes 1 grade 3B case.

Treatment modality unknown for 4 of the age ≥ 18 years patients.

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