Rai Bhavana, Astekar Madhusudan S, Manjunatha Bhari Sharanesha, Sapra Gaurav
Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Bareilly-243006, Uttar Pradesh State, India.
Department of Oral Biology, Faculty of Dentistry, Taif University, Taif, Kingdom of Saudi Arabia.
J Exp Ther Oncol. 2017 Sep;11(2):101-105.
Lymphomas are diverse group of neoplasm affecting the lymphoreticular system. Diffuse large B cell lymphoma is the most frequently diagnosed type of non-Hodgkin lymphoma and is the fifth most frequent malignancy, accounting for about 40% of cases reported. In the present case report a 40 year old female patient complains of swelling on right side of face since 45 days and gradually increased to present size. Intra-orally an ulcero-proliferative growth was present on the right side of hard palate. Incisional biopsy was suggestive of Lymphoproliferative disorder. Panel of immunohistochemical antibodies were used; which showed positivity for CD45, PAX5, Bcl2, Ki67, CD138 and negativity for CD3, CD10, CD20 and CD30. Therefore through routine standard hematoxylin and eosin staining a clear cut diagnosis of specific lymphoma was difficult to obtain and thus immunohistochemistry plays an important role in confirming the pinpoint diagnosis.
淋巴瘤是影响淋巴网状系统的一组多样的肿瘤。弥漫性大B细胞淋巴瘤是最常被诊断出的非霍奇金淋巴瘤类型,也是第五大常见恶性肿瘤,约占报告病例的40%。在本病例报告中,一名40岁女性患者自45天前开始右侧面部肿胀,并逐渐增大至目前大小。口腔内硬腭右侧有一个溃疡增殖性肿物。切开活检提示淋巴增殖性疾病。使用了一组免疫组化抗体;结果显示CD45、PAX5、Bcl2、Ki67、CD138呈阳性,而CD3、CD10、CD20和CD30呈阴性。因此,通过常规标准苏木精和伊红染色很难明确诊断特定的淋巴瘤,免疫组化在确诊中起着重要作用。