Volume 44, Issue 2 pp. 234-235
CASE IMAGE

T cell lymphoblastic lymphoma with uncommon CD20 expression

Ramón Diez-Feijóo

Ramón Diez-Feijóo

Department of Hematology, Hospital del Mar, Barcelona, Spain

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Juan José Rodríguez-Sevilla

Corresponding Author

Juan José Rodríguez-Sevilla

Department of Hematology, Hospital del Mar, Barcelona, Spain

Correspondence

Juan Jose Rodriguez-Sevilla, Department of Hematology, Hospital del Mar, Passeig Maritim 25, Barcelona, Spain 08003.

Email: [email protected]

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Marta Salido

Marta Salido

Department of Hematology, Hospital del Mar, Barcelona, Spain

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Luis Colomo

Luis Colomo

Department of Hematology, Hospital del Mar, Barcelona, Spain

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Antonio Salar

Antonio Salar

Department of Hematology, Hospital del Mar, Barcelona, Spain

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First published: 24 November 2021

Abstract

We report an interesting case of a T lymphoblastic lymphoma (T-LBL) with uncommon CD20 expression. Immunophenotype analysis showed TdT expression with positivity of CD3 and CD7 among other T-lineage markers. Other non-T markers such as CD79a or myeloid-associated antigens were negative. Molecular studies were performed evidencing clonal rearrangements for gamma and beta chain T cell receptor were clonal in the lymph node biopsy. Cytogenetic analysis showed deletions in CDKN2A and NOTCH2 genes. CD20 when present in T-LBL can lead to a false diagnosis of B-LBL. In this scenario, analysis of rearrangements of both immunoglobulin heavy chain B cell receptor and rearrangement of the T cell receptor can be very helpful.

CONFLICT OF INTEREST

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

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