CD68 expression is a discriminative feature of indolent cutaneous CD8-positive lymphoid proliferation and distinguishes this lymphoma subtype from other CD8-positive cutaneous lymphomas.

作者: M. Wobser , S. Roth , T. Reinartz , A. Rosenwald , M. Goebeler

DOI: 10.1111/BJD.13628

关键词: LymphomaAntigenCD8PathologyMonoclonal antibodyCutaneous lymphomaT cellImmunohistochemistryCD68Biology

摘要: SummaryBackground Indolent cutaneous CD8+ lymphoid proliferation is a recently described rare entity among T-cell lymphomas that typically presents with solitary skin lesions at acral sites. Separation from otherwise aggressive bearing cytotoxic phenotype fundamental to avoid unnecessary harmful treatment. However, up now, no reliable discriminative marker has been identified. Objectives Motivated by these diagnostic quandaries, we have analyzed large series of archived formalin-fixed paraffin-embedded (FFPE) specimens atypical infiltrates clear-cut diagnosis and clinical follow-up (n = 44) including five cases indolent using immunohistochemistry the aim obtaining markers predictive subtype assignment. Results We identified exclusive expression CD68 lymphoma cells within subgroup (5/5 cases). Specific in this was confirmed application several monoclonal antibodies (KP1, PG-M1, KiM1P) against molecule available for FFPE tissue. In contrast, none other entities stained positive (0/39). Conclusions Based on observations, suggest as new which helpful distinguishing ambiguous cases.

参考文章(54)
Tony Petrella, Eve Maubec, Pascale Cornillet-Lefebvre, Rein Willemze, Michel Pluot, Anne Durlach, Eduardo Marinho, Jean-Luc Benhamou, Patty Jansen, Alistair Robson, Florent Grange, Indolent CD8-positive lymphoid proliferation of the ear: a distinct primary cutaneous T-cell lymphoma? The American Journal of Surgical Pathology. ,vol. 31, pp. 1887- 1892 ,(2007) , 10.1097/PAS.0B013E318068B527
Jason L Hornick, Elaine S Jaffe, Christopher D. M Fletcher, Extranodal histiocytic sarcoma: clinicopathologic analysis of 14 cases of a rare epithelioid malignancy. The American Journal of Surgical Pathology. ,vol. 28, pp. 1133- 1144 ,(2004) , 10.1097/01.PAS.0000131541.95394.23
Arif Hameed, Ralph H. Hruban, Wes Gage, George Pettis, William M. Fox, Immunohistochemical expression of CD68 antigen in human peripheral blood T cells. Human Pathology. ,vol. 25, pp. 872- 876 ,(1994) , 10.1016/0046-8177(94)90005-1
E. Gottfried, L. A. Kunz-Schughart, A. Weber, M. Rehli, A. Peuker, A. Müller, M. Kastenberger, G. Brockhoff, R. Andreesen, M. Kreutz, Expression of CD68 in Non-Myeloid Cell Types Scandinavian Journal of Immunology. ,vol. 67, pp. 453- 463 ,(2008) , 10.1111/J.1365-3083.2008.02091.X
Marta Catalfamo, Pierre A Henkart, Perforin and the granule exocytosis cytotoxicity pathway Current Opinion in Immunology. ,vol. 15, pp. 522- 527 ,(2003) , 10.1016/S0952-7915(03)00114-6
Alistair Robson, Chalid Assaf, Martine Bagot, Gunter Burg, Eduardo Calonje, Christine Castillo, Lorenzo Cerroni, Nicola Chimenti, Pierre Dechelotte, Frederic Franck, Maria Geerts, Sylke Gellrich, John Goodlad, Werner Kempf, Robert Knobler, Cesare Massone, Chris Meijer, Pablo Ortiz, Tony Petrella, Nicola Pimpinelli, Joclim Roewert, Robin Russell-Jones, Marco Santucci, Mattias Steinhoff, Wolfram Sterry, Janine Wechsler, Sean Whittaker, Rein Willemze, Emilio Berti, Aggressive epidermotropic cutaneous CD8+ lymphoma: a cutaneous lymphoma with distinct clinical and pathological features. Report of an EORTC Cutaneous Lymphoma Task Force Workshop Histopathology. ,vol. 67, pp. 425- 441 ,(2015) , 10.1111/HIS.12371
Rachel H. Gormley, Stephen D. Hess, Dipti Anand, Jacqueline Junkins-Hopkins, Alain H. Rook, Ellen J. Kim, Primary cutaneous aggressive epidermotropic CD8+ T-cell lymphoma Journal of the American Academy of Dermatology. ,vol. 62, pp. 300- 307 ,(2010) , 10.1016/J.JAAD.2009.02.035
Jeffrey A Vos, Susan L Abbondanzo, Carol L Barekman, JoAnn W Andriko, Markku Miettinen, Nadine S Aguilera, Histiocytic sarcoma: a study of five cases including the histiocyte marker CD163 Modern Pathology. ,vol. 18, pp. 693- 704 ,(2005) , 10.1038/MODPATHOL.3800346
Yoshihiro Komohara, Daisuke Niino, Yoichi Saito, Koji Ohnishi, Hasita Horlad, Koichi Ohshima, Motohiro Takeya, Clinical significance of CD163+ tumor-associated macrophages in patients with adult T-cell leukemia/lymphoma Cancer Science. ,vol. 104, pp. 945- 951 ,(2013) , 10.1111/CAS.12167
Boulland, Wechsler, Bagot, Pulford, Kanavaros, Gaulard, Primary CD30-positive cutaneous T-cell lymphomas and lymphomatoid papulosis frequently express cytotoxic proteins. Histopathology. ,vol. 36, pp. 136- 144 ,(2000) , 10.1046/J.1365-2559.2000.00799.X