Follicular lymphoma is the second most frequent type of non-Hodgkin's lymphoma in adults. The basic molecular defect consists of the t(14;18)(q32;q21) translocation, juxtaposing the B-cell lymphoma protein 2 gene BCL2 to the immunoglobulin heavy chain locus IGH@, and leading to the antiapoptotic BCL2 protein overproduction. Variations in the t(14;18) are rare and can be classified into two categories: (i) simple variants, involving chromosomes 18 and 2, or 22, in which the fusion partner of BCL2 is the light-chain IGK@ or IGL@; (ii) complex variant translocations occurring among chromosomes 14, 18 and other chromosomes. We report a follicular lymphoma case showing BCL2 overexpression, detected by immunohistochemistry and real-time quantitative PCR, consequently to the formation of a novel fusion gene between the 5 0 of the lymphoid nuclear transcriptional activator gene AFF3 at 2q11.2, and the 3 0 of BCL2. This case shows evidence, for the first time, of BCL2 overexpression consequently to the fusion of BCL2 to a non-IG partner locus.Oncogene ( Keywords: AFF3; BCL2; fusion gene; follicular lymphoma; translocation Follicular lymphoma (FL) is the second most frequent type of non-Hodgkin's lymphoma in adults (de Jong, 2005). The t(14;18)(q32;q21) translocation juxtaposes the B-cell lymphoma protein 2 gene (BCL2), at 18q21, to the immunoglobulin heavy chain locus (IGH@) at 14q32. This rearrangement leads to the overproduction of the antiapoptotic BCL2 protein, the basic molecular defect in FL.Variations in the t(14;18) are rare and can be classified into two categories: (i) simple variants, involving chromosome 18 and either chromosome 2 or 22, in which the fusion partner of BCL2 is the light-chain IGK@ (2p11.2) or IGL@ (22q11.2); (ii) complex variant translocations, involving chromosomes 14, 18 and one or two other chromosomes (Bentley et al., 2005). Such variants can be considered as biologic equivalents of the t(14;18) and, therefore, more than 90% of indolent FLs express high levels of BCL2 protein (de Jong, 2005).Here we describe a FL case showing BCL2 overexpression, detected by immunohistochemistry and realtime quantitative PCR. This case is the result of the fusion of the 3 0 end of BCL2 with the 5 0 of AFF3 (AF4/ FMR2 family member 3 isoform 1, also known as LAF4) at 2q11.2. The chimeric gene was investigated by RT-PCR and fluorescent in situ hybridization analyses.A 65-year-old female patient was referred to our hospital because of persistent submandibular and multiple cervical lymphadenopathy. The patient did not complain of fatigue, night sweats or significant weight loss. Laboratory findings showed elevated lactate dehydrogenase and hypergammaglobulinemia. Other biochemical values were in the normal range. A total body computerized axial tomographic scan showed enlargement of multiple submandibular, cervical, axillary and mediastinal lymph nodes. Submandibular lymph node biopsy was performed. Immunophenotyping showed positivity for CD10 and CD20. No evidence of lymphoma involvement was found in the bone...