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Ann Pathol ; 43(1): 45-51, 2023 Jan.
Article in French | MEDLINE | ID: mdl-36266200

ABSTRACT

Follicular lymphoid hyperplasia induced by dasatinib is an entity recently described. It is sometimes difficult to rule out the diagnostic of small B-cell lymphoma. Usually, the node is swollen, with follicular architecture conserved, composed by germinal centers with variable size and shape, with a hight number of mitoses and tingible bodies macrophages inside. Follicular lymphoid hyperplasia is isolated or associated with multiple reactive patterns. The immunohistochemical profil of germinal centers is CD20+, CD10+, BCL6+, BCL2-. Swollen node disappears in a short time after dasatinib discontinuation. Clinicians and pathologists need to be aware of this entity, so as not to avoid mistakenly suspect lymphoma when lymphadenopathy occurs in a patient with chronic myeloid leukemia treated with dasatinib.


Subject(s)
Leukemia, Lymphocytic, Chronic, B-Cell , Lymphadenopathy , Lymphoma, Follicular , Humans , Dasatinib/adverse effects , Lymphoma, Follicular/diagnosis , Hyperplasia/chemically induced
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