Banks P M
University of Texas, Health Science Center, San Antonio.
Hematol Oncol Clin North Am. 1991 Oct;5(5):935-52.
High-resolution ancillary diagnostic methods, in concert with conventional histomorphology, have allowed recognition over the past 8 years of distinct clinical-pathologic variants of non-Hodgkin's lymphomas. With the insights previously offered by these studies, the pathologist can establish, or at least strongly suggest, the diagnosis of these entities on the basis of conventional histomorphology alone. As always, clinical information is essential for arriving at the correct diagnosis. Allocation of a rapidly frozen block of tumor tissue is a convenient, reliable "insurance policy" for the optional application of immunophenotyping and, if necessary, genetic probe analysis to resolve unusual or subtle subclassification problems. Because of clinical management implications, hematologists and oncologists should be aware of these newly recognized variant forms of non-Hodgkin's lymphomas.
在过去8年里,高分辨率辅助诊断方法与传统组织形态学相结合,使人们得以识别非霍奇金淋巴瘤的不同临床病理变异型。基于这些研究之前提供的见解,病理学家仅根据传统组织形态学就能确立或至少强烈提示这些实体的诊断。一如既往,临床信息对于做出正确诊断至关重要。预留一块快速冷冻的肿瘤组织块,是一种方便、可靠的“保险策略”,可用于在必要时选择应用免疫表型分析以及基因探针分析,以解决不常见或细微的亚分类问题。鉴于对临床管理的影响,血液学家和肿瘤学家应了解这些新发现的非霍奇金淋巴瘤变异型。