Myeloproliferative and lymphoproliferative malignancies occurring in the same patient: A nationwide discovery cohort
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Myeloproliferative and lymphoproliferative malignancies occurring in the same patient : A nationwide discovery cohort. / Holst, Johanne M.; Plesner, Trine L.; Pedersen, Martin B.; Frederiksen, Henrik; Møller, Michael B.; Clausen, Michael R.; Hansen, Marcus C.; Hamilton-Dutoit, Stephen Jacques; Nørgaard, Peter; Johansen, Preben; Eberlein, Tobias Ramm; Mortensen, Bo K.; Mathiasen, Gustav; Øvlisen, Andreas; Wang, Rui; Wang, Chao; Zhang, Weiwei; Ommen, Hans Beier; Stentoft, Jesper; Ludvigsen, Maja; Tam, Wayne; Chan, Wing C.; Inghirami, Giorgio; d'Amore, Francesco.
In: Haematologica, Vol. 105, No. 10, 2020, p. 2432-2439.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Myeloproliferative and lymphoproliferative malignancies occurring in the same patient
T2 - A nationwide discovery cohort
AU - Holst, Johanne M.
AU - Plesner, Trine L.
AU - Pedersen, Martin B.
AU - Frederiksen, Henrik
AU - Møller, Michael B.
AU - Clausen, Michael R.
AU - Hansen, Marcus C.
AU - Hamilton-Dutoit, Stephen Jacques
AU - Nørgaard, Peter
AU - Johansen, Preben
AU - Eberlein, Tobias Ramm
AU - Mortensen, Bo K.
AU - Mathiasen, Gustav
AU - Øvlisen, Andreas
AU - Wang, Rui
AU - Wang, Chao
AU - Zhang, Weiwei
AU - Ommen, Hans Beier
AU - Stentoft, Jesper
AU - Ludvigsen, Maja
AU - Tam, Wayne
AU - Chan, Wing C.
AU - Inghirami, Giorgio
AU - d'Amore, Francesco
PY - 2020
Y1 - 2020
N2 - Myeloid and lymphoid malignancies are postulated to have distinct pathogenic mechanisms. The recent observation that patients with a myeloproliferative neoplasm have an increased risk of developing lymphoproliferative malignancies has challenged this assumption. We collected a nationwide cohort of patients with both malignancies. Patients diagnosed between 1990 and 2015 were identified through the national Danish Pathology Registry. We identified 599 patients with a myeloproliferative neoplasm and a concomitant or subsequent diagnosis of lymphoma. Histopathological review of the diagnostic samples from each patient led to a final cohort of 97 individuals with confirmed dual diagnoses of myeloproliferative neoplasm and lymphoma. The age range at diagnosis of these individuals was 19-94 years (median: 71 years). To avoid the inclusion of cases of therapy-induced myeloproliferative neoplasm occurring in patients previously treated for lymphoma, only patients with myeloproliferative neoplasm diagnosed unequivocally before the development of lymphoma were included. The average time interval between the diagnoses of the two malignancies was 1.5 years. In the majority of patients (90%) both diagnoses were established within 5 years of each other. Among the lymphoma entities, the frequency of peripheral T-cell lymphomas was markedly increased. Interestingly, all but one of the T-cell lymphomas were of angioimmunoblastic type. These findings suggest that a myeloproliferative neoplasm and lymphoproliferative malignancy developing in the same patient may have common pathogenic events, possibly already at the progenitor level. We believe that the molecular characterization of the newly developed biorepository will help to highlight the mechanisms driving the genesis and clonal evolution of these hematopoietic malignancies.
AB - Myeloid and lymphoid malignancies are postulated to have distinct pathogenic mechanisms. The recent observation that patients with a myeloproliferative neoplasm have an increased risk of developing lymphoproliferative malignancies has challenged this assumption. We collected a nationwide cohort of patients with both malignancies. Patients diagnosed between 1990 and 2015 were identified through the national Danish Pathology Registry. We identified 599 patients with a myeloproliferative neoplasm and a concomitant or subsequent diagnosis of lymphoma. Histopathological review of the diagnostic samples from each patient led to a final cohort of 97 individuals with confirmed dual diagnoses of myeloproliferative neoplasm and lymphoma. The age range at diagnosis of these individuals was 19-94 years (median: 71 years). To avoid the inclusion of cases of therapy-induced myeloproliferative neoplasm occurring in patients previously treated for lymphoma, only patients with myeloproliferative neoplasm diagnosed unequivocally before the development of lymphoma were included. The average time interval between the diagnoses of the two malignancies was 1.5 years. In the majority of patients (90%) both diagnoses were established within 5 years of each other. Among the lymphoma entities, the frequency of peripheral T-cell lymphomas was markedly increased. Interestingly, all but one of the T-cell lymphomas were of angioimmunoblastic type. These findings suggest that a myeloproliferative neoplasm and lymphoproliferative malignancy developing in the same patient may have common pathogenic events, possibly already at the progenitor level. We believe that the molecular characterization of the newly developed biorepository will help to highlight the mechanisms driving the genesis and clonal evolution of these hematopoietic malignancies.
U2 - 10.3324/haematol.2019.225839
DO - 10.3324/haematol.2019.225839
M3 - Journal article
C2 - 33054083
AN - SCOPUS:85092239455
VL - 105
SP - 2432
EP - 2439
JO - Haematologica
JF - Haematologica
SN - 0390-6078
IS - 10
ER -
ID: 256164686