Table 1.
Patient | Age (years)1/Sex | Diagnosis2 | Histology | Monotypia by flow cytometry / monoclonality of B-cells | Treatment | OS (years)3 | Tissue4 | Genomics5 | TMB (mut/mb) | cfDNA6 | Comment |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 29/F | iMCD | Hyaline vascular | Polytypic / ND | Siltuximab Sirolimus Anakinra |
2.7+ | LN | No alterations | 3 | No alterations | |
2 | 30/F | iMCD | Plasma cell | ND | Siltuximab Rituximab + chemotherapy Rituximab monotherapy |
4.5+ | LN | No alterations | N/A | No alterations | |
3 | 58/F | iMCD | Plasma cell | Polytypic / polyclonal | Siltuximab | 1.9+ | LN | NGS: 14q32–1p35 rearrangement Karyotype: der(1)dup(1)(q42q21)del(1)(q42) |
N/A | NF1 K2459fs (0.3%) | IL-6 R resides on 1q21 |
4 | 40/M | iMCD | Plasma cell | ND | Observation | 6.5+ | Skin | NGS: KDM5C Q836 | N/A | No alterations | |
5 | 40/F | UCD | Hyaline vascular | Polytypic / ND | Resection | 3.3+ | LN | NGS: TNS3-ALK fusion | 1 | ND | TNS3-ALK fusion would be predicted to inactivate ALK |
Abbreviations: ALK: Anaplastic lymphoma kinase; cfDNA: cell free DNA; F: female; fs: frame shift; iMCD: idiopathic multicentric Castleman disease; ND: not done; LN: lymph node; M: male; mb: megabase pair; mut: mutation; N/A: not available; ND: not done; NF1: neurofibromin 1; NGS: next generation sequencing; OS: overall survival; TNS3: Tensin3; TMB: tumor mutation burden; UCD: unicentric Castleman disease
Age at diagnosis
Cases of iMCD had to meet the diagnostic criteria outlined by D. Fajgenbaum et al.31
From diagnosis
Tissue used for next generation sequencing.
Patients 1,2,4, and 5 underwent sequencing using the Foundation One Heme panel. Patient 3 underwent sequencing using the University of California San Diego Comprehensive NGS mutation panel analysis.
Patients 1,2,3, and 4 underwent cfDNA analysis using the Guardant360 assay.