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10.1097/PAS.0b013e3182785610

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suck abstract from ncbi


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pmid23598959
      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.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Blotting, Southern [MESH]
  • |Epstein-Barr Virus Infections/*pathology [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunohistochemistry [MESH]
  • |Immunophenotyping [MESH]
  • |In Situ Hybridization [MESH]
  • |Lymphoma, T-Cell, Peripheral/immunology/*pathology/*virology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Reed-Sternberg Cells/*pathology/virology [MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction [MESH]


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