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77例T细胞非霍奇金淋巴瘤的临床病理特点和免疫表型分析

The clinicopathologic features and immunophenotypes of T-cell non-Hodgkin′s lymphoma:an analysis of 77 cases

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【作者】 赵伟陈陆俊田波谈炎鲁常青

【Author】 ZHAO Wei,CHEN Lujun,TIAN Bo,et al.Department of Pathology,Third Affiliated Hospital,Soochow University,Changzhou 213003,CHINA

【机构】 常州市第一人民医院病理科

【摘要】 目的探讨T细胞非霍奇金淋巴瘤的临床病理特点和免疫表型。方法对77例T细胞非霍奇金淋巴瘤进行苏木素和伊红染色(HE)和免疫组织化学检查,按WHO 2008年《造血和淋巴组织肿瘤的病理学和遗传学》标准进行分类。结果 77例T细胞非霍奇金淋巴瘤中,鼻型结外NK/T细胞淋巴瘤32例(41.6%),非特异性外周T细胞淋巴瘤20例(26.0%),间变性大细胞淋巴瘤11例(14.3%),前驱T淋巴细胞淋巴瘤9例(11.7%)。结论 T细胞非霍奇金淋巴瘤中,最常发生的亚型是鼻型结外NK/T细胞淋巴瘤,其次为非特异性外周T细胞淋巴瘤、间变性大细胞淋巴瘤和前驱T淋巴细胞淋巴瘤。其中,鼻型结外NK/T细胞淋巴瘤预后较差,而间变性大细胞淋巴瘤预后相对较好。

【Abstract】 Objective To study the clinicopathologic features and immunophenotypes of T-cell non-Hodgkin′s lymphoma.Methods Seventy-seven of T-cell non-Hodgkin′s lymphomas were studied by light microscopy and immunohistochemistry.All cases were reclassified according to the new WHO classification of lymphomas.Results Of 77 T-cell non-Hodgkin′s lymphomas,32(41.6%) cases were extranodal NK/T cell lymphomas of nasal type,20(26.0%) cases were nonspecific peripheral T cell lymphomas,11(14.3%) cases were anaplastic large cell lymphomas and 9(11.7%) cases were precursor T lymphoblastic lymphomas.Conclusion Among T-cell non-Hodgkin’s lymphomas,extranodal NK/T cell lymphoma of nasal type is the most common subtype.The other main subtypes conclude nonspecific peripheral T cell lymphomas,anaplastic large cell lymphomas and precursor T lymphoblastic lymphomas.The patients with extranodal NK/T cell lymphomas of nasal type have poor prognosis,while those with anaplastic large cell lymphomas have favorable prognosis.

【关键词】 淋巴瘤T细胞免疫表型
【Key words】 LymphomaT cellImmunophenotype
  • 【文献出处】 江苏医药 ,Jiangsu Medical Journal , 编辑部邮箱 ,2012年07期
  • 【分类号】R733.1
  • 【被引频次】3
  • 【下载频次】123
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