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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Surg+Pathol
2013 ; 37
(6
): 816-26
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Peripheral T-cell lymphomas of follicular T-helper cell derivation with
Hodgkin/Reed-Sternberg cells of B-cell lineage: both EBV-positive and
EBV-negative variants exist
#MMPMID23598959
Nicolae A
; Pittaluga S
; Venkataraman G
; Vijnovich-Baron A
; Xi L
; Raffeld M
; Jaffe ES
Am J Surg Pathol
2013[Jun]; 37
(6
): 816-26
PMID23598959
show ga
Peripheral T-cell lymphomas (PTCLs) are functionally and morphologically complex.
Epstein-Barr virus (EBV)-positive B cells have been reported in
angioimmunoblastic T-cell lymphoma (AITL) and other PTCLs and may mimic
Hodgkin/Reed-Sternberg (HRS) cells, but EBV-negative HRS-like B cells have not
been described. We wished to assess the nature of the PTCL associated with
HRS-like cells and to determine whether EBV-negative HRS-like cells may be seen.
We identified 57 PTCL cases reported as containing HRS-like cells. These included
32 AITL, 19 PTCL, not otherwise specified (NOS), 3 PTCL-NOS, follicular variant,
1 PTCL-NOS, T-zone variant, and 2 adult T-cell leukemia/lymphoma cases. All
patients were adults with a median age of 63 and presented with lymphadenopathy.
The male:female ratio was 31:26 (1.2:1). Clonal TRG rearrangement was detected in
46/53 cases. Six of 38 cases had a concomitant clonal immunoglobulin gene
rearrangement. In 52/57 cases the HRS cells were positive for EBV. Five cases, 3
classified as AITL and 2 as PTCL-NOS, follicular variant, contained HRS-like
cells negative for EBV. All PTCLs with EBV-negative HRS cells had a T follicular
helper cell immunophenotype. The neoplastic T cells expressed CD3, CD4, and PD-1
and formed rosettes around the HRS-like cells. The HRS-like cells were positive
for CD20 (variable intensity), PAX5, CD30, and CD15 (4/5). We conclude that both
EBV-positive and EBV-negative HRS-like B cells may occur in the background of
PTCL; caution is needed to avoid misdiagnosis as classical Hodgkin lymphoma. The
close interaction between the HRS-like cells and the rosetting PD-1-positive T
cells suggests a possible pathogenetic role in this phenomenon and provides new
insights into the abnormal B-cell proliferations that occur in the context of TFH
malignancies.