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What is IG Loci Promiscuity

Principles and Approaches to Diagnostic Bone Marrow Examination
The IG loci show promiscuity in their translocation partners. Many new translocations have been identified using defined breaks within the IG loci to clone the translocation breakpoints. Specific recurrent disease-specific clonal translocations involving the immunoglobulin genes characterize certain types of B-cell lymphoma such as Burkitt’s Lymphoma with t(8;14) involving MYC and IG loci, Follicular Lymphom a with t(14;18) involving BCL2 and IG loci, and Mantle Cell Lymphoma with t(11;14) involving Cyclin D1 and IG loci.
Published in Chapter:
Mature B Cell Lymphoproliferation and Lymphomas: Diagnostic Approach
Copyright: © 2024 |Pages: 54
DOI: 10.4018/978-1-6684-5818-1.ch012
Abstract
Most mature B cell lymphomas arise as clonal expansions corresponding to differentiation pathway stages with few exceptions. Many immunologic, toxic, and genetic factors predispose to lymphoma development. B-cell lymphomas are the most frequent types, often widely disseminated, involving the bone marrow and hemopoietic system. Many reactive conditions simulate lymphomatous infiltrates and need special diagnostic consideration, including viral and immunological reactions. The diagnosis should integrate clinicopathologic features, imaging, comprehensive hematologic examination, immunophenotyping, cytogenetics, molecular profile, and risk stratification. This comprehensive assessment also helps with treatment selection and potential targeted therapy.
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