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淋巴样白血病和非霍奇金淋巴瘤类型连续体,叠加于淋巴细胞分化步骤连续体之上。关于修订世界卫生组织淋巴样白血病-淋巴瘤分类的一项提议。

Lymphoid leukemia and non-Hodgkin's lymphoma type continuum, superimposed to lymphocyte differentiation step continuum. A proposition for a revised W. H. O. lympiioid leukemia-lymphoma categorisation.

作者信息

Mathé G

出版信息

Biomed Pharmacother. 1985;39(3):109-14.

PMID:3864494
Abstract

We have classified 200 cases of lymphoid leukemia and non-Hodgkin lymphoma (LL and L) typed with as many monoclonal antibodies as possible for each case in the WHO Leukemia and Lymphoma categorisation modified according to the today knowledge of normal cell differentiation. We have found that the lymphoid acute leukemias correspond respectively to normal differentiation steps: the [microblastic] to the polyvalent stem cell TdT+, Ia+, B4- or to the lymphoid progenitor TdT+, Ia+, B4-; the [prolymphoblastic T] to the prothymocyte TdT+, OKT11+, OKT10+, 9+, 6-, 4-, 8-; the [prolymphoblastic non T] to the B precursor B4+, B1+, J5+, C mu-, sIg-; the [T-macrolymphoblastic] to the OKT6+ thymocyte; the [B-macrolymphoblastic] to the large pre-B C mu+; the [prolymphocytic T] to the OKT6-, 3+, 4+ and 8+ thymocyte; the [prolymphocytic B] to the small pre-B C mu+; the Burkitt's leukemia to a pre-B cell transformed into a lymphoblastoid cell sIg mu. The B-CLL is constituted of sIg mu+, gamma-, Ia+, B4+, B1+, FC+ virgin lymphocytes and the T-cell either of OKT3+, 4+ or of 8+ peripheral T-lymphocyte, the mantle zone B- lymphoma is constituted of sIg mu+, FC- primary lymphocytes. The B-centro-follicular lymphomas are made of sIg mu+, delta+, gamma+ either small cell cleaved, or large cell. The Burkitt's and non-endemic Burkitt's lymphomas are made of transformed cells into sIg mu+ lymphoblastoid B-cells. We have described a non-blastic, non-Burkitt's, non-follicular, medium cell lymphoma sIg+. The B-immunoblastic lymphoma is sIg mu+, delta-, gamma+, FC+.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们根据正常细胞分化的现有知识,对世界卫生组织白血病和淋巴瘤分类法进行了修订,在此分类法下,尽可能多地使用单克隆抗体对200例淋巴白血病和非霍奇金淋巴瘤(LL和L)进行分型。我们发现,淋巴样急性白血病分别对应正常分化阶段:[原始淋巴细胞]对应多能干细胞TdT +、Ia +、B4 - 或淋巴样祖细胞TdT +、Ia +、B4 - ;[前淋巴细胞T]对应前胸腺细胞TdT +、OKT11 +、OKT10 +、9 +、6 -、4 -、8 - ;[前淋巴细胞非T]对应B前体B4 +、B1 +、J5 +、Cμ -、sIg - ;[T大原始淋巴细胞]对应OKT6 +胸腺细胞;[B大原始淋巴细胞]对应大前B细胞Cμ +;[前淋巴细胞T]对应OKT6 -、3 +、4 +和8 +胸腺细胞;[前淋巴细胞B]对应小前B细胞Cμ +;伯基特白血病对应转化为淋巴母细胞样细胞sIgμ的前B细胞。B - CLL由sIgμ +、γ -、Ia +、B4 +、B1 +、FC +原始淋巴细胞组成,T细胞由OKT3 +、4 +外周T淋巴细胞或8 +外周T淋巴细胞组成,套区B淋巴瘤由sIgμ +、FC - 原始淋巴细胞组成。B中心滤泡性淋巴瘤由sIgμ +、δ +、γ +的小细胞裂殖或大细胞组成。伯基特淋巴瘤和非地方性伯基特淋巴瘤由转化为sIgμ +淋巴母细胞样B细胞的细胞组成。我们描述了一种非原始淋巴细胞性、非伯基特性、非滤泡性、中等细胞的sIg +淋巴瘤。B免疫母细胞淋巴瘤为sIgμ +、δ -、γ +、FC +。(摘要截选至250字)

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