J Pathol Transl Med.  2021 Mar;55(2):112-117. 10.4132/jptm.2020.11.30.

A study of pathological characteristics and BRAF V600E status in Langerhans cell histiocytosis of Vietnamese children

Affiliations
  • 1Department of Pathology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
  • 2Department of Pathology, City Children Hospital, Ho Chi Minh City, Vietnam
  • 3Center for Molecular Biomedicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
  • 4Department of Pathology, Children Hospital 1, Ho Chi Minh City, Vietnam

Abstract

Background
Langerhans cell histiocytosis (LCH) is more common in children than adults and involves many organs. In children, the BRAF V600E mutation is associated with recurrent and high-risk LCH.
Methods
We collected paraffin blocks of 94 pediatric LCH patients to detect BRAF V600E mutation by sequencing. The relationship between BRAF V600E status and clinicopathological parameters were also critically analyzed.
Results
BRAF V600E mutation exon 15 was detected in 45 cases (47.9%). Multiple systems LCH showed a significantly higher BRAF V600E mutation rate than a single system (p=.001). No statistical significance was evident for other clinical characteristics such as age, sex, location, risk organs involvement, and CD1a expression.
Conclusions
In Vietnamese LCH children, the proportion of BRAF V600E mutational status was relatively high and related to multiple systems.

Keyword

Langerhans cell histiocytosis; BRAF V600E mutation; Sequencing

Figure

  • Fig. 1 Langerhans cell histiocytosis on hematoxylin and eosin staining: (A) skin lesion, (B) soft tissue of the head and neck, (C) bone lesion, and (D) lymph node lesion.

  • Fig. 2 The BRAF V600E status in pediatric Langerhans cell histiocytosis.


Reference

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