Kikuchi-Fujimoto disease

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Haematolymphoid Tumours (WHO Classification, 5th ed.)

Primary Author(s)*

Sumire Kitahara, MD

WHO Classification of Disease

Structure Disease
Book Haematolymphoid Tumours (5th ed.)
Category T-cell and NK-cell lymphoid proliferations and lymphomas
Family Tumour-like lesions with T-cell predominance
Type N/A
Subtype(s) Kikuchi-Fujimoto disease

Related Terminology

Acceptable Histiocytic necrotizing lymphadenitis; Kikuchi disease; Kikuchi lymphadenitis
Not Recommended N/A

Gene Rearrangements

Kikuchi-Fujimoto disease does not have characteristic or recurrent genetic alterations.

Driver Gene Fusion(s) and Common Partner Genes Molecular Pathogenesis Typical Chromosomal Alteration(s) Prevalence -Common >20%, Recurrent 5-20% or Rare <5% (Disease) Diagnostic, Prognostic, and Therapeutic Significance - D, P, T Established Clinical Significance Per Guidelines - Yes or No (Source) Clinical Relevance Details/Other Notes
NA

Individual Region Genomic Gain/Loss/LOH

Kikuchi-Fujimoto disease does not have characteristic or recurrent genetic alterations.

Chr # Gain, Loss, Amp, LOH Minimal Region Cytoband and/or Genomic Coordinates [Genome Build; Size] Relevant Gene(s) Diagnostic, Prognostic, and Therapeutic Significance - D, P, T Established Clinical Significance Per Guidelines - Yes or No (Source) Clinical Relevance Details/Other Notes
NA

Characteristic Chromosomal or Other Global Mutational Patterns

Kikuchi-Fujimoto disease does not have characteristic or recurrent genetic alterations.

Chromosomal Pattern Molecular Pathogenesis Prevalence -

Common >20%, Recurrent 5-20% or Rare <5% (Disease)

Diagnostic, Prognostic, and Therapeutic Significance - D, P, T Established Clinical Significance Per Guidelines - Yes or No (Source) Clinical Relevance Details/Other Notes
NA

Gene Mutations (SNV/INDEL)

Kikuchi-Fujimoto disease does not have characteristic or recurrent genetic alterations.

Gene Genetic Alteration Tumor Suppressor Gene, Oncogene, Other Prevalence -

Common >20%, Recurrent 5-20% or Rare <5% (Disease)

Diagnostic, Prognostic, and Therapeutic Significance - D, P, T   Established Clinical Significance Per Guidelines - Yes or No (Source) Clinical Relevance Details/Other Notes
NA

Epigenomic Alterations

NA

Genes and Main Pathways Involved

Kikuchi-Fujimoto disease does not have characteristic or recurrent genetic alterations.

Gene; Genetic Alteration Pathway Pathophysiologic Outcome
NA

Genetic Diagnostic Testing Methods

Genetic testing is non-contributory to rule-in a diagnosis of Kikuchi-Fujimoto disease. T-cell receptor gene rearrangement and/or NGS studies may play a role when morphology and immunophenotype raise concern for lymphoma.

Familial Forms

NA

Additional Information

Most published studies indicate a reactive, immune-mediated process rather than a neoplastic one. Some reports describe HLA class II associations (e.g., HLA-DPA1 and HLA-DPB1 polymorphisms[1]) in certain populations[1], suggesting a genetic susceptibility.

Links

NA

References

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Notes

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*Citation of this Page: “Kikuchi-Fujimoto disease”. Compendium of Cancer Genome Aberrations (CCGA), Cancer Genomics Consortium (CGC), updated 11/6/2025, https://ccga.io/index.php/HAEM5:Kikuchi-Fujimoto_disease.

  1. 1.0 1.1 Tanaka T, Ohmori M, Yasunaga S, Ohshima K, Kikuchi M, Sasazuki T. DNA typing of HLA class II genes (HLA-DR, -DQ and -DP) in Japanese patients with histiocytic necrotizing lymphadenitis (Kikuchi's disease). Tissue Antigens. 1999;54(3):246-253. doi:10.1034/j.1399-0039.1999.540305.x