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石蜡包埋组织中弥漫大B细胞淋巴瘤、霍奇金淋巴瘤及真性组织细胞淋巴瘤的比较性标志物研究

A comparative marker study of large cell lymphoma, Hodgkin's disease, and true histiocytic lymphoma in paraffin-embedded tissue.

作者信息

Meis J M, Osborne B M, Butler J J

出版信息

Am J Clin Pathol. 1986 Nov;86(5):591-9. doi: 10.1093/ajcp/86.5.591.

DOI:10.1093/ajcp/86.5.591
PMID:2946220
Abstract

A comparative study of large cell lymphoma (LCL) (ten B and ten T), Hodgkin's disease (15 cases), and true histiocytic lymphoma (two cases) was undertaken, using formalin-fixed paraffin-embedded tissue sections, a panel of eight antibodies, and one lectin to determine if any particular antibody or immunologic profile could reliably distinguish between these entities. The antibodies used were against Leu-M1, alpha-1-anti-chymotrypsin (alpha-ACT), alpha-anti-trypsin (alpha-AT), lysozyme, kappa, lambda, leukocyte common antigen (LCA), and S-100 protein. The lectin used was peanut agglutinin (PNA). Although Leu-M1 staining was positive in 11 of 15 cases (73%) of Hodgkin's disease, it was also positive in 4 of 10 cases (40%) of T-cell lymphoma, 2 of 10 cases (20%) of B-cell lymphoma, and 1 of 2 cases (50%) of true histiocytic lymphoma. Peanut-agglutinin staining results were similar to Leu-M1. The only staining profile that emerged was the presence of Leu-M1, PNA-, alpha-ACT, and alpha-AT staining in Reed-Sternberg (RS) cells in 11 of 15 cases of Hodgkin's disease. Leu-M1 and its staining pattern is characteristic, but not entirely specific for RS cells, and it was not positive in at least 25% of the cases of Hodgkin's disease in formalin-fixed, paraffin-embedded tissues. The limitations of this antibody and others should be recognized.

摘要

对大细胞淋巴瘤(LCL)(10例B细胞型和10例T细胞型)、霍奇金病(15例)和真性组织细胞淋巴瘤(2例)进行了一项对比研究,采用福尔马林固定石蜡包埋的组织切片、一组8种抗体和一种凝集素,以确定是否有任何特定抗体或免疫表型能够可靠地区分这些实体。所用抗体针对Leu-M1、α1抗胰凝乳蛋白酶(α-ACT)、α抗胰蛋白酶(α-AT)、溶菌酶、κ轻链、λ轻链、白细胞共同抗原(LCA)和S-100蛋白。所用凝集素为花生凝集素(PNA)。虽然15例霍奇金病中有11例(73%)Leu-M1染色呈阳性,但10例T细胞淋巴瘤中有4例(40%)、10例B细胞淋巴瘤中有2例(20%)以及2例真性组织细胞淋巴瘤中有1例(50%)也呈阳性。花生凝集素染色结果与Leu-M1相似。唯一出现的染色模式是15例霍奇金病中有11例的里德-施特恩贝格(RS)细胞中存在Leu-M1、PNA、α-ACT和α-AT染色。Leu-M1及其染色模式具有特征性,但并非RS细胞完全特异性,在福尔马林固定石蜡包埋组织的至少25%霍奇金病病例中呈阴性。应认识到该抗体及其他抗体的局限性。

相似文献

1
A comparative marker study of large cell lymphoma, Hodgkin's disease, and true histiocytic lymphoma in paraffin-embedded tissue.石蜡包埋组织中弥漫大B细胞淋巴瘤、霍奇金淋巴瘤及真性组织细胞淋巴瘤的比较性标志物研究
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2
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Paraffin section markers for Reed-Sternberg cells. A comparative study of peanut agglutinin, Leu-M1, LN-2, and Ber-H2.里德-施特恩贝格细胞的石蜡切片标记物。花生凝集素、Leu-M1、LN-2和Ber-H2的比较研究。
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Am J Surg Pathol. 1987 May;11(5):387-96. doi: 10.1097/00000478-198705000-00008.
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Leu-M1--a marker for Reed-Sternberg cells in Hodgkin's disease. An immunoperoxidase study of paraffin-embedded tissues.Leu-M1——霍奇金病里德-斯腾伯格细胞的一种标志物。石蜡包埋组织的免疫过氧化物酶研究。
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Leu M1 and S100 in Hodgkin's disease and non-Hodgkin's lymphomas.霍奇金病和非霍奇金淋巴瘤中的白细胞共同抗原M1和S100蛋白
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Monomorphic lymphomas arising in patients with Hodgkin's disease. Correlation of morphologic, immunophenotypic, and molecular genetic findings in 12 cases.霍奇金病患者中出现的单形性淋巴瘤。12例病例的形态学、免疫表型及分子遗传学结果的相关性
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J Clin Pathol. 1985 Nov;38(11):1241-6. doi: 10.1136/jcp.38.11.1241.

引用本文的文献

1
Classical Hodgkin's disease. Clinical impact of the immunophenotype.经典型霍奇金淋巴瘤。免疫表型的临床影响。
Am J Pathol. 1997 Oct;151(4):1123-30.
2
Value of CD15 immunostaining in diagnosing Hodgkin's disease: a review of published literature.CD15免疫染色在霍奇金淋巴瘤诊断中的价值:已发表文献综述
J Clin Pathol. 1987 Nov;40(11):1298-304. doi: 10.1136/jcp.40.11.1298.
3
Anaplastic large cell lymphoma, CD30/Ki-1 positive, expressing the CD15/Leu-M1 antigen. Immunohistochemical and morphological relationships to Hodgkin's disease.
间变性大细胞淋巴瘤,CD30/Ki-1阳性,表达CD15/Leu-M1抗原。与霍奇金病的免疫组织化学及形态学关系。
Virchows Arch A Pathol Anat Histopathol. 1990;416(3):229-35. doi: 10.1007/BF01678982.
4
Reciprocal/dichotomic expression of vimentin and B cell differentiation antigens in Reed-Sternberg's cells.
Virchows Arch A Pathol Anat Histopathol. 1990;416(3):213-20. doi: 10.1007/BF01678980.