Follicular variant of peripheral T-cell lymphoma mimicking follicular lymphoma: A case report with a review of the Literature

被引:8
|
作者
Goto, Naoe [1 ,2 ]
Tsurumi, Hisashi [1 ]
Sawada, Michio [3 ]
Kanemura, Nobuhiro [1 ]
Hara, Takeshi [1 ]
Kasahara, Senji [1 ]
Kito, Yusuke [2 ]
Takada, Katsuyoshi [4 ]
Sato, Yasuharu [4 ]
Yoshino, Tadashi [4 ]
Moriwaki, Hisataka [1 ]
Takami, Tsuyoshi [2 ]
机构
[1] Gifu Univ, Dept Internal Med 1, Grad Sch Med, Gifu 5011194, Japan
[2] Gifu Univ, Dept Immunopathol, Grad Sch Med, Gifu 5011194, Japan
[3] Gifu Red Cross Hosp, Dept Hematol, Gifu, Japan
[4] Okayama Univ, Dept Pathol, Grad Sch Med Dent & Phamaceut Sci, Okayama 7008530, Japan
关键词
follicular variant PTCL; follicular T-helper cells; phenotype; GROWTH-PATTERN; HELPER-CELLS; IDENTIFICATION; INVOLVEMENT;
D O I
10.1111/j.1440-1827.2011.02656.x
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Peripheral T-cell lymphoma (PTCL) with a follicular growth pattern is very rare. Herein, a case of follicular variant of PTCL in a 50-year-old man who complained of tonsillar and generalized lymph node swelling is reported. The resected tonsil revealed a vague nodular growth pattern of atypical cells, medium to large in size, with abundant pale cytoplasm. The lymphoma cells were CD3+ CD4+ CD5+ CD8- CD10+ CD56- CD57- BCL6+ PD-1+ CXCL13+ and were associated with a meshwork of CD21+ follicular dendritic cells. Molecular studies revealed clonal rearrangement of the T-cell receptor gamma chain gene but not of the immunoglobulin gene. Cytogenetic analysis disclosed a complex abnormality in 18 of 20 cells with the exclusion of t(5; 9). These findings suggest that the present case is a follicular variant of PTCL derived from follicular T-helper cells.
引用
收藏
页码:326 / 330
页数:5
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