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[恶性B细胞淋巴瘤中核内免疫球蛋白包涵体(达彻小体)频率的形态学和免疫组织化学研究结果]

[Morphological and immunohistochemical findings on the frequency of intranuclear immunoglobulin inclusions (Dutcher bodies) in malignant B-cell lymphomas].

作者信息

Metz K A, Bauer R, Schmidt U, Leder L D

机构信息

Institut für Pathologie, Universität Essen.

出版信息

Verh Dtsch Ges Pathol. 1992;76:226-9.

PMID:1283264
Abstract

318 cases of 682 malignant B-cell lymphomas reacted positive for cIg. 66 of them showed Dutcher bodies (DB). DB were found in about 22% of plasmacytomas, 17% of immunocytomas, and in 7.5% of follicular lymphomas and polymorphic centroblastomas, respectively. Regarding only the cIg-positive cases, DB occurred in about 27% of immunocytomas, 20% of follicular lymphomas and 18% of polymorphic centroblastomas. A single case of prolymphocytic leukaemia, centrocytoma, monomorphic centroblastoma, and immunoblastoma each showed also DB. Usually, DB-positive plasmacytomas showed kappa, alpha, and J-chains. The remaining lymphomas mostly expressed kappa, my, and J-chains. In conclusion Dutcher bodies can occur with any cIg-producing B-cell lymphoma. They are not limited to immunocytomas.

摘要

682例恶性B细胞淋巴瘤中有318例cIg反应呈阳性。其中66例出现杜氏小体(DB)。DB分别在约22%的浆细胞瘤、17%的免疫细胞瘤以及7.5%的滤泡性淋巴瘤和多形性中心母细胞淋巴瘤中被发现。仅就cIg阳性病例而言,DB分别出现在约27%的免疫细胞瘤、20%的滤泡性淋巴瘤和18%的多形性中心母细胞淋巴瘤中。各有1例幼淋巴细胞白血病、中心细胞淋巴瘤、单形性中心母细胞淋巴瘤和免疫母细胞瘤也出现了DB。通常,DB阳性的浆细胞瘤显示kappa、alpha和J链。其余淋巴瘤大多表达kappa、my和J链。总之,杜氏小体可出现在任何产生cIg的B细胞淋巴瘤中。它们并不局限于免疫细胞瘤。

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