Goodlad John R
Haematological Malignancy Diagnostic Services (HMDS), Level 3, Bexley Wing, St James's University Hospital, Leeds LS9 7TF, UK.
Surg Pathol Clin. 2017 Jun;10(2):429-453. doi: 10.1016/j.path.2017.01.001. Epub 2017 Mar 18.
Epstein-Barr virus (EBV)-associated lymphoproliferations involving the skin are a rare but important group of diseases with a broad spectrum of behavior, ranging from self-limiting spontaneously resolving disorders to highly aggressive malignancies. They may be of B, T, or natural killer (NK) cell type and include EBV-positive mucocutaneous ulcer, lymphomatoid granulomatosis, EBV-positive diffuse large B-cell lymphoma, hydroa vacciniforme-like lymphoproliferative disorder, and extranodal NK/T-cell lymphoma of nasal type. Recognition and distinction of these entities is important in view of their differing prognoses and treatments. An association with EBV may be the first indication that a patient is immunosuppressed.
涉及皮肤的爱泼斯坦-巴尔病毒(EBV)相关淋巴增殖性疾病是一组罕见但重要的疾病,其行为谱广泛,从自限性、可自发缓解的疾病到高度侵袭性的恶性肿瘤。它们可能是B细胞、T细胞或自然杀伤(NK)细胞类型,包括EBV阳性黏膜皮肤溃疡、淋巴瘤样肉芽肿病、EBV阳性弥漫性大B细胞淋巴瘤、种痘样水疱病样淋巴增殖性疾病以及鼻型结外NK/T细胞淋巴瘤。鉴于这些实体的预后和治疗方法不同,对它们的识别和区分很重要。与EBV的关联可能是患者免疫抑制的首个迹象。