A morphometric analysis of the nuclei and nucleoli in tumor cells in lymphogranulomatosis, diffuse large B-cell lymphoma and anaplastic large cell lymphoma


Cite item

Full Text

Abstract

Aim. To make a comparative morphometric analysis of the nuclei and nucleoli of tumor cells in lymphogranulomatosis (LGM), diffuse large B-cell lymphoma (DLBCL) and anaplastic large cell lymphoma (ALCL) for differential diagnosis of these lymphomas.
Material and methods. Biopsy material (lymph node biopsies) was frozen in hexan, fixed and stained, then microscopic pictures were made.
Results. Mean area of tumor cell nuclei in LGM was 97.25 ± 68.77 mcm2, in DLBCL and ALCL - 55.89 ± 20.13 mcm2 and 70.31 ± 34.64 mcm2, respectively. The area differences were significant (p < 0.001). Hodgkins and Berezovsky-Rid-Sternberg cell bucleoli area was the largest (11.44 ± 7.83 mcm2). The nucleoli of the former are larger than those of the latter. Mean area of the nucleoli in DLBCL was 3.05 ± 1.58, in ALCL - 5.53 ± 4.94 mcm2. The differences are significant (p < 0.001).
Conclusion. Nucleoli in Hodgkins cells are significantly larger than those in the tumor cells in ALCL and DLBCL and the nucleoli with the area more than 12 mcm2 can be used in differential diagnosis between LGM and DLBCL but not between LGM and ALCL.

References

  1. Cross R. M. Hodgkin?s diseases: histological classification and diagnosis. J. Clin. Pathol. 1969; 22 (2): 165-182.
  2. Jaffe E. S., Harris N. L., Stein H. Pathology and genetics. Tumours of haematopoetic and lymphoid tissues. Lyon: IARC Press, 2001.
  3. Каверзнева М. М., Кременецкая А. М., Моисеева Т. Н., Воробьев А. И. Лимфогранулематоз. В кн.: Воробьев А. И. (ред.). Руководство по гематологии. М.; 2003; т. 2: 131.
  4. Chittal S. M., Caveriviere P., Schwarting R. et al. Monoclonal antibodies in the diagnosis of Hodgkin?s disease. Am. J. Surg. Pathol. 1988; 12: 9-21.
  5. Stein H., Gerdes J., Kirchner H. et al. Hodgkin and Sternberg-Reed cells antigen(s) detected by an antiserum to a cell line (L 428) derived from Hodgkin?s disease. Int. J. Cancer 1981; 28: 425-429.
  6. Stein H., Uchanska-Zeigler B., Gerdes J. et al. Hodgkin and Sternberg-Reed cells contain antigens specific to late cells of granulopoesis. Int. J. Cancer 1982; 29: 283-290.
  7. Stein H., Mason D. Y., Gerdes J. et al. The expression of the Hodgkin?s disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells. Blood 1985; 66: 848-858.
  8. Engelgard M., Brittinger G., Huhn D. et al. Subclassification of diffuse large B-cell lymphomas according to the Kiel classification: lymphomas is a significant prognostic risk factor. Blood 1997; 89: 2291-2297.
  9. Penny R. J., Blaustein J. C., Longtine J. A. et al. Ki-1-positive large cell lymphomas, a heterogeneous group of neoplasms. Morphologic, immunophenotypic and clinical features of 24 cases. Cancer 1999; 68: 352-373.
  10. Stein H., Foss H. D., Durkop H. et al. CD30 (+) anaplastic large cell lymphoma: a review of its histopathologic, genetic, and clinical features. Blod 2000; 96 (12): 3681-3695.
  11. Vassalo J., Lamant L., Brugieres L. et al. ALK-positive anaplastic large cell lymphoma mimicking nodular sclerosis Hodgkin?s lymphoma: report of 10 cases. Am. J. Surg. Pathol. 2006; 30 (2): 223-229.
  12. Ointanilla-Martinez L., Fend F., Moquel L. R. et al. Peripheral T-cell lymphoma with Reed-Sternberg-like cells of B-cell phenotype and genotype associated with Epstein-Barr virus infection. Am. J. Surg. Pathol. 1999; 23 (10): 1233-1240.
  13. Garcia J. F., Mollejo M., Fraqa M. Large B-cell lymphoma with Hodgkin's features. Histopathology 2005; 47 (1): 101-110.
  14. Warnke R. A., Weiss L. M., Chan J. K. et al. Classic Hodgkin's disease. In: Atlas of tumor pathology. Ser. III, fasc. 14: Tumors of the lymph nodes and spleen. Washington, DC: Armed Forces Institute of Pathology; 1995. 277-304.
  15. Ioachim H. L., Ratech H. Hodgkin Lymphoma: Classic. In: Ioachim's lymph node pathology. 3-rd ed. Philadelphia: Lippincot Williams and Wilkins: 2002; 327-347.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2009 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

© 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies