Ohyashiki K, Iwabuchi A, Fujieda H, Suzuki A, Nakano M, Ohyashiki J H, Toyama K, Serizawa H, Amemiya R, Hayata Y
First Department of Internal Medicine, Tokyo Medical College, Japan.
Cancer. 1990 Apr 1;65(7):1533-7. doi: 10.1002/1097-0142(19900401)65:7<1533::aid-cncr2820650714>3.0.co;2-l.
The authors report a case of T-cell type non-Hodgkin's lymphoma (NHL) in which neoplastic cells possessed a three-way translocation involving chromosomal bands 3q21, 7q34, and 22q11, as well as partial monosomy of the short arm of chromosome 9. In the literature, most reported cases of 7q32-q36 abnormalities had T-cell type leukemia/lymphoma and were younger than 20 years. Two NHL cases, including the current case, were diagnosed as having lymphoblastic lymphoma with a leukemic transformation. The neoplastic cells of the reported cases commonly showed CD2 (E-rosette receptors) and CD38. All 17 patients but three manifested a mediastinal mass at diagnosis and seven had central nervous system lesions or pleural infiltration. Furthermore, five of the 19 reported cases also showed 9p- change.
作者报告了一例T细胞型非霍奇金淋巴瘤(NHL),其中肿瘤细胞存在涉及染色体带3q21、7q34和22q11的三向易位,以及9号染色体短臂的部分单体性。在文献中,大多数报道的7q32 - q36异常病例为T细胞型白血病/淋巴瘤,且年龄小于20岁。包括本病例在内的两例NHL被诊断为伴有白血病转化的淋巴母细胞淋巴瘤。报道病例的肿瘤细胞通常表达CD2(E玫瑰花结受体)和CD38。17例患者中除3例外在诊断时表现为纵隔肿块,7例有中枢神经系统病变或胸膜浸润。此外,19例报道病例中有5例也显示9p改变。