Bednár B, Jirásek A
Cesk Patol. 1975 Jan;11(1):11-24.
In four cases of progressive multifocal leucoencephalitis the basic disease was always a malignant lymphogranuloma. Changes in the brain were multifocal, however the frontoparietal area of the white matter was affected most frequently and foci in this part were oldest. In these foci demyelination with atypical astrogliosis predominated, and there was a very small number of scavenger cells. At the periphery of foci always proliferation and enlargement of homogenous oligodendroglia nuclei were found sometimes with inclusions which in immunoassay sometimes had a common antigen with papovirus SV 40 and on electronoptic examination always contained many virions of the papovirus. No direct relationship was found between the duration of the neoplastic process, its type and changes in the CNS.
在4例进行性多灶性白质脑病患者中,基础疾病均为恶性淋巴肉芽肿。脑部病变呈多灶性,然而白质的额顶叶区域受累最为频繁,且该部位的病灶最为陈旧。在这些病灶中,以非典型星形胶质细胞增生为主的脱髓鞘改变占主导,仅有极少量的吞噬细胞。在病灶周边总是发现均质的少突胶质细胞核增殖和肿大,有时可见包涵体,免疫测定显示这些包涵体有时与乳头多瘤病毒SV 40有共同抗原,电子光学检查总是发现含有许多乳头多瘤病毒的病毒颗粒。未发现肿瘤病程的持续时间、其类型与中枢神经系统变化之间存在直接关系。