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CD200 免疫组化在原发性纵隔大 B 细胞淋巴瘤诊断中的应用:与 MAL、CD23 和其他标志物的比较。

Utility of CD200 immunostaining in the diagnosis of primary mediastinal large B cell lymphoma: comparison with MAL, CD23, and other markers.

机构信息

Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Mod Pathol. 2012 Dec;25(12):1637-43. doi: 10.1038/modpathol.2012.129. Epub 2012 Aug 17.

DOI:10.1038/modpathol.2012.129
PMID:22899296
Abstract

CD200, an immunoglobulin superfamily membrane glycoprotein, is expressed in a number of B cell lymphoproliferative disorders, including primary mediastinal large B cell lymphoma, but not diffuse large B cell lymphoma, based on a preliminary study. Here, we compare the expression of CD200 with other markers of primary mediastinal large B cell lymphoma, including MAL and CD23, in formalin-fixed, paraffin-embedded histologic sections from a series of 35 cases of primary mediastinal large B cell lymphoma and 30 cases of diffuse large B cell lymphoma. CD200 exhibits the greatest staining sensitivity of the markers studied: 94%, compared with CD23 (69%), MAL (86%), TRAF (86%), and REL (77%). It exhibits staining specificity of 93%, similar to that of CD23 (93%) and MAL (97%), and greater than that of TRAF (77%) and REL (83%). We conclude that CD200 is a practical and useful marker for the diagnosis of primary mediastinal large B cell lymphoma.

摘要

CD200 是免疫球蛋白超家族的膜糖蛋白,在一些 B 细胞淋巴瘤中表达,包括原发性纵隔大 B 细胞淋巴瘤,但不包括弥漫性大 B 细胞淋巴瘤,这是初步研究的结果。在这里,我们比较了 CD200 与原发性纵隔大 B 细胞淋巴瘤的其他标志物,包括 MAL 和 CD23,在 35 例原发性纵隔大 B 细胞淋巴瘤和 30 例弥漫性大 B 细胞淋巴瘤的福尔马林固定、石蜡包埋组织切片中的表达。CD200 表现出最高的染色敏感性:94%,与 CD23(69%)、MAL(86%)、TRAF(86%)和 REL(77%)相比。它的染色特异性为 93%,与 CD23(93%)和 MAL(97%)相似,高于 TRAF(77%)和 REL(83%)。我们得出结论,CD200 是诊断原发性纵隔大 B 细胞淋巴瘤的一种实用且有用的标志物。

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