Delsol G, Brousset P, Schlaifer D
Groupe d'étude des lymphomes malins et laboratoire d'anatomie pathologique, CHU Purpan, Toulouse.
Rev Prat. 1993 Sep 1;43(13):1627-32.
The strides achieved by immunohistochemical techniques, the development of monoclonal antibodies and, more recently, molecular biology have brought deep changes in the concept of histogenesis and in the classification of malignant lymphomas. After blockage, each of the cells which mark out the transformation of B and T may give birth to a malignant lymphoma. In most cases lymphoproliferations retain the immunological (differentiation markers) and morphological attributes of the normal cells from which they derive. It is on this corpus of data that the present histogenesis and classifications are resting. However, the complexity of lymphoma histogenesis is related to heterogeneous lymphoid populations which are not a mere division into B and T cells. There are numerous and not yet clearly individualized subpopulations the morphological and antigenic features of which are imperfectly known. On the other hand, the development of in situ hybridization techniques and of molecular biology (PCR) has provided useful data on the aetiology of malignant lymphomas. The latest results obtained suggest that several viruses (Epstein-Barr, HTLV-1, HHV-6) might play a predominant oncogenic role.
免疫组织化学技术取得的进展、单克隆抗体的发展以及最近分子生物学的发展,给组织发生学概念和恶性淋巴瘤的分类带来了深刻变化。在受阻之后,标志着B细胞和T细胞转化的每一种细胞都可能引发恶性淋巴瘤。在大多数情况下,淋巴细胞增殖保留了其来源的正常细胞的免疫(分化标志物)和形态学特征。目前的组织发生学和分类正是基于这一数据主体。然而,淋巴瘤组织发生的复杂性与异质性淋巴样群体有关,这些群体并非仅仅分为B细胞和T细胞。存在众多尚未明确个体化的亚群,其形态学和抗原特征尚不完全清楚。另一方面,原位杂交技术和分子生物学(PCR)的发展为恶性淋巴瘤的病因学提供了有用的数据。最新获得的结果表明,几种病毒(爱泼斯坦-巴尔病毒、人类嗜T淋巴细胞病毒1型、人类疱疹病毒6型)可能起主要致癌作用。