The centrocyte-like lymphocytes are CD20 positive, and both atypical lymphocytic and plasmacytic populations will stain strongly with IgA heavy chain, with absence of light chain staining (7). Molecular abnormality Much like H. pylori associated MALT lymphoma, IPSID appears to arise from monoclonal overgrowth secondary to chronic immune stimulation by an infectious organism in this case by C. jejuni (7). Deletions of alpha

heavy chain gene are observed which lead to expression of a faulty heavy chain that precludes binding of light chain to form an intact immunoglobulin molecule (7,41). Prognosis In the early phases, the disease may completely resolve following antibiotic therapy; Inhibitors,research,lifescience,medical Inhibitors,research,lifescience,medical however, transformation to DLBCL is not uncommon (7). Diffuse large B cell lymphoma (DLBCL) DLBCL of the gastrointestinal tract is an aggressive lymphoma which may

arise de novo or from transformation of another lymphoma, commonly MALT lymphoma. It constitutes 40% to70% of all gastric lymphomas, more commonly Inhibitors,research,lifescience,medical affecting males with a median age range of 50 to 60 years (1,2). Pathogenesis No definite risk factors have been identified, although some evidences suggest that this neoplasm may arise in a background of atrophic gastritis, particularly in the setting of immunodeficiency. Foci of DLBCL may be found in MALT lymphomas, ranging from small number of transformed cells to predominant large cell population with minimal residual MALT lymphoma (2). Distinction of the latter from DLBCL can be difficult, and may require correlation of identical rearranged immunoglobulin (Ig) genes with co-existent low-grade MALT Inhibitors,research,lifescience,medical lymphoma (1). Morphology and immunophenotype DLBCL is characterized by large lymphoid cells, with nuclei greater than twice the size of a small lymphocyte, and frequently larger than nuclei of tissue macrophage. The tumor cells are medium to large Inhibitors,research,lifescience,medical sized cells and contain round, oval, or slightly irregular nuclei with vesicular nuclear chromatin, prominent nucleoli, and ample Megestrol Acetate amount of basophilic

cytoplasm (Selleck Syk inhibitor Figure 3, left), and show a moderate to high proliferation index as evident by tumor cell nuclear positivity for Ki-67 immunostain. In most cases, the predominant cells resemble either large centroblasts or immunoblasts; nonetheless, a mixture of these two cell types is also commonly encountered. Histologically, there is an intense cellular infiltration of the lamina propria. Figure 3 DLBCL (left), large tumor cells with vesicular chromatin, prominent nucleoli and moderate to abundant amount of cytoplasm (H&E, 400×). The image on the right shows a Burkitt lymphoma with the characteristic “starry sky” … Transformed MALT lymphomas may be distinguished from de novo germinal center DLBCL by immunophenotype.