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常规涂片、液基制片及组织病理学中自然杀伤/T细胞淋巴瘤(鼻型)的诊断细胞形态学比较

Comparison of Diagnostic Cytomorphology of Natural Killer/T-Cell Lymphoma (Nasal Type) in Conventional Smears, Liquid-Based Preparations, and Histopathology.

作者信息

Liu Chih-Yi, Tsai Hui-Chih

机构信息

Division of Pathology, Sijhih Cathay General Hospital, New Taipei City, Taiwan.

College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.

出版信息

Case Rep Pathol. 2018 May 14;2018:6264810. doi: 10.1155/2018/6264810. eCollection 2018.

DOI:10.1155/2018/6264810
PMID:29888018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5977006/
Abstract

Natural killer (NK)/T-cell lymphoma is formally referred to as extranodal NK/T-cell lymphoma, nasal type (ENKTCL), in the 2008 and 2016 World Health Organization (WHO) classifications. NK/T-cell lymphoma, nasal type, is a rare but clinically important lymphoid neoplasm. It is the predominant type of extranodal lymphoma associated with the Epstein-Barr virus (EBV). NK/T-cell lymphoma is marked by a wide cytomorphological spectrum. The cytological findings may be so subtle that NK/T-cell lymphoma could possibly be easily overlooked. Here, we report a case of NK/T-cell lymphoma involving the sinonasal region with lymph node involvement. Fine needle aspiration of the neck lymph node and punch biopsy of the nasal mucosa were performed. The diagnosis of NK/T-cell lymphoma was confirmed based on pathological and immunohistochemical analyses, as well as in situ hybridization for EBV-encoded mRNA (EBER). The present case report underlines the importance of prompt clinicopathological assessment in suspected cases. The comparison of cytomorphologic features of NK/T-cell lymphoma in various specimens is presented.

摘要

在2008年和2016年世界卫生组织(WHO)分类中,自然杀伤(NK)/T细胞淋巴瘤被正式称为鼻型结外NK/T细胞淋巴瘤(ENKTCL)。鼻型NK/T细胞淋巴瘤是一种罕见但临床上重要的淋巴瘤。它是与爱泼斯坦-巴尔病毒(EBV)相关的主要结外淋巴瘤类型。NK/T细胞淋巴瘤具有广泛的细胞形态学谱。细胞学表现可能非常细微,以至于NK/T细胞淋巴瘤很可能容易被忽视。在此,我们报告一例累及鼻窦区域并伴有淋巴结受累的NK/T细胞淋巴瘤病例。对颈部淋巴结进行了细针穿刺抽吸,并对鼻黏膜进行了打孔活检。基于病理和免疫组化分析以及EBV编码mRNA(EBER)的原位杂交,确诊为NK/T细胞淋巴瘤。本病例报告强调了对疑似病例进行及时临床病理评估的重要性。文中还对不同标本中NK/T细胞淋巴瘤的细胞形态学特征进行了比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/9dfe3125a3af/CRIPA2018-6264810.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/e5d9ef957c9a/CRIPA2018-6264810.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/fb4bd0ea6ca8/CRIPA2018-6264810.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/50136d6e5b31/CRIPA2018-6264810.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/b8243e7720bd/CRIPA2018-6264810.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/9dfe3125a3af/CRIPA2018-6264810.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/e5d9ef957c9a/CRIPA2018-6264810.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/fb4bd0ea6ca8/CRIPA2018-6264810.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/50136d6e5b31/CRIPA2018-6264810.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/b8243e7720bd/CRIPA2018-6264810.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/5977006/9dfe3125a3af/CRIPA2018-6264810.005.jpg

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