Marques Marinho, Luz Estela, Hummel Michael, Vieira Maria das Graças, Bahia Regina Célia, Oliveira Maria Cristina, Netto Eduardo Martins, Luz Ivana, Araújo Iguaracyra
Serviço de Hematologia, Núcleo de Oncologia da Bahia, Avenida Adhemar de Barros 123, Ondina, 40170-110 Salvador, BA, Brazil.
ISRN Oncol. 2012;2012:652682. doi: 10.5402/2012/652682. Epub 2012 Feb 16.
Diffuse large B-cell lymphoma represents approximately 30%-40% of all diagnoses of non-Hodgkin's Lymphoma and may represent up to 80% of all lymphomas that arise in the palatine tonsils. Several studies have attempted to correlate clinical, laboratorial, and tissue factors with the prognosis of the lymphomas, such as the International Prognostic Index, the tissue expression of some proteins, and the lymphocyte count at the time of diagnosis, as well as to correlate Epstein-Barr virus (EBV) infection with worse prognoses. Patients with palatine tonsil DLBCL, from Salvador, Bahia, Brazil, were studied in order to identify prognostic factors. Twenty-four patients with DLBCL were studied. The factors that negatively influenced the patients' survival rates were the lymphocyte count at the time of diagnosis <1.000/mm(3) and the Bcl-2 protein expression. There was no CD5 expression in these lymphomas, and neither was there an association with EBV infection.
弥漫性大B细胞淋巴瘤约占所有非霍奇金淋巴瘤诊断病例的30%-40%,在腭扁桃体发生的所有淋巴瘤中所占比例可能高达80%。多项研究试图将临床、实验室及组织因素与淋巴瘤的预后相关联,如国际预后指数、某些蛋白质的组织表达、诊断时的淋巴细胞计数等,同时也试图将爱泼斯坦-巴尔病毒(EBV)感染与较差的预后相关联。为了确定预后因素,对来自巴西巴伊亚州萨尔瓦多的腭扁桃体弥漫性大B细胞淋巴瘤患者进行了研究。对24例弥漫性大B细胞淋巴瘤患者进行了研究。对患者生存率产生负面影响的因素是诊断时淋巴细胞计数<1000/mm³以及Bcl-2蛋白表达。这些淋巴瘤中不存在CD5表达,也未发现与EBV感染有关联。