Non Hodgkin Lymphoma

Question

Asked for Male, 80 Years

Left chest wall lump Core Biopsy The atypical lymphoid cells are immune positive for CD20, BCL-6 (80%), MUM-1, BLC2(100%), c-myc(50%) and negetive for CD3, cyclinD1,CD10,TdT,CD99,NKC2.2 MB-1,Labeling index is 80% in highest proliferating areas.

Answers (2)

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Nikhil Sebastian

Medical Oncologist 17 yrs exp Kollam

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This immuno histo chemistry report of 80 year old gentleman given here shows Double expression with MYC and BCL2 . Histopathology biopsy report not shown. Mostly it will be a DLBCL. If possible please upload that also. Has a CECT thorax abdomen or PET scan been already done for this person. If so, that will help in staging. Ideally a bone marrow examination also needs to be done for completion of staging work up. Based on these findings and patients condition, medical oncologist can treat him with appropriate medications.

Next Steps

Scan PET or CT. Bone marrow examination. Med Onco consult

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Accepted Answer

Dr. Anil Sharma

Pediatric Hematologic-Oncologist 12 yrs exp Gwalior