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

J Pathol Transl Med. 2021 Mar;55(2):112-117. doi: 10.4132/jptm.2020.11.30. Epub 2021 Jan 27.

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.

Keywords: BRAF V600E mutation; Langerhans cell histiocytosis; Sequencing.