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南京地区23例成人非何杰金淋巴瘤免疫病理分析

Immunopathological Analysis of 23 Adult Patients of NonHodgkin’s Iymphoma in Nanjing District

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【作者】 穆怀德施的美莫伏根樊克武

【Author】 Mu Huaide, Fan Kewu, Shi Demei, et al. Department of Pathology, Institute of Oncology of Jiangsu

【机构】 江苏省肿瘤研究所病理科江苏省肿瘤研究所病理科南京市第一医院病理科

【摘要】 应用了A、B、C法7种单克隆抗体进行免疫组化染色,检测南京地区23例成人非何杰金淋巴瘤活检标本,结果示9例T系淋巴瘤,8例B系淋巴廇,非T非B及未定型淋巴瘤各3例。病理组织学表现与免疫表型符合率B系达80%,T系达60%。故根据形态学表现估测免疫表型是可行的。经HTLV抗体血清检测,仅1例多形细胞性T淋巴瘤患者阳性。

【Abstract】 Biopsy specimens from 23 adult patients with non-Hodgkin’ s lymphoma (NHD) in Nanjing district were collected. We adopted the A. B. C, immunohistologic staining procedure for tissue section and tested 7 monoclonal antibodies for every case. Of the 23 NHL, 9 were identified as T-cell lineage, 8 as B-cell lineage, 3 as non-T-non-B and unclassified type respectively. The conformity rate of immunophenotyping with morphologic appearence may be 80% in B-cell lineage and 60% in T-cell lineage. There is some clinical significance in the estimation of immunophenotyping based on morphologic appearence. So, it may be useful in the daily work. A serological survey of antibodies to the HTLV were performed in this series. We found only one seropositive patient with pleomorphic T-cell lymphoma. The relationship between HTLV and T-cell NHL needs further investigation.

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