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Li Y, Gao X, Kong LZ, Li J. Misdiagnosis of angioimmunoblastic T‑cell lymphoma: A case report. Oncol Lett 2023; 25:250. [PMID: 37153053 PMCID: PMC10161358 DOI: 10.3892/ol.2023.13836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 04/14/2023] [Indexed: 05/09/2023] Open
Abstract
Angioimmunoblastic T-cell lymphoma (AITL) is a specific subtype of peripheral T-cell lymphoma that is challenging to diagnose due to the lack of specific pathological characteristics. This report describes the case of a 56-year-old man with Hodgkin lymphoma in whom the gene rearrangement results were positive for TCRβDB+Jβ1/2. Pathological and immunochemical examinations revealed a diagnosis of lymphoma that was a composite of AITL and focal classical Hodgkin lymphoma. Unfortunately, he died soon after the correct diagnosis was made. This case shows that a combination of immunohistochemistry and gene rearrangement analysis can increase the diagnostic accuracy for AITL. A review of the literature on the misdiagnosis of AITL indicates that this disease progresses rapidly with a high mortality rate. Our experience, in this case, highlights the need for early diagnosis.
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Affiliation(s)
- Yan Li
- Department of Hematology, Hebei General Hospital, Shijiazhuang, Hebei 050051, P.R. China
- Correspondence to: Dr Yan Li, Department of Hematology, Hebei General Hospital, 348 Heping West Road, Shijiazhuang, Hebei 050051, P.R. China, E-mail:
| | - Xiaohan Gao
- Department of Hematology, Hebei General Hospital, Shijiazhuang, Hebei 050051, P.R. China
| | - Ling-Zhijie Kong
- Department of Hematology, Hebei General Hospital, Shijiazhuang, Hebei 050051, P.R. China
- Department of Graduate School, Hebei North University, Zhangjiakou, Hebei 075000, P.R. China
| | - Jie Li
- Department of Hematology, Hebei General Hospital, Shijiazhuang, Hebei 050051, P.R. China
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Mori D, Matsuishi E, Akashi M, Shibaki M, Hirano T, Ide M, Tsutsumi Y, Tsukiji H, Gondo H. Hodgkin-like peripheral T-cell lymphoma (PTCL) with preserved Hodgkin-like lesions at autopsy: a case report with an interesting clinical course. Pathol Res Pract 2014; 211:83-7. [PMID: 25434605 DOI: 10.1016/j.prp.2014.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Revised: 07/23/2014] [Accepted: 08/27/2014] [Indexed: 10/24/2022]
Abstract
The presence of the so-called Hodgkin and Reed-Sternberg (H-RS) like cells may occur in T-cell non-Hodgkin lymphoma. Reported herein is the autopsy case of Hodgkin-like peripheral T-cell lymphoma (PTCL) in a 77-year-old male with gradual submandibular lymph node enlargement. The first biopsy showed Hodgkin-like PTCL, initially misdiagnosed as classical Hodgkin lymphoma. Although he was treated with a regimen of ABVD, his disease recurred with cervical lymph node enlargement. A second biopsy showed angioimmunoblastic T-cell lymphoma (AITL) and H-RS like cells became obscure. Despite treatment with the CHOP regimen, he died. An autopsy confirmed that only Hodgkin-like lesions preserved while the AITL component had disappeared. This clinical course is very interesting in that only the Hodgkin-like lesions were systematically exacerbated and became the main cause of death. There are no reports of Hodgkin-like PTCL following AITL and finally preserved Hodgkin-like lesions in autopsy.
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Affiliation(s)
- Daisuke Mori
- Department of Pathology, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan; Department of Clinical Laboratory, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan.
| | - Eijo Matsuishi
- Department of Hematology, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Michiaki Akashi
- Department of Pathology, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Masami Shibaki
- Department of Pathology, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Takayuki Hirano
- Department of Clinical Laboratory, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Mikiko Ide
- Department of Clinical Laboratory, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Yoko Tsutsumi
- Department of Clinical Laboratory, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Hidenori Tsukiji
- Department of Clinical Laboratory, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
| | - Hisashi Gondo
- Department of Hematology, Saga-Ken Medical Centre Koseikan, Kase 400, Saga 840-8571, Japan
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