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马恶性淋巴瘤:形态学和免疫组织化学分类

Equine malignant lymphomas: morphologic and immunohistochemical classification.

作者信息

Kelley L C, Mahaffey E A

机构信息

Poultry Microbiological Safety Research Unit, Agricultural Research Service, U.S. Department of Agriculture, Athens, GA 30604-5677, USA.

出版信息

Vet Pathol. 1998 Jul;35(4):241-52. doi: 10.1177/030098589803500402.

DOI:10.1177/030098589803500402
PMID:9684967
Abstract

Gross lesions, microscopic appearance, and immunophenotyping are reported in a retrospective study of 31 cases of equine malignant lymphoma. Immunohistochemical studies were performed on archived formalin-fixed, paraffin-embedded tissues. Monoclonal antibodies to surface glycoprotein BLA.36 and intracytoplasmic domains of mb-1 and B29 were used to document the presence of B lymphocytes in the equine tumors. Polyclonal antibody to CD3 and monoclonal antibodies to T-lymphocyte markers CD3 and CD5 revealed the presence of variable numbers of T cells within the equine lymphomas. The neoplastic component of the equine lymphomas was determined through morphologic evaluation, immunophenotyping, and the use of proliferation markers Ki-67 and proliferating cell nuclear antigen. Equine malignant lymphomas were composed of a heterogeneous cell population. Most tumors contained B and T lymphocytes. Twenty-four horses had diffuse lymphomas derived from B lymphocytes. Thirteen of these lymphomas contained primarily neoplastic B lymphocytes. Eleven additional cases of diffuse large B-cell lymphoma contained from 40% to 80% nonneoplastic T lymphocytes and were classified as T-cell-rich, large B-cell lymphomas. This is the first description of T-cell-rich, B-cell lymphoma in the horse. Six tumors with a diffuse architecture were derived from T lymphocytes. Four T-cell tumors were large-cell tumors, 1 was a small-cell tumor, and in 1 tumor the size of the cells could not be determined accurately because of autolytic change in the tissues. One diffuse large-cell lymphoma did not react with either B- or T-cell markers.

摘要

对31例马恶性淋巴瘤进行回顾性研究,报告了大体病变、显微镜下表现及免疫表型分析。对存档的福尔马林固定、石蜡包埋组织进行免疫组织化学研究。使用针对表面糖蛋白BLA.36以及mb-1和B29胞质内结构域的单克隆抗体来证实马肿瘤中B淋巴细胞的存在。针对CD3的多克隆抗体以及针对T淋巴细胞标志物CD3和CD5的单克隆抗体显示马淋巴瘤内存在数量不等的T细胞。通过形态学评估、免疫表型分析以及使用增殖标志物Ki-67和增殖细胞核抗原确定马淋巴瘤的肿瘤成分。马恶性淋巴瘤由异质性细胞群体组成。大多数肿瘤含有B淋巴细胞和T淋巴细胞。24匹马患有源自B淋巴细胞的弥漫性淋巴瘤。其中13例淋巴瘤主要含有肿瘤性B淋巴细胞。另外11例弥漫性大B细胞淋巴瘤含有40%至80%的非肿瘤性T淋巴细胞,被归类为富含T细胞的大B细胞淋巴瘤。这是首次对马中富含T细胞的B细胞淋巴瘤进行描述。6例具有弥漫性结构的肿瘤源自T淋巴细胞。4例T细胞肿瘤为大细胞肿瘤,1例为小细胞肿瘤,1例肿瘤由于组织自溶改变而无法准确确定细胞大小。1例弥漫性大细胞淋巴瘤对B细胞或T细胞标志物均无反应。

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