@article{HartmannPluetschowMottoketal.2019, author = {Hartmann, Sylvia and Pl{\"u}tschow, Annette and Mottok, Anja and Bernd, Heinz-Wolfram and Feller, Alfred C. and Ott, German and Cogliatti, Sergio and Fend, Falko and Quintanilla-Martinez, Leticia and Stein, Harald and Klapper, Wolfram and M{\"o}ller, Peter and Rosenwald, Andreas and Engert, Andreas and Hansmann, Martin-Leo and Eichenauer, Dennis A.}, title = {The time to relapse correlates with the histopathological growth pattern in nodular lymphocyte predominant Hodgkin lymphoma}, series = {American Journal of Hematology}, volume = {94}, journal = {American Journal of Hematology}, number = {11}, doi = {10.1002/ajh.25607}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-212594}, pages = {1208 -- 1213}, year = {2019}, abstract = {Nodular lymphocyte predominant Hodgkin lymphoma (NLPHL) can present with different histopathological growth patterns. The impact of these histopathological growth patterns on relapse characteristics is unknown. We therefore analyzed paired biopsies obtained at initial diagnosis and relapse from 33 NLPHL patients who had received first-line treatment within German Hodgkin Study Group (GHSG) trial protocols, and from a second cohort of 41 relapsed NLPHL patients who had been treated outside GHSG studies. Among the 33 GHSG patients, 21 patients presented with a typical growth pattern at initial diagnosis, whereas 12 patients had a variant histology. The histopathological growth patterns at initial diagnosis and at relapse were consistent in 67\% of cases. A variant histology at initial diagnosis was associated with a shorter median time to lymphoma recurrence (2.8 vs 5.2 years; P = .0219). A similar tendency towards a shorter median time to lymphoma recurrence was observed for patients presenting with a variant histology at relapse, irrespective of the growth pattern at initial diagnosis. Results obtained from the 41 NLPHL patients who had been treated outside GHSG studies were comparable (median time to lymphoma recurrence for variant histology vs typical growth pattern at initial diagnosis: 1.5 vs 7.0 years). In conclusion, the histopathological growth pattern remains consistent at relapse in the majority of NLPHL cases, and has major impact on the time of relapse.}, language = {en} } @article{RosenfeldtHartmannLengetal.2021, author = {Rosenfeldt, Mathias T. and Hartmann, Elena M. and Leng, Corinna and Rosenwald, Andreas and Anagnostopoulos, Ioannis}, title = {A case of nodular lymphocyte predominant Hodgkin lymphoma with unexpected EBV-latency type}, series = {Annals of Hematology}, volume = {100}, journal = {Annals of Hematology}, issn = {0939-5555}, doi = {10.1007/s00277-020-04174-4}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-232571}, pages = {2635-2637}, year = {2021}, abstract = {No abstract available.}, language = {en} } @article{Gerhard‐HartmannJoehrensSchinagletal.2022, author = {Gerhard-Hartmann, Elena and J{\"o}hrens, Korinna and Schinagl, Lisa-Marie and Zam{\´o}, Alberto and Rosenwald, Andreas and Anagnostopoulos, Ioannis and Rosenfeldt, Mathias}, title = {Epstein-Barr virus infection patterns in nodular lymphocyte-predominant Hodgkin lymphoma}, series = {Histopathology}, volume = {80}, journal = {Histopathology}, number = {7}, doi = {10.1111/his.14652}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-276327}, pages = {1071 -- 1080}, year = {2022}, abstract = {Aims To investigate Epstein-Barr virus (EBV) latency types in 19 cases of EBV-positive nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL), as such information is currently incomplete. Methods and results Immunohistochemistry (IHC) for CD20, CD79a, PAX5, OCT2, CD30, CD15, CD3 and programmed cell death protein 1 was performed. For EBV detection, in-situ hybridisation (ISH) for EBV-encoded RNA (EBER) was employed combined with IHC for EBV-encoded latent membrane protein (LMP)-1, EBV-encoded nuclear antigen (EBNA)-2, and EBV-encoded BZLF1. In 95\% of the cases, neoplastic cells with features of Hodgkin and Reed-Sternberg (HRS) cells were present, mostly showing expression of CD30. In all cases, the B-cell phenotype was largely intact, and delineation from classic Hodgkin lymphoma (CHL) was further supported by myocyte enhancer factor 2B (MEF2B) detection. All tumour cells were EBER-positive except in two cases. EBV latency type II was most frequent (89\%) and type I was rare. Cases with latency type I were CD30-negative. Five cases contained some BZLF1-positive and/or EBNA-2-positive bystander lymphocytes. Conclusions As HRS morphology of neoplastic cells and CD30 expression are frequent features of EBV-positive NLPHL, preservation of the B-cell transcription programme, MEF2B expression combined with NLPHL-typical architecture and background composition facilitate distinction from CHL. EBER ISH is the method of choice to identify these cases. The majority present with EBV latency type II, and only rare cases present with latency type I, which can be associated with missing CD30 expression. The presence of occasional bystander lymphocytes expressing BZLF1 and/or EBNA-2 and the partial EBV infection of neoplastic cells in some cases could indicate that EBV is either not primarily involved or is only a transient driver in the pathogenesis of EBV-positive NLPHL.}, language = {en} }