Evidence map›Paper›PMID 31317311›Full record

ArticleVirchows Archiv : an international journal of pathology2019

Clonal evolution of chronic lymphocytic leukemia to Langerhans cell histiocytosis: a case report.

Leonie Frauenfeld, Irina Bonzheim, Stefan Wirths, Julia Steinhilber, Marius Horger, Barbara Mankel, Wolfgang Bethge, Falko Fend, Birgit Federmann

Abstract readCase Reports
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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Leonie FrauenfeldInstitute of Pathology and Neuropathology, Comprehensive Cancer Center and University Hospital Tuebingen, Liebermeisterstr. 8, 72076, Tübingen, Germany.
Irina BonzheimInstitute of Pathology and Neuropathology, Comprehensive Cancer Center and University Hospital Tuebingen, Liebermeisterstr. 8, 72076, Tübingen, Germany.
Stefan WirthsMedical Department, Hematology and Oncology, Comprehensive Cancer Center Tuebingen, University of Tuebingen, Tübingen, Germany.
Julia SteinhilberInstitute of Pathology and Neuropathology, Comprehensive Cancer Center and University Hospital Tuebingen, Liebermeisterstr. 8, 72076, Tübingen, Germany.
Marius HorgerDepartment for Radiology, Comprehensive Cancer Center Tuebingen, University of Tuebingen, Tübingen, Germany.
Barbara MankelInstitute of Pathology and Neuropathology, Comprehensive Cancer Center and University Hospital Tuebingen, Liebermeisterstr. 8, 72076, Tübingen, Germany.
Wolfgang BethgeMedical Department, Hematology and Oncology, Comprehensive Cancer Center Tuebingen, University of Tuebingen, Tübingen, Germany.
Falko FendInstitute of Pathology and Neuropathology, Comprehensive Cancer Center and University Hospital Tuebingen, Liebermeisterstr. 8, 72076, Tübingen, Germany. falko.fend@med.uni.tuebingen.de.ORCID http://orcid.org/0000-0002-5496-293X
Birgit FedermannInstitute of Pathology and Neuropathology, Comprehensive Cancer Center and University Hospital Tuebingen, Liebermeisterstr. 8, 72076, Tübingen, Germany.
University of Tübingen · DE

Funding

TUEFF project 2320-0-0
6 · The paper itself

Abstract

The traditional concept of unidirectional maturation of hematopoietic cells has been called into question due to the recognition of lineage plasticity, which is increasingly found also in the clonal evolution of hematopoietic and lymphoid malignancies. Here we present an unusual case of a patient with TP53-mutated chronic lymphocytic leukemia (CLL) treated with a PI3Kδ inhibitor evolving to clonally related Langerhans cell histiocytosis (LCH) with acquired BRAF V600E and STK11 mutations and loss of expression of PAX-5 and other examined B cell markers. In indolent B cell lymphoma, transformation to a more aggressive high-grade lymphoma occurs frequently during the course of disease and is thought to be caused by clonal evolution. Our case further supports the concept of significant lineage plasticity in lymphomas and raises the question of a potential role of novel pharmacologic agents in clonal evolution.

Indexed as

Clonal EvolutionFemaleHistiocytosis, Langerhans-CellHumansIslets of LangerhansLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Non-HodgkinMiddle AgedPancreatic NeoplasmsChronic lymphocytic leukemiaLangerhans cell histiocytosisTP53Transdifferentiation

Identifiers

PMID31317311
OpenAlexW2962150272

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.