Clinical and biological characteristics of the 2 MCL subtypes
. | Conventional MCL . | Leukemic nonnodal MCL . |
---|---|---|
Male/Female113-116,118 | 3-4 | 1 |
Clinical presentation113-116,118 | Lymphadenopathy | Leukemic* |
Extranodal | Splenomegaly* | |
Cell of origin109,110 | Naive-like | Memory-like |
Morphology113-115,118,170 | Classic*/blastoid | Small cell*/blastoid/plasma cell differentiation (37%) |
Phenotype113-115,118,171 | ||
SOX11 | + | − |
CD5 | + (90%-100%) | − (25%-50%) |
CD200 | − (90%) | + (40%-90%) |
Chromosomal instability109,113-116,118 | High | Low |
Somatic mutations, %116 | ||
ATM | 55 | 0 |
TP53 | 25 | 25 |
CDKN2A del | 20 | 0 |
CCND1 | 18 | 86 |
KMTD2/MLL2 | 18 | 0 |
NSD2/WHSC1 | 15 | 0 |
UBR5 | 14 | 0 |
BIRC3 | 7 | 7 |
NOTCH2 | 6 | 4 |
NOTCH1 | 4 | 0 |
TLR2 | 0 | 3 |
Clinical behavior113-115,118 | Aggressive | Stable/indolent |
. | Conventional MCL . | Leukemic nonnodal MCL . |
---|---|---|
Male/Female113-116,118 | 3-4 | 1 |
Clinical presentation113-116,118 | Lymphadenopathy | Leukemic* |
Extranodal | Splenomegaly* | |
Cell of origin109,110 | Naive-like | Memory-like |
Morphology113-115,118,170 | Classic*/blastoid | Small cell*/blastoid/plasma cell differentiation (37%) |
Phenotype113-115,118,171 | ||
SOX11 | + | − |
CD5 | + (90%-100%) | − (25%-50%) |
CD200 | − (90%) | + (40%-90%) |
Chromosomal instability109,113-116,118 | High | Low |
Somatic mutations, %116 | ||
ATM | 55 | 0 |
TP53 | 25 | 25 |
CDKN2A del | 20 | 0 |
CCND1 | 18 | 86 |
KMTD2/MLL2 | 18 | 0 |
NSD2/WHSC1 | 15 | 0 |
UBR5 | 14 | 0 |
BIRC3 | 7 | 7 |
NOTCH2 | 6 | 4 |
NOTCH1 | 4 | 0 |
TLR2 | 0 | 3 |
Clinical behavior113-115,118 | Aggressive | Stable/indolent |
These parameters are more frequent in the subtype indicated but not exclusive.