Kim Hyun-Jung, Ko Young Hyeh, Kim Ji Eun, Lee Seung-Sook, Lee Hyekyung, Park Gyeongsin, Paik Jin Ho, Cha Hee Jeong, Choi Yoo-Duk, Han Jae Ho, Huh Jooryung
Department of Pathology, Inje University, Sanggye Paik Hospital, Seoul, Korea.
Sungkyunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea.
J Pathol Transl Med. 2017 Jul;51(4):352-358. doi: 10.4132/jptm.2017.03.15. Epub 2017 Jun 5.
Epstein-Barr virus (human herpesvirus-4) is very common virus that can be detected in more than 95% of the human population. Most people are asymptomatic and live their entire lives in a chronically infected state (IgG positive). However, in some populations, the Epstein-Barr virus (EBV) has been involved in the occurrence of a wide range of B-cell lymphoproliferative disorders (LPDs), including Burkitt lymphoma, classic Hodgkin's lymphoma, and immune-deficiency associated LPDs (post-transplant and human immunodeficiency virus-associated LPDs). T-cell LPDs have been reported to be associated with EBV with a subset of peripheral T-cell lymphomas, angioimmunoblastic T-cell lymphomas, extranodal nasal natural killer/T-cell lymphomas, and other rare histotypes. This article reviews the current evidence covering EBV-associated LPDs based on the 2016 classification of the World Health Organization. These LPD entities often pose diagnostic challenges, both clinically and pathologically, so it is important to understand their unique pathophysiology for correct diagnoses and optimal management.
爱泼斯坦-巴尔病毒(人类疱疹病毒4型)是一种非常常见的病毒,在超过95%的人群中都能检测到。大多数人没有症状,一生都处于慢性感染状态(IgG阳性)。然而,在一些人群中,爱泼斯坦-巴尔病毒(EBV)与多种B细胞淋巴增殖性疾病(LPDs)的发生有关,包括伯基特淋巴瘤、经典霍奇金淋巴瘤以及免疫缺陷相关的LPDs(移植后和人类免疫缺陷病毒相关的LPDs)。据报道,T细胞LPDs与EBV有关,涉及外周T细胞淋巴瘤、血管免疫母细胞性T细胞淋巴瘤、结外鼻型自然杀伤/T细胞淋巴瘤以及其他罕见组织学类型的一部分。本文根据世界卫生组织2016年的分类,综述了目前关于EBV相关LPDs的证据。这些LPD实体在临床和病理上常常带来诊断挑战,因此了解它们独特的病理生理学对于正确诊断和优化管理非常重要。