Abstract
Session 2 of the 2018 European Association of Hematopathology/Society for Hematopathology Workshop focused on lymphomas arising in immune-privileged sites: both lymphomas arising in the traditionally described “immune sanctuary” sites of the central nervous system (CNS) and testes, as well as those arising at sites of local immune privilege. Primary CNS large B cell lymphoma and primary testicular large B cell lymphoma were discussed, and the biology of these unique tumors was highlighted by several cases showing the classic mutation profile including MYD88 L265P and CD79B. The tendency of these tumors to involve both the CNS and testis was also reinforced by several cases. Four cases of low-grade B cell lymphomas (LGBCL) of the CNS were discussed. Two were classic Bing-Neel syndrome associated with LPL, and two were LGBCL with plasmacytic differentiation and amyloid deposition without systemic disease. Rare examples of systemic T and NK cell lymphomas involving the CNS were also discussed. Several cases of breast implant–associated anaplastic large cell lymphoma (BI-ALCL) were submitted showing the typical clinicopathologic features. These cases were discussed along with a case with analogous features arising in a patient with a gastric band implant, as well as large B cell lymphomas arising alongside foreign materials. Finally, large B cell lymphomas arising in effusions or localized sites of chronic inflammation (fibrin-associated diffuse large B cell lymphoma [DLBCL] and DLBCL associated with chronic inflammation) were described. The pathogenesis of all of these lymphomas is believed to be related to decreased immune surveillance, either innate to the physiology of the organ or acquired at a local site.
Similar content being viewed by others
References
Alexanian S, Said J, Lones M, Pullarkat ST (2013) KSHV/HHV8-negative effusion-based lymphoma, a distinct entity associated with fluid overload states. Am J Surg Pathol 37:241–249
Ando M, Sato Y, Takata K, Nomoto J, Nakamura S, Ohshima K, Takeuchi T, Orita Y, Kobayashi Y, Yoshino T (2013) A20 (TNFAIP3) deletion in Epstein-Barr virus-associated lymphoproliferative disorders/lymphomas. PLoS One 8:e56741
Aozasa K (2006) Pyothorax-associated lymphoma. J Clin Exp Hematop 46:5–10
Araujo I, Coupland SE (2017) Primary vitreoretinal lymphoma -- a review. Asia Pac J Ophthalmol 6:283–289
Bagwan IN, Desai S, Wotherspoon A, Sheppard MN (2009) Unusual presentation of primary cardiac lymphoma. Interact Cardiovasc Thorac Surg 9:127–129
Batlevi C, Rapaport F, Wang L, Intlekofer AM, Copeland AR, Jungbluth AA, Reiner A, Pichardo JD, Gallagher M, Bouvier N, Socci ND, Criscuolo F, Schultz N, Arcila M, Berger M, Zelenetz AD, Seshan VE, Dogan A, Younes A (2015) Distinctive genomic alterations in testicular diffuse large B cell. Lymphoma Blood 126:3655–3655
Bernasconi B, Uccella S, Martin V, Mazzucchelli L, Sessa F, Capella C (2014) Tibiletti MG gene translocations in testicular lymphomas. Leuk Lymphoma 55(6):1410–1412. https://doi.org/10.3109/10428194.2013.834055
Blombery P, Thompson ER, Jones K, Arnau GM, Lade S, Markham JF, Li J, Deva A, Johnstone RW, Khot A, Prince HM, Westerman D (2016) Whole exome sequencing reveals activating JAK1 and STAT3 mutations in breast implant-associated anaplastic large cell lymphoma anaplastic large cell lymphoma. Haematologica 101:e387–e390
Bonzheim I, Giese S, Deuter C, Susskind D, Zierhut M, Waizel M, Szurman P, Federmann B, Schmidt J, Quintanilla-Martinez L, Coupland SE, Bartz-Schmidt KU, Fend F (2015) High frequency of MYD88 mutations in vitreoretinal B-cell lymphoma: a valuable tool to improve diagnostic yield of vitreous aspirates. Blood 126:76–79
Booman M, Douwes J, Glas AM, de Jong D, Schuuring E, Kluin PM (2006) Primary testicular diffuse large B-cell lymphomas have activated B-cell-like subtype characteristics. J Pathol 210:163–171
Booman M, Douwes J, Glas AM, Riemersma SA, Jordanova ES, Kok K, Rosenwald A, de Jong D, Schuuring E, Kluin PM (2006) Mechanisms and effects of loss of human leukocyte antigen class II expression in immune-privileged site-associated B-cell lymphoma. Clin Cancer Res 12:2698–2705
Booman M, Douwes J, Legdeur MC, van Baarlen J, Schuuring E, Kluin P (2007) From brain to testis: immune escape and clonal selection in a B cell lymphoma with selective outgrowth in two immune sanctuaries [correction of sanctuariesy]. Haematologica 92:e69–e71
Boroumand N, Ly TL, Sonstein J, Medeiros LJ (2012) Microscopic diffuse large B-cell lymphoma (DLBCL) occurring in pseudocysts: do these tumors belong to the category of DLBCL associated with chronic inflammation? Am J Surg Pathol 36:1074–1080
Boyer DF, Lindeman NI, Harris NL, Ferry JA (2014) Peripheral T-cell lymphomas with cytotoxic phenotype in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma. Am J Surg Pathol 38:279–288
Boyer DF, McKelvie PA, de Leval L, Edlefsen KL, Ko YH, Aberman ZA, Kovach AE, Masih A, Nishino HT, Weiss LM, Meeker AK, Nardi V, Palisoc M, Shao L, Pittaluga S, Ferry JA, Harris NL, Sohani AR (2017) Fibrin-associated EBV-positive large B-cell lymphoma: an indolent neoplasm with features distinct from diffuse large b-cell lymphoma associated with Chronic inflammation. Am J Surg Pathol 41:299–312
Brunn A, Nagel I, Montesinos-Rongen M, Klapper W, Vater I, Paulus W, Hans V, Blumcke I, Weis J, Siebert R, Deckert M (2013) Frequent triple-hit expression of MYC, BCL2, and BCL6 in primary lymphoma of the central nervous system and absence of a favorable MYC(low)BCL2 (low) subgroup may underlie the inferior prognosis as compared to systemic diffuse large B cell lymphomas. Acta Neuropathol 126:603–605
Chan J, Aozasa K, Gaulard P (2017) Diffuse large B-cell lymphoma associated with chronic inflammation. In: Swerdlow S, Campo E, Harris N, Jaffe E, Pileri S, Stein H, Thiele J, Vardiman J (eds) WHO classification. Tumours of Haematopoietic and Lymphoid Tissues. IARC, Lyon, pp 309–311
Chapuy B, Roemer MG, Stewart C, Tan Y, Abo RP, Zhang L, Dunford AJ, Meredith DM, Thorner AR, Jordanova ES, Liu G, Feuerhake F, Ducar MD, Illerhaus G, Gusenleitner D, Linden EA, Sun HH, Homer H, Aono M, Pinkus GS, Ligon AH, Ligon KL, Ferry JA, Freeman GJ, van Hummelen P, Golub TR, Getz G, Rodig SJ, de Jong D, Monti S, Shipp MA (2016) Targetable genetic features of primary testicular and primary central nervous system lymphomas. Blood 127:869–881
Cheah CY, Wirth A, Seymour JF (2014) Primary testicular lymphoma. Blood 123:486–493
Chen BJ, Wang RC, Ho CH, Yuan CT, Huang WT, Yang SF, Hsieh PP, Yung YC, Lin SY, Hsu CF, Su YZ, Kuo CC, Chuang SS (2018) Primary effusion lymphoma in Taiwan shows two distinctive clinicopathological subtypes with rare human immunodeficiency virus association. Histopathology 72:930–944
Chihara D, Oki Y (2018) Central nervous system involvement in peripheral T cell lymphoma. Curr Hematol Malig Rep 13:1–6
Clemens MW, Horwitz SM (2017) NCCN Consensus Guidelines for the Diagnosis and Management of Breast Implant-Associated Anaplastic Large Cell Lymphoma. Aesthet Surg J 37:285–289
Clemens MW, Medeiros LJ, Butler CE, Hunt KK, Fanale MA, Horwitz S, Weisenburger DD, Liu J, Morgan EA, Kanagal-Shamanna R, Parkash V, Ning J, Sohani AR, Ferry JA, Mehta-Shah N, Dogan A, Liu H, Thormann N, DiNapoli A, Lade S, Piccolini J, Reyes R, Williams T, McCarthy CM, Hanson SE, Nastoupil LJ, Gaur R, Oki Y, Young KH, Miranda RN (2016) Complete surgical excision is essential for the management of patients with breast implant-associated anaplastic large-cell lymphoma. J Clin Oncol 34:160–168
de Jong D, Vasmel WL, de Boer JP, Verhave G, Barbe E, Casparie MK, van Leeuwen FE (2008) Anaplastic large-cell lymphoma in women with breast implants. JAMA 300:2030–2035
Deckert M, Brunn A, Montesinos-Rongen M, Terreni MR, Ponzoni M (2014) Primary lymphoma of the central nervous system--a diagnostic challenge. Hematol Oncol 32:57–67
Di Napoli A, Jain P, Duranti E, Margolskee E, Arancio W, Facchetti F, Alobeid B, Santanelli di Pompeo F, Mansukhani M, Bhagat G (2018) Targeted next generation sequencing of breast implant-associated anaplastic large cell lymphoma reveals mutations in JAK/STAT signalling pathway genes, TP53 and DNMT3A. Br J Haematol 180:741–744
Di Napoli A, De Cecco L, Piccaluga PP, Navari M, Cancila V, Cippitelli C, Pepe G, Lopez G, Monardo F, Bianchi A, D’Amore ESG, Gianelli U, Facchetti F, Berti E, Bhagat G (2019) Transcriptional analysis distinguishes breast implant-associated anaplastic large cell lymphoma from other peripheral T-cell lymphomas. Mod Pathol 32:216–230
Dojcinov SD, Venkataraman G, Pittaluga S, Wlodarska I, Schrager JA, Raffeld M, Hills RK, Jaffe ES (2011) Age-related EBV-associated lymphoproliferative disorders in the Western population: a spectrum of reactive lymphoid hyperplasia and lymphoma. Blood 117:4726–4735
Farkash EA, Ferry JA, Harris NL, Hochberg EP, Takvorian RW, Zuckerman DS, Sohani AR (2009) Rare lymphoid malignancies of the breast: a report of two cases illustrating potential diagnostic pitfalls. J Hematop 2:237–244
Feldman AL, Harris NL, Stein H, Campo E, Kinney MC, Jaffe ES, Falini B, Inghirami GG, Pileri SA (2017) Breast implant–associated anaplastic large cell lymphoma. In: Swerdlow S, Campo E, Harris N, Jaffe E, Pileri S, Stein H, Thiele J (eds) WHO classification of tumours of haematopoietic and lymphoid tissues. IARC, Lyon, pp 421–422
Fend F, Ferreri AJ, Coupland SE (2016) How we diagnose and treat vitreoretinal lymphoma. Br J Haematol 173:680–692
Ferry JA, Fung CY, Zukerberg L, Lucarelli MJ, Hasserjian RP, Preffer FI, Harris NL (2007) Lymphoma of the ocular adnexa: a study of 353 cases. Am J Surg Pathol 31:170–184
Garcia-Reyero J, Martinez Magunacelaya N, Gonzalez Pereña A, Marcos Gonzalez S, Teran-Villagra N, Azueta A, Batlle A, Gonzalez de Villambrosia S, Revert Arce J, Montes-Moreno S. Appl Immunohistochem Mol Morphol. 2018 Apr 7. PMID: 29629945 for details.
Gualco G, Bacchi CE (2008) B-cell and T-cell lymphomas of the breast: clinical--pathological features of 53 cases. Int J Surg Pathol 16:407–413
Gualco G, Chioato L, Harrington WJ Jr, Weiss LM, Bacchi CE (2009) Primary and secondary T-cell lymphomas of the breast: clinico-pathologic features of 11 cases. Appl Immunohistochem Mol Morphol 17:301–306
Hayes C, Alkan S, Kitahara S (2014) Indolent fibrin-associated EBV-positive large B-cell lymphoproliferative disorder in a lower extremity aneurysmal hematoma: a case report. J Hematop 7:139–143
Kridel R, Telio D, Villa D, Sehn LH, Gerrie AS, Shenkier T, Klasa R, Slack GW, Tan K, Gascoyne RD, Connors JM, Savage KJ (2017) Diffuse large B-cell lymphoma with testicular involvement: outcome and risk of CNS relapse in the rituximab era. Br J Haematol 176:210–221
Kubota T, Sasaki Y, Shiozawa E, Takimoto M, Hishima T, Chong JM (2018) Age and CD20 expression are significant prognostic factors in human herpes virus-8-negative effusion-based lymphoma. Am J Surg Pathol 42:1607–1616
Lamant L, Pileri S, Sabattini E, Brugieres L, Jaffe ES, Delsol G (2010) Cutaneous presentation of ALK-positive anaplastic large cell lymphoma following insect bites: evidence for an association in five cases. Haematologica 95:449–455
Letourneau A, Maerevoet M, Milowich D, Dewind R, Bisig B, Missiaglia E, de Leval L (2018) Dual JAK1 and STAT3 mutations in a breast implant-associated anaplastic large cell lymphoma. Virchows Arch 473:505–511
Li L, Huang L, Lemos HP, Mautino M, Mellor AL (2012) Altered tryptophan metabolism as a paradigm for good and bad aspects of immune privilege in chronic inflammatory diseases. Front Immunol. 2012 May 11;3:109.
Liang DN, Yang ZR, Wang WY, Zhao S, Yang QP, Tang Y, Bi CF, Liu WP (2012) Extranodal nasal type natural killer/T-cell lymphoma of testis: report of seven cases with review of literature. Leuk Lymphoma 53:1117–1123
Lionakis MS, Dunleavy K, Roschewski M, Widemann BC, Butman JA, Schmitz R, Yang Y, Cole DE, Melani C, Higham CS, Desai JV, Ceribelli M, Chen L, Thomas CJ, Little RF, Gea-Banacloche J, Bhaumik S, Stetler-Stevenson M, Pittaluga S, Jaffe ES, Heiss J, Lucas N, Steinberg SM, Staudt LM, Wilson WH (2017) Inhibition of B cell receptor signaling by ibrutinib in primary CNS lymphoma. Cancer Cell 31:833–843
Loong F, Chan AC, Ho BC, Chau YP, Lee HY, Cheuk W, Yuen WK, Ng WS, Cheung HL, Chan JK (2010) Diffuse large B-cell lymphoma associated with chronic inflammation as an incidental finding and new clinical scenarios. Mod Pathol 23:493–501
Mant S, Taylor G, Dutton D, Butler A, Browett P, Ganly P (2015) Development of T-cell lymphomas with an activated cytotoxic immunophenotype, including anaplastic large cell lymphomas, in patients with chronic lymphocytic leukemia: a series of six cases. Leuk Lymphoma 56:774–778
Mendeville M, Roemer MGM, van den Hout M, Los-de Vries GT, Bladergroen R, Stathi P, Hijmering NJ, Rosenwald A, Ylstra B, de Jong D (2019) Aggressive genomic features in clinically indolent primary HHV8-negative effusion-based lymphoma. Blood 133:377–380
Mescam L, Adelaide J, Murati A, Bannier M, Garnier S, Guille A, Schiano J, Chaffanet M, Birnbaum D, Xerri L (2018) Clinico-pathological and moecular heterogeneity of breast-implant lymphomas: LYS-P-21, pp. Poster Presentations, European Association of Hematopathology meeting, Edinburgh, UK
Miller DV, Firchau DJ, McClure RF, Kurtin PJ, Feldman AL (2010) Epstein-Barr virus-associated diffuse large B-cell lymphoma arising on cardiac prostheses. Am J Surg Pathol 34:377–384
Miranda RN, Lin L, Talwalkar SS, Manning JT, Medeiros LJ (2009) Anaplastic large cell lymphoma involving the breast: a clinicopathologic study of 6 cases and review of the literature. Arch Pathol Lab Med 133:1383–1390
Miranda RN, Aladily TN, Prince HM, Kanagal-Shamanna R, de Jong D, Fayad LE, Amin MB, Haideri N, Bhagat G, Brooks GS, Shifrin DA, O’Malley DP, Cheah CY, Bacchi CE, Gualco G, Li S, Keech JA Jr, Hochberg EP, Carty MJ, Hanson SE, Mustafa E, Sanchez S, Manning JT Jr, Xu-Monette ZY, Miranda AR, Fox P, Bassett RL, Castillo JJ, Beltran BE, de Boer JP, Chakhachiro Z, Ye D, Clark D, Young KH, Medeiros LJ (2014) Breast implant-associated anaplastic large-cell lymphoma: long-term follow-up of 60 patients. J Clin Oncol 32:114–120
Miyata-Takata T, Takata K, Kato S, Hu LM, Noujima-Harada M, Chuang SS, Sato Y, Maeda Y, Yoshino T (2017) Clinicopathological analysis of primary central nervous system NK/T cell lymphoma: rare and localized aggressive tumour among extranasal NK/T cell tumours. Histopathology 71:287–295
Nayyar N, White MD, Gill CM, Lastrapes M, Bertalan M, Kaplan A, D’Andrea MR, Bihun I, Kaneb A, Dietrich J, Ferry JA, Martinez-Lage M, Giobbie-Hurder A, Borger DR, Rodriguez FJ, Frosch MP, Batchelor E, Hoang K, Kuter B, Fortin S, Holdhoff M, Cahill DP, Carter S, Brastianos PK, Batchelor TT (2019) MYD88 L265P mutation and CDKN2A loss are early mutational events in primary central nervous system diffuse large B-cell lymphomas. Blood Adv 3:375–383
Nguyen KA, Su C, Bai HX, Zhang Z, Xiao R, Karakousis G, Zhang PJ, Zhang G (2018) Disease site as a determinant of survival outcome in patients with systemic anaplastic lymphoma kinase positive anaplastic large cell lymphoma with extranodal involvement: an analysis of 1306 cases from the US National Cancer Database. Br J Haematol 181:196–204
Oishi N, Brody GS, Ketterling RP, Viswanatha DS, He R, Dasari S, Mai M, Benson HK, Sattler CA, Boddicker RL, McPhail ED, Bennani NN, Harless CA, Singh K, Clemens MW, Medeiros LJ, Miranda RN, Feldman AL (2018) Genetic subtyping of breast implant-associated anaplastic large cell lymphoma. Blood 132:544–547
Oliveira JL, Grogg KL, Macon WR, Dogan A, Feldman AL (2012) Clinicopathologic features of B-cell lineage neoplasms with aberrant expression of CD3: a study of 21 cases. Am J Surg Pathol 36:1364–1370
Pan Z, Chen M, Zhang Q, Wang E, Yin L, Xu Y, Huang Q, Yuan Y, Zhang X, Zheng G, Yuan J (2018) CD3-positive plasmablastic B-cell neoplasms: a diagnostic pitfall. Mod Pathol 31:718–731
Petitjean B, Jardin F, Joly B, Martin-Garcia N, Tilly H, Picquenot JM, Briere J, Danel C, Mehaut S, Abd-Al-Samad I, Copie-Bergman C, Delfau-Larue MH, Gaulard P (2002) Pyothorax-associated lymphoma: a peculiar clinicopathologic entity derived from B cells at late stage of differentiation and with occasional aberrant dual B- and T-cell phenotype. Am J Surg Pathol 26:724–732
Poulain S, Boyle EM, Roumier C, Demarquette H, Wemeau M, Geffroy S, Herbaux C, Bertrand E, Hivert B, Terriou L, Verrier A, Pollet JP, Maurage CA, Onraed B, Morschhauser F, Quesnel B, Duthilleul P, Preudhomme C, Leleu X (2014) MYD88 L265P mutation contributes to the diagnosis of Bing Neel syndrome. Br J Haematol 167:506–513
Quesada AE, Medeiros LJ, Clemens MW, Ferrufino-Schmidt MC, Pina-Oviedo S, Miranda RN (2019) Breast implant-associated anaplastic large cell lymphoma: a review. Mod Pathol 32:166–188
Riemersma SA, Jordanova ES, Schop RF, Philippo K, Looijenga LH, Schuuring E, Kluin PM (2000) Extensive genetic alterations of the HLA region, including homozygous deletions of HLA class II genes in B-cell lymphomas arising in immune-privileged sites. Blood 96:3569–3577
Roden AC, Macon WR, Keeney GL, Myers JL, Feldman AL, Dogan A (2008) Mod Pathol 21:455–463
Rubenstein JL (2017) Biology of CNS lymphoma and the potential of novel agents. Hematology Am Soc Hematol Educ Program 8:556–564
Rubenstein JL, Fridlyand J, Shen A, Aldape K, Ginzinger D, Batchelor T, Treseler P, Berger M, McDermott M, Prados M, Karch J, Okada C, Hyun W, Parikh S, Haqq C, Shuman M (2006) Gene expression and angiotropism in primary CNS lymphoma. Blood 107:3716–3723
Rudzki Z (2018) Aggressive cytotoxic T-cell lymphoma following successful treatment of CLL: BMWS-217, pp. Bone Marrow Workshop, European Association of Hematopathology meeting, Edinburgh, UK
Said J, Cesarman E (2017) Primary effusion lymphoma. In: Swerdlow S, Campo E, Harris N, Jaffe E, Pileri S, Stein H, Thiele J, Vardiman J (eds) WHO classification. Tumours of haematopoietic and lymphoid tissues. IARC, Lyon, pp 323–324
Srinivasa DR, Miranda RN, Kaura A, Francis AM, Campanale A, Boldrini R, Alexander J, Deva AK, Gravina PR, Medeiros LJ, Nast K, Butler CE, Clemens MW (2017) Global adverse event reports of breast implant-associated ALCL: an international review of 40 government authority databases. Plast Reconstr Surg 139:1029–1039
Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Arber DA, Hasserjian RP, Le Beau MM, Orazi A, Siebert R (2017) WHO classification of Tumours of Haematopoietic and lymphoid tissues. Lyon, IARC
Takakuwa T, Luo WJ, Ham MF, Mizuki M, Iuchi K, Aozasa K (2003) Establishment and characterization of unique cell lines derived from pyothorax-associated lymphoma which develops in long-standing pyothorax and is strongly associated with Epstein-Barr virus infection. Cancer Sci 94:858–863
Talwalkar SS, Miranda RN, Valbuena JR, Routbort MJ, Martin AW, Medeiros LJ (2008) Lymphomas involving the breast: a study of 106 cases comparing localized and disseminated neoplasms. Am J Surg Pathol 32:1299–1309
Twa DDW, Mottok A, Savage KJ, Steidl C (2018) The pathobiology of primary testicular diffuse large B-cell lymphoma: implications for novel therapies. Blood Rev 32:249–255
Valli R, Piana S, Capodanno I, Cavazza A (2011) Diffuse large B-cell lymphoma associated with chronic inflammation arising in a renal pseudocyst. Int J Surg Pathol 19:117–119
Valli R, Froio E, Alvarez de Celis MI, Mandato VD, Piana S (2014) Diffuse large B-cell lymphoma occurring in an ovarian cystic teratoma: expanding the spectrum of large B-cell lymphoma associated with chronic inflammation. Hum Pathol 45:2507–2511
Wang J, Chen C, Lau S, Raghavan RI, Rowsell EH, Said J, Weiss LM, Huang Q (2009) CD3-positive large B-cell lymphoma. Am J Surg Pathol 33:505–512
Williams AS, Shawwa A, Merrimen J, Dakin Hache K (2016) Expression of OCT4 and SALL4 in diffuse large B-cell lymphoma: an analysis of 145 consecutive cases and testicular lymphomas. Am J Surg Pathol 40:950–957
Wong AK, Lopategui J, Clancy S, Kulber D, Bose S (2008) Anaplastic large cell lymphoma associated with a breast implant capsule: a case report and review of the literature. Am J Surg Pathol 32:1265–1268
Yamada S, Ishida Y, Matsuno A, Yamazaki K (2015) Primary diffuse large B-cell lymphomas of central nervous system exhibit remarkably high prevalence of oncogenic MYD88 and CD79B mutations. Leuk Lymphoma 56:2141–2145
Yamato H, Ohshima K, Suzumiya J, Kikuchi M (2001) Evidence for local immunosuppression and demonstration of c-myc amplification in pyothorax-associated lymphoma. Histopathology 39:163–171
Zacchi F, Castelli J, Stiepcich M, Mendes J, Maykeh V (2018) Gluteal implant associated anaplastic large cell lymphoma: a case report and prposal for a new terminology: LYS-P-70, pp. Poster Presentations, European Association of Hematopathology meeting, Edinburgh, UK
Zheng M, Perry AM, Bierman P, Loberiza F Jr, Nasr MR, Szwajcer D, Del Bigio MR, Smith LM, Zhang W, Greiner TC (2017) Frequency of MYD88 and CD79B mutations, and MGMT methylation in primary central nervous system diffuse large B-cell lymphoma. Neuropathology 37:509–516
Zorofchian S, El-Achi H, Yan Y, Esquenazi Y, Ballester LY (2018) Characterization of genomic alterations in primary central nervous system lymphomas. J Neuro-Oncol 40:509–517
Acknowledgements
The authors would like to acknowledge all workshop participants for submitting their case and for granting permission for the use of images in this review.
Author information
Authors and Affiliations
Contributions
All authors conceived and designed the review; all authors participated in the collection, discussion, and the final diagnostic workup of the submitted cases. RLK and JAF wrote the first draft of the manuscript that was edited and reviewed by all other authors. All authors gave their final approval for publication.
Corresponding author
Ethics declarations
All authors declare strict adherence to compliance with ethical standards.
Conflict of interest
The authors declare that they have no conflicts of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
King, R.L., Goodlad, J.R., Calaminici, M. et al. Lymphomas arising in immune-privileged sites: insights into biology, diagnosis, and pathogenesis. Virchows Arch 476, 647–665 (2020). https://doi.org/10.1007/s00428-019-02698-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00428-019-02698-3