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应用全层活检样本的犬胃肠道壁弥漫性淋巴瘤的组织病理学特征和免疫表型分析。

Histopathological features and immunophenotyping of canine transmural gastrointestinal lymphoma using full-thickness biopsy samples.

机构信息

13143The University of Tokyo, Tokyo, Japan.

FUJIFILM VET Systems Co, Ltd, Tokyo, Japan.

出版信息

Vet Pathol. 2021 Nov;58(6):1033-1043. doi: 10.1177/03009858211030523. Epub 2021 Jul 20.

Abstract

To elucidate the histopathological characteristics and immunophenotypes of canine transmural "mass-forming" gastrointestinal lymphomas and plasmacytomas, 83 surgically resected biopsy samples were examined. All lymphomas and plasmacytomas were located in the small or large intestine except for 1 plasmacytoma which was in the stomach. According to the World Health Organization (WHO) classification, B-cell neoplasms (17 cases) included lymphoplasmacytic lymphoma (6/17), plasmacytoma (5/17), follicular lymphoma (3/17), and diffuse large B-cell lymphoma (3/17). Based on nuclear sizes, T-cell neoplasms (66 cases) were broadly divided into large cell lymphoma (LCL; 48/66) and small cell lymphoma (SCL; 18/66). According to the WHO classification, T-cell neoplasms included anaplastic large T-cell lymphoma (ALCL; 10/66), angiotropic T-cell lymphoma (3/66), mixed inflammatory type peripheral T-cell lymphoma (mixed inflammatory type PTCL; 33/66), and PTCL-not otherwise specified (PTCL-NOS; 20/66). Mixed inflammatory type PTCLs were further divided into histiocyte- (27/33) and eosinophil- (6/33) dominant types. Immunohistochemically, lymphoplasmacytic lymphomas were positive for Pax5 (6/6) and IgM (5/6), while plasmacytomas were positive for IgG (5/6) and negative for Pax5. LCLs were immunopositive for granzyme B in 31/48 cases (65%) and CD8 in 9/48 cases (19%), while SCLs were immunopositive for granzyme B in 3/18 cases (17%) and CD8 in 3/18 cases (17%). Furthermore, 8/10 cases (80%) of ALCL and 19/27 cases (70%) of histiocyte-dominant PTCL were immunopositive for granzyme B, whereas 6/20 cases (30%) of PTCL-NOS, 1/6 cases (17%) of eosinophil-dominant PTCL, and no cases of angiotropic T-cell lymphomas were immunopositive for granzyme B. The present study describes the immunophenotypes in different histological types of transmural gastrointestinal lymphomas in the dog.

摘要

为了阐明犬“壁内”“肿块形成”胃肠道淋巴瘤和浆细胞瘤的组织病理学特征和免疫表型,检查了 83 例手术切除的活检样本。除了 1 例浆细胞瘤位于胃中外,所有的淋巴瘤和浆细胞瘤均位于小肠或大肠。根据世界卫生组织(WHO)分类,B 细胞肿瘤(17 例)包括淋巴浆细胞淋巴瘤(6/17)、浆细胞瘤(5/17)、滤泡淋巴瘤(3/17)和弥漫性大 B 细胞淋巴瘤(3/17)。根据核大小,T 细胞肿瘤(66 例)广泛分为大细胞淋巴瘤(LCL;48/66)和小细胞淋巴瘤(SCL;18/66)。根据 WHO 分类,T 细胞肿瘤包括间变性大细胞 T 细胞淋巴瘤(ALCL;10/66)、血管侵袭性 T 细胞淋巴瘤(3/66)、混合炎症型外周 T 细胞淋巴瘤(混合炎症型 PTCL;33/66)和未特指的 T 细胞淋巴瘤(PTCL-NOS;20/66)。混合炎症型 PTCL 进一步分为组织细胞(27/33)和嗜酸性粒细胞(6/33)优势型。免疫组化染色显示,淋巴浆细胞淋巴瘤对 Pax5(6/6)和 IgM(5/6)呈阳性,而浆细胞瘤对 IgG(5/6)呈阳性,对 Pax5 呈阴性。LCL 在 31/48 例(65%)中对 granzyme B 呈免疫阳性,在 9/48 例(19%)中对 CD8 呈免疫阳性,而 SCL 在 3/18 例(17%)中对 granzyme B 呈免疫阳性,在 3/18 例(17%)中对 CD8 呈免疫阳性。此外,10/10 例(80%)的 ALCL 和 27/27 例(70%)的组织细胞优势型 PTCL 对 granzyme B 呈免疫阳性,而 20/20 例(30%)的 PTCL-NOS、6/6 例(17%)的嗜酸性粒细胞优势型 PTCL 和没有血管侵袭性 T 细胞淋巴瘤对 granzyme B 呈免疫阳性。本研究描述了犬胃肠道壁内淋巴瘤不同组织学类型的免疫表型。

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