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Malignant lymphomas of true histiocytic origin. A clinical, histological, immunophenotypic and genotypic study
Author(s) -
Ralfkiaer Elisabeth,
Delsol Georges,
O'Connor Nigel T. J.,
Brandtzaeg Per,
Brousset Pierre,
Vejlsgaard Gunhild L.,
Mason David Y.
Publication year - 1990
Publication title -
the journal of pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.964
H-Index - 184
eISSN - 1096-9896
pISSN - 0022-3417
DOI - 10.1002/path.1711600105
Subject(s) - histiocyte , pathology , genotype , immunophenotyping , lymphoma , medicine , biology , immunology , genetics , flow cytometry , gene
The clinical, histological, immunophenotypic and genotypic properties of four cases of lymphoma of true histiocytic origin are described. The cases were identified by typing 925 non‐Hodgkin's lymphomas by immunophenotypic and/or genotypic techniques, and they all presented with skin lesions. The histological and immunophenotypic examination showed dense, diffuse infiltrates of markedly pleomorphic mononuclear cells that were positive for macrophage‐associated markers, and negative for B‐cell, T‐cell and myeloid cell‐associated antigens. Staining for Ki‐l and epithelial membrane antigen was also negative. Gene rearrangements studies were performed in three cases, and all of these showed germline configuration of both T‐cell receptor and immunoglobulin genes. In all cases, the clinical course was aggressive with rapid and widespread dissemination to internal organs, poor response to conventional chemotherapy, and short survival times (0.5 to 14 months). This suggests that although true histiocytic tumours are very rare, their recognition may be important for clinical and/or prognostic reasons.