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狒狒恶性T细胞淋巴瘤的形态学特征

Morphological characteristics of malignant T-cell lymphomas in baboons.

作者信息

Yakovleva L A, Lennert K, Chikobava M G, Indzhiia L V, Klotz I N, Lapin B A

机构信息

Institute of Experimental Pathology and Therapy, Sukhumi, Abkhazia, Georgia.

出版信息

Virchows Arch A Pathol Anat Histopathol. 1993;422(2):109-20. doi: 10.1007/BF01607162.

Abstract

Fifteen cases of generalized peripheral T-cell non-Hodgkin's lymphoma in baboons were phenotyped immunologically and morphologically. Using the updated Kiel classification the cases included low-grade and high-grade lymphomas and low-grade lymphomas that had transformed into high-grade lymphomas. In the low-grade group there were seven cases of lymphocytic type, partly corresponding to chronic lymphocytic leukaemia of T type and to T-zone lymphoma in man. In addition there were four cases of prolymphocytic-lymphocytic type, which show large nodules ("proliferation centres") and which have no equivalent in the Kiel classification. In four cases there was a progression to an immunoblastic lymphoma and in one case to a large cell anaplastic lymphoma. In addition, three cases of large cell anaplastic lymphoma without a low-grade component were found. Both the immunoblastic lymphomas and the large cell anaplastic lymphomas corresponded well with the same types in the Kiel classification. The cases of large cell anaplastic lymphoma were also CD30 positive. Most of these lymphomas were CD4 positive, but there were rare cases that were either CD8 positive, showed both CD4 and CD8 positivity or had lost both antigens. Antigens associated with cell activation were often revealed. All but one baboon had antibodies in the blood against the retrovirus STLV-1 (simian T-cell leukaemia virus 1), which is very similar to human T-cell leukaemia virus 1 (HTLV-1) in man. Despite this virological resemblance, the morphology of these T-cell lymphomas does not resemble that of the HTLV-1-positive Japanese T-cell lymphomas but is like that of the HTLV-1-negative European cases.

摘要

对15例狒狒全身性外周T细胞非霍奇金淋巴瘤进行了免疫表型和形态学分析。根据更新后的基尔分类,这些病例包括低度和高度淋巴瘤,以及已转变为高度淋巴瘤的低度淋巴瘤。在低度组中,有7例淋巴细胞型,部分对应于人类T型慢性淋巴细胞白血病和T区淋巴瘤。此外,有4例原淋巴细胞-淋巴细胞型,表现为大结节(“增殖中心”),在基尔分类中没有对应类型。4例进展为免疫母细胞淋巴瘤,1例进展为大细胞间变性淋巴瘤。此外,还发现了3例无低度成分的大细胞间变性淋巴瘤。免疫母细胞淋巴瘤和大细胞间变性淋巴瘤均与基尔分类中的相同类型相符。大细胞间变性淋巴瘤病例也为CD30阳性。这些淋巴瘤大多为CD4阳性,但也有少数病例为CD8阳性、同时表达CD4和CD8或两种抗原均缺失。常可发现与细胞活化相关的抗原。除1只狒狒外,所有狒狒血液中都有针对逆转录病毒STLV-1(猴T细胞白血病病毒1)的抗体,该病毒与人类的T细胞白血病病毒1(HTLV-1)非常相似。尽管在病毒学上有相似之处,但这些T细胞淋巴瘤的形态与HTLV-1阳性的日本T细胞淋巴瘤不同,而与HTLV-1阴性的欧洲病例相似。

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