Aberrant immunophenotypes of mantle cell lymphomas.

作者: Ch. Wohlschlaeger , K. Lange , H. Merz , A.C. Feller

DOI: 10.1080/1042819021000035653

关键词: CD23CD5CellImmunohistochemistryImmunophenotypingMantle cell lymphomaBiologyPathologyDifferential diagnosisCyclin D1

摘要: Mantle cell lymphomas (MCL) are characterized by cytomorphological criteria, a distinct immunophenotype and characteristic chromosomal aberration (t(11;14)). In morphological variants of MCL the immunohistochemical constellation with CD5-positivity CD23-negativity is helpful decisive diagnostic aid to differentiate from other B-cell-lymphomas, e.g. lymphocytic (B-CLL). this study morphological, immunophenotypical, genetical features 50 were analysed. Five cases revealed an aberrant lacking expression CD5 (n =3) positive reactivity CD23 =2) while cyclin D1 could be demonstrated in all 5 cases. These constellations show that there is, besides subgroups, small group immunophenotypes, which has taken into account differential diagnosis lymphoma lymphomas.

参考文章(33)
P. Meusers, J. Hense, G. Brittinger, Mantle cell lymphoma: diagnostic criteria, clinical aspects and therapeutic problems. Leukemia. ,vol. 11, ,(1997)
NORMAN D. BELL, JUDY A. C. KING, CHRISTINE KUSYK, BEVERLY P. NELSON, KARLA M. SENDELBACH, CD5 negative diffuse mantle cell lymphoma with splenomegaly and bone marrow involvement. Southern Medical Journal. ,vol. 91, pp. 584- 587 ,(1998) , 10.1097/00007611-199806000-00016
Dorfman Dm, Pinkus Gs, Distinction between small lymphocytic and mantle cell lymphoma by immunoreactivity for CD23. Modern Pathology. ,vol. 7, pp. 326- ,(1994)
Larry H. Argatoff, Joseph M. Connors, Richard J. Klasa, Douglas E. Horsman, Randy D. Gascoyne, Mantle Cell Lymphoma: A Clinicopathologic Study of 80 Cases Blood. ,vol. 89, pp. 2067- 2078 ,(1997) , 10.1182/BLOOD.V89.6.2067
Joel L. Shapiro, Michael L. Miller, Brad Pohlman, Edward Mascha, Andrew J. Fishleder, CD5- B-cell lymphoproliferative disorders presenting in blood and bone marrow. A clinicopathologic study of 40 patients. American Journal of Clinical Pathology. ,vol. 111, pp. 477- 487 ,(1999) , 10.1093/AJCP/111.4.477
P. G. Isaacson, A. J. Norton, Detailed phenotypic analysis of B-cell lymphoma using a panel of antibodies reactive in routinely fixed wax-embedded tissue. American Journal of Pathology. ,vol. 128, pp. 225- 240 ,(1987)
R Rimokh, F Berger, G Delsol, I Digonnet, JP Rouault, JD Tigaud, M Gadoux, B Coiffier, PA Bryon, JP Magaud, Detection of the chromosomal translocation t(11;14) by polymerase chain reaction in mantle cell lymphomas. Blood. ,vol. 83, pp. 1871- 1875 ,(1994) , 10.1182/BLOOD.V83.7.1871.1871
W H Morrison, R T Hoppe, L M Weiss, V J Picozzi, S J Horning, Small lymphocytic lymphoma. Journal of Clinical Oncology. ,vol. 7, pp. 598- 606 ,(1989) , 10.1200/JCO.1989.7.5.598
Harald Stein, Karl Lennert, Alfred C. Feller, David Y. Mason†, Immunohistological analysis of human lymphoma: correlation of histological and immunological categories. Advances in Cancer Research. ,vol. 42, pp. 67- 147 ,(1984) , 10.1016/S0065-230X(08)60456-X