Premium
Peripheral T‐cell lymphoma with a nodular growth pattern
Author(s) -
Hatano Ben,
Fukushima Takuya,
Honda Miyuki,
Hayashi Tomayoshi,
Tsuda Nobuo,
Ohshima Koichi,
Tsuchiya Takeshi,
Kikuchi Masahiro
Publication year - 2002
Publication title -
pathology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
eISSN - 1440-1827
pISSN - 1320-5463
DOI - 10.1046/j.1440-1827.2002.01360.x
Subject(s) - pathology , cd5 , lymphoma , peripheral t cell lymphoma , cd30 , mantle cell lymphoma , lymph node , t cell lymphoma , immunohistochemistry , lymphoid hyperplasia , gene rearrangement , mantle zone , medicine , biology , t cell , germinal center , b cell , immunology , antibody , immune system , biochemistry , gene
Peripheral T‐cell lymphomas (PTCL) with nodular growth patterns are very rare, with only 17 cases reported previously. Here, we report a case of PTCL with a nodular growth pattern. The patient was an 81‐year‐old Japanese woman who complained of malaise, fever and generalized lymph node swelling. Cervical lymph node biopsy was performed, and histological examination revealed proliferation of medium‐ to large‐sized atypical lymphoid cells with indented to irregular nuclei, distinct nucleoli and clear cytoplasm. The nodular growth pattern of the lymphoma cells was obvious. On immunohistochemistry, the atypical lymphoid cells proved to be of T‐helper cell origin (CD2 + CD3CD4 + CD5 + CD7 + CD8 – CD10 – CD25 – CD30 – CD57 – ). Polymerase chain reaction analysis of the T‐cell receptor γ‐chain revealed a monoclonal rearrangement band. This unusual growth pattern should be distinguished among PTCL, as such cases could be confused with reactive nodular hyperplasia, nodular lymphoma, mantle cell lymphoma and marginal zone lymphoma with nodular colonization.