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Ito A, Miyaoka M, Tomita S, Ikoma H, Hiraiwa S, Carreras J, Kikuti YY, Kawada H, Nakamura N. The multilobated morphology is still a better prognosis factor of diffuse large B-cell lymphoma in the R-CHOP era. Pathol Int 2022; 72:550-557. [PMID: 36218197 DOI: 10.1111/pin.13280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 09/23/2022] [Indexed: 11/29/2022]
Abstract
Diffuse large B-cell lymphoma (DLBCL) is the most common type of B-cell lymphoma. Although the multilobated subtype of DLBCL has been observed since the 1970s, little is known about the clinical significance of this unique variant in the era of rituximab, cyclophosphamide, hydroxydaunorubicin, oncovin, prednisone/prednisolone (R-CHOP) therapy. In this study, the retrospective clinicopathological analysis of 312 patients diagnosed with DLBCL showed that the multilobated DLBCL group comprised 11% of the cases and was predominantly male (p = 0.027), achieved complete remission in the first therapy (p = 0.023), and exhibited germinal center B-cell phenotypes in the Hans algorithm (p = 0.025). The multilobated DLBCL groups had a better prognosis in overall survival (OS) and progression-free survival (PFS) than the non-multilobated DLBCL group (OS, p = 0.006; PFS, p = 0.010). In the multivariate Cox regression analyses for OS, independent prognosis factors were high soluble IL-2 receptor (p = 0.025), high risk of International Prognostic Index, and multilobated morphology (p = 0.031). The most characteristic copy number gains found in more than 50% of the cases were located at 1q, 3p, 10q, 12q, and 14q. Overall, the multilobated morphology in DLBCL exhibits a good outcome in the R-CHOP era.
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Affiliation(s)
- Atsushi Ito
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Masashi Miyaoka
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Sakura Tomita
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Haruka Ikoma
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Shinichiro Hiraiwa
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Joaquim Carreras
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Yara Yukie Kikuti
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Hiroshi Kawada
- Department of Hematology and Oncology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
| | - Naoya Nakamura
- Department of Pathology, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
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2
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An Unusual Case of Extranodal Diffuse Large B-Cell Lymphoma Infiltrating Skeletal Muscle: A Case Report and Review of the Literature. Case Rep Pathol 2016; 2016:9104839. [PMID: 27247818 PMCID: PMC4877472 DOI: 10.1155/2016/9104839] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Accepted: 04/18/2016] [Indexed: 02/07/2023] Open
Abstract
Diffuse large B-cell lymphoma is extranodal in approximately 40% of cases, arising in nearly any organ system. DLBCL involvement of soft tissue and in particular skeletal muscle is extremely rare, comprising less than 1% of all extranodal non-Hodgkin lymphomas (NHL). We report a case of a 79-year-old man that presented with a DLBCL of the left triceps. In particular, we describe an unusual histologic appearance of pseudoglandular structures, resembling adenocarcinoma. We performed a review of lymphoma cases involving skeletal muscle diagnosed at our institution over the past 15 years as well as thorough PubMed review of the literature. We discuss the features of lymphoma involving skeletal muscle as it pertains to clinical characteristics, histologic subtype, tumor localization, diagnostic studies, therapy, and outcome. Finally, we highlight the diagnostic difficulties that can present in these rare and often challenging cases.
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3
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Gouveia GR, Siqueira SAC, Pereira J. Pathophysiology and molecular aspects of diffuse large B-cell lymphoma. Rev Bras Hematol Hemoter 2013; 34:447-51. [PMID: 23323070 PMCID: PMC3545433 DOI: 10.5581/1516-8484.20120111] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2012] [Accepted: 09/28/2012] [Indexed: 11/27/2022] Open
Abstract
Diffuse large B-Cell lymphoma is the most common subtype of non-Hodgkin lymphoma in
the West. In Brazil, it is the fifth cause of cancer, with more than 55,000 cases and
26,000 deaths per year. At Hospital das Clínicas da Faculdade de Medicina da
Universidade de São Paulo - HCFMUSP, diffuse large B-Cell lymphoma represents
49.7% of all non-Hodgkin lymphoma cases. Initially, the classification of non-Hodgkin
lymphoma was based on morphology, but advances in immunology and molecular medicine
allowed the introduction of a biological classification for these diseases. As for
other cancers, non-Hodgkin lymphoma involves patterns of multifactorial pathogenesis
with environmental factors, as well as genetic, occupational and dietary factors,
contributing to its development. Multiple lesions involving molecular pathways of
B-cell proliferation and differentiation may result in the activation of oncogenes
such as the BCL2, BCL6, and MYC genes and the inactivation of tumor suppressor genes
such as p53 and INK4, as well as other important transcription factors such as OCT-1
and OCT-2. A dramatic improvement in survival was seen after the recent introduction
of the anti-CD20 monoclonal antibody. The association of this antibody to the
cyclophosphamide, hydroxydaunorubicin, oncovin and prednisolone (CHOP) regimen has
increased overall survival of diffuse large B-Cell lymphoma and follicular lymphoma
patients by 20%. However, 50% of all diffuse large B-Cell lymphoma patients remain
incurable, creating a demand for more research with new advances in treatment. Thus,
it is important to know and understand the key factors and molecular pathways
involved in the pathogenesis of diffuse large B-Cell lymphoma.
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Affiliation(s)
- Gisele Rodrigues Gouveia
- Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo - USP, São Paulo, SP, Brazil
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4
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The Histomorphologic Spectrum of Primary Cutaneous Diffuse Large B-Cell Lymphoma: A Study of 79 Cases. Am J Dermatopathol 2011; 33:649-55; quiz 656-8. [DOI: 10.1097/dad.0b013e3181eeb433] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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5
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Marzano AV, Alessi E, Berti E. CD30-positive multilobated peripheral T-cell lymphoma primarily involving the subcutaneous tissue. Am J Dermatopathol 1997; 19:284-8. [PMID: 9185917 DOI: 10.1097/00000372-199706000-00015] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
A 55-year-old woman presented with an inflammatory panniculitis-like plaque on her right thigh. Biopsy disclosed a subcutaneous infiltrate of multilobated T lymphocytes strongly expressing the CD30 antigen. A complete clinical remission was achieved with local radiation therapy, with no evidence of recurrence in 13 months of follow-up. To our knowledge, our patient is the first reported case of CD30-positive multilobated peripheral T-cell lymphoma primarily involving the subcutaneous tissue.
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6
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Ríos-Martín JJ, Villar-Rodríguez JL, Vázquez-Ramírez FJ, Illanes-Moreno M, Parra-Martín JA, González-Cámpora R, Galera-Davidson H. Mandibular lymphomas with sclerosis. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1996; 81:321-7. [PMID: 8653466 DOI: 10.1016/s1079-2104(96)80332-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Two cases of non-Hodgkin's lymphoma that show a sarcomatoid pattern within the jaw are described. Their primary origin in bone was demonstrated by radiologic studies. In one case, diagnosis was delayed because the clinical picture suggested inflammatory periodontal disease. In both cases, the histologic picture was similar to that of a sarcomatoid neoplasm with intense stromal sclerosis; hemimandibulectomy was performed in one case. The tumor contained cells with large, irregular, sometimes lobulated nuclei and high mitotic activity, and perforated mandibular bone with infiltration into adjacent soft tissues. The lymphoid nature of these neoplasms was demonstrated by immunohistochemical and ultrastructural study.
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Affiliation(s)
- J J Ríos-Martín
- Department of Pathology, Hospital Universitario Virgen Macarena, Seville, Spain
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7
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Grau E, Gomez A, Escandon J, Perella M, Meseguer P, Pastor E. Multilobated lymphoma presenting as primary spleen lymphoma. Eur J Haematol 1995; 54:336-8. [PMID: 7781759 DOI: 10.1111/j.1600-0609.1995.tb00696.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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8
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Korkolopoulou P, Pangalis GA, Patsouris E, Boussiotis VA, Kittas C. B-cell lymphoma of large multilobated type: an immunohistochemical study of 8 cases and review of the literature. Leuk Lymphoma 1994; 13:151-9. [PMID: 8025516 DOI: 10.3109/10428199409051666] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Large multilobated cell lymphomas represent an heterogenous group comprising both B-cell and T-cell subtypes. The correct lineage identification of each subtype cannot be based on morphologic grounds, as it has already been stressed by other authors, and demands the use of immunophenotyping methods. In this study we review the literature and present eight new cases of large multilobated B-cell lymphoma which have been immunophenotyped in paraffin sections with a panel of monoclonal [L26 (CD20), 4KB5 (CD45R), UCHL1 (CD45RO), MT1 (CD43)] and polyclonal (anti-CD3, anti-kappa, anti-lambda) antibodies. We further investigated the expression of c-myc p62 oncoprotein and of proliferating cell nuclear antigen (PCNA) using the monoclonal antibodies c-myc 1-9E10 and PC-10 respectively. In all cases the neoplastic cells were positive for L26 (CD20) and negative for anti-CD3. Five cases were positive for 4KB5 (CD45R) while six cases stained positively for UCHL1 (CD45RO) or MT1 (CD43). Four cases were monoclonal in respect to light chain restriction. Immunoreactivity with c-myc 1-9E10 and PC-10 was observed in all cases. As far as c-myc 1-9E10 is concerned, positive cells constituted more than 45% of the neoplastic population in six cases, whereas in all cases the percentage of PC-10 positive cells was greater than 45%. The staining pattern was nuclear and/or cytoplasmic for c-myc 1-9E10 but solely nuclear for PC-10. The elevated c-myc and PCNA expression are indices of high proliferation rate in this type of lymphoma and may suggest a high malignancy grade.
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Affiliation(s)
- P Korkolopoulou
- Department of Pathology, Laikon General Hospital, University of Athens School of Medicine, Greece
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9
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Abstract
We report a case of multilobated B-cell lymphoma presenting with primary splenic involvement. This is a very unusual tumour occurring in an uncommon site.
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Affiliation(s)
- D J Farrell
- Department of Histopathology, Newcastle General Hospital, Newcastle upon Tyne, UK
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10
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de la Torre C, Rodriguez T, Cruces MJ, Alvarez A, Yebra MT. A cutaneous multilobated B-cell lymphoma. J Am Acad Dermatol 1993; 29:359-62. [PMID: 8340515 DOI: 10.1016/0190-9622(93)70196-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
A patient with multilobated B-cell malignant lymphoma with lesions limited to the skin is described. The light, electron microscopic, and immunohistochemical features of this unusual morphologic variant of non-Hodgkin's lymphoma are described. The nosologic position of this histologic subtype is discussed. The clinical course, with lesions confined to the skin, and the response to treatment suggest a favorable prognosis.
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Affiliation(s)
- C de la Torre
- Service of Dermatology, Hospital Provincial Pontevedra, Hospital Juan Canalejo Coruña, Spain
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11
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Vaillant L, De Muret A, Monegier Du Sorbier C, Muller C, Lorette G. A primary cutaneous multi-lobed B-cell lymphoma. Clin Exp Dermatol 1992; 17:270-2. [PMID: 1451319 DOI: 10.1111/j.1365-2230.1992.tb02165.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Multi-lobed non-Hodgkin's lymphoma (NHL) has recently been recognized as a NHL variant. A patient presented with a scalp nodule which, upon skull X-Ray, was seen to be associated with a bone defect. Immunophenotyping clearly demonstrated that this was a B-cell proliferation. Histologically the B-lymphocytes were closely related to centroblasts. There were no other extra cutaneous localizations. The present report emphasizes the importance of this clinico anatomical entity which shows prominent extra-nodal involvement, large lymphoid cells with multi-lobed nuclei and a good response to chemotherapy. Multi-lobed NHL may be a T-cell lymphoma, or a B-cell lymphoma closely related to centroblastic NHL. Although multi-lobed lymphomas have a predilection for cutaneous localizations, our case is the first primary cutaneous multi-lobed B-NHL, proven by immunophenotyping.
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Affiliation(s)
- L Vaillant
- Department of Dermatology, C.H.U. Trousseau, Tours, France
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12
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Abstract
A 67-year-old previously well man was admitted with hypercalcemia after a 7-day history of fever, night sweats, and back pain. The blood showed 5% multilobated lymphoid cells. A multilobated non-Hodgkin lymphoma associated with marked reticulin fibrosis was diagnosed on a bone marrow biopsy. During the next 7 days, in the absence of specific therapy, his symptoms disappeared. Three weeks after admission his biochemical abnormalities had resolved and after 9 weeks his bone marrow examination was normal. He remains in clinical and laboratory remission 16 months after presentation.
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Affiliation(s)
- A P Grigg
- Leukemia/Bone Marrow Transplant Program of B.C., Vancouver General Hospital, Canada
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13
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Sauter G, Hurwitz N, Gudat F, Kleiber B, Laeng H, Dalquen P. Extranodal multilobated B-cell lymphoma: diagnosis by fine needle aspiration. Cytopathology 1992; 3:43-7. [PMID: 1562714 DOI: 10.1111/j.1365-2303.1992.tb00021.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Malignant lymphoma with multilobated nuclei is a rare variant of follicle centre cell lymphoma. We describe a 34-year-old patient who initially presented with enlarged cervical and inguinal lymph nodes due to a histologically proven centroblastic-centrocytic lymphoma. Two years later, she developed a soft tissue mass in the gluteal area and malignant lymphoma with multilobated nuclei was diagnosed on fine needle aspiration.
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Affiliation(s)
- G Sauter
- Institute of Pathology, University of Basle, Switzerland
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14
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Kurihara K, Mizuseki K, Ichikawa M, Kohno H, Okanoue T. Primary gastric T-cell lymphoma with manifold histologic appearances. ACTA PATHOLOGICA JAPONICA 1991; 41:824-8. [PMID: 1664636 DOI: 10.1111/j.1440-1827.1991.tb01625.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
A rare case of malignant T-cell lymphoma with manifold histologic appearances was described. The lymphoma occurred in the stomach of a 50-year-old Japanese male. Grossly, the lymphoma exhibited a deeply ulcerated mass. Histologically, in addition to diffuse infiltrate of large lymphoid cells with deeply indented nuclei, there were many epithelioid cell granulomas, remarkable tissue eosinophilia and stromal fibrosis, mimicking inflammatory disease. Immunohistochemical studies and a gene analysis demonstrated the T-cell phenotype.
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Affiliation(s)
- K Kurihara
- Department of Pathology, Uwajima City Hospital, Japan
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15
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al-Sharabati M, Chittal S, Duga-Neulat I, Laurent G, Mazerolles C, al-Saati T, Brousset P, Delsol G. Primary anterior mediastinal B-cell lymphoma. A clinicopathologic and immunohistochemical study of 16 cases. Cancer 1991; 67:2579-87. [PMID: 2015557 DOI: 10.1002/1097-0142(19910515)67:10<2579::aid-cncr2820671030>3.0.co;2-h] [Citation(s) in RCA: 52] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Sixteen cases of primary anterior mediastinal B-cell lymphoma were characterized by morphologic, immunophenotypic, and clinical profiles. Twelve were men and four were women. The median age was 42 years. Virtually all tumors were of large cell type. Three main morphologic categories were identified, with one rare exception. In some tumors, the cells were compatible with centrocytes and centroblasts (four). Others had cells readily identifiable as centroblasts (six). Both these groups had a variable proportion of cells with multilobed nuclei. A third group was composed mainly of unclassifiable cells with multilobed nuclei (five). All had discernible sclerosis of varying intensity. A wider range of morphologic features and different sex distribution was noticed in comparison with previously reported clear cell features and younger women. The dominant phenotype of these B-cell lymphomas was CD19+, CD22+, CD37+, CD21-, CD30-, CD10-, CD5-, and Ig-negative. The finding of CD21-, Ig-negative phenotype, as observed by the authors and others, overlaps with some high-grade lymphomas of follicular center cell origin but is thought to bear similarity to a noncirculating population of thymic medullary B-cells. The tumors attained large size without peripheral dissemination and responded to chemotherapy as well as radiotherapy.
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Affiliation(s)
- M al-Sharabati
- Lymphoma Study Group of Anatomical Pathology Department, Chu-Purpan and University Paul Sabatier, Toulouse, France
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16
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Raina V, Boyd G, Soukop M. Longstanding pleural effusion in an elderly man due to non-Hodgkin's lymphoma (multilobulated nuclear cell type). AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE 1990; 20:826-7. [PMID: 2291735 DOI: 10.1111/j.1445-5994.1990.tb00434.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
A 68-year-old man presented with left sided pleural effusion. Investigations were suggestive of non-Hodgkin's lymphoma of multilobulated nuclear cell type. Symptomatic treatment by repeated thoracic aspiration was carried out every three to four months over nine years, after which the patient developed left axillary lymphadenopathy and a chest wall mass. Biopsy of the mass revealed multilobulated B cell lymphoma. Complete remission including disappearance of the pleural fluid was achieved with combination chemotherapy. Pleural effusion was the only clinical feature of lymphoma for nine years and this has not been described before.
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Affiliation(s)
- V Raina
- All India Institute of Medical Sciences, New Delhi
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17
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Westermann CD, Steele PE, Hurtubise PE, Vago JF, Swerdlow SH. Multilobated lymphoma of B cell type: a multiparameter investigation. Hum Pathol 1990; 21:1036-40. [PMID: 2210726 DOI: 10.1016/0046-8177(90)90253-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Multilobated lymphomas were originally described as T-cell neoplasms, but many of B-cell type have subsequently been reported. A case of B-cell origin is reported in which both immunophenotypic and genotypic studies performed on a cell suspension of the lymphoma gave inconclusive and potentially misleading information, while paraffin and frozen section immunohistologic studies, as well as genotypic studies performed on DNA obtained from snap-frozen tissue, were definitive. Thus, this case illustrates some of the problems that may be encountered using cell suspensions as a source for immunophenotypic, and even the much more sensitive genotypic, studies.
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Affiliation(s)
- C D Westermann
- University of Cincinnati College of Medicine, OH 45267-0529
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18
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Koo CH, Rappaport H, Sheibani K, Pangalis GA, Nathwani BN, Winberg CD. Imprint cytology of non-Hodgkin's lymphomas based on a study of 212 immunologically characterized cases: correlation of touch imprints with tissue sections. Hum Pathol 1989; 20:1-137. [PMID: 2689323 DOI: 10.1016/0046-8177(89)90287-6] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The classification of non-Hodgkin's lymphomas (NHLs) has been traditionally based on analysis of histologic sections and has been supplemented more recently by immunologic marker studies. It was the purpose of the present study to illustrate, side-by-side, sections and Romanowsky-stained imprints from the same surgical specimen from practically all categories of immunophenotyped NHLs, including rare and atypical variants that were difficult to classify from the histologic sections alone. Our results indicate that imprint cytology may reveal nuclear and cytoplasmic details not discernible in even the best tissue sections and that it may be selectively helpful in contributing to the classification of NHLs. Our results also show that the relative value of imprint cytology in the classification of malignant lymphomas varies greatly among categories. Specifically, we have found that imprints assist in three ways: the recognition of plasmacytoid features in small cell lymphocytic lymphomas, the recognition of plasmacytoid immunoblastic lymphoma, and the differentiation between NHLs which may be difficult to distinguish histologically. These include (1) small lymphocytic lymphoma versus lymphocytic lymphoma of intermediate differentiation, (2) true histiocytic malignancies versus large cell malignant lymphomas with abundant cytoplasm and/or phagocytosis, (3) anaplastic myeloma versus plasmacytoid immunoblastic lymphoma, (4) large noncleaved versus plasmacytoid immunoblastic lymphoma, (5) lymphoblastic lymphoma versus diffuse small cleaved cell lymphoma, and (6) lymphoblastic lymphoma versus small noncleaved cell lymphoma. Lymph node imprints are easy to prepare and readily interpretable by those experienced in the study of abnormal blood and bone marrow films. Their value as an ancillary methodology aimed at optimal accuracy in the classification of NHLs should be recognized.
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Affiliation(s)
- C H Koo
- James Irvine Center, Division of Pathology, City of Hope National Medical Center, Duarte, CA 91010
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19
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Falini B, Pileri S, Martelli MF. Histological and immunohistological analysis of human lymphomas. Crit Rev Oncol Hematol 1989; 9:351-419. [PMID: 2688682 DOI: 10.1016/s1040-8428(89)80018-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Morphological and immunological characteristics of lymphoproliferative diseases are reviewed. In particular, a basic distinction is made between non-Hodgkin's lymphomas and Hodgkin's disease. As to the non-Hodgkin's lymphomas, emphasis is given to the problems of classification, technical approach, histogenesis, and prognosis. The authors adopt a version of the Kiel Classification modified to take account of new knowledge regarding T-cell lymphomas. The value of immunophenotyping in making an accurate distinction between the various categories is stressed; immunocytochemical detection of the growth fraction is also discussed and then proposed as a new prognostic tool. Finally, the criteria for differential diagnosis between non-Hodgkin's lymphomas, malignant histiocytosis, non-lymphoid large cell tumors, and atypical immune reactions are outlined.
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Affiliation(s)
- B Falini
- Institute of Internal Medicine, Laboratory of Hemopathology, Policlinico, Monteluce, Perugia, Italy
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