Hairy lymphoproliferations: a case report and review of the literature

IF 0.4 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY
Mélissa Julien, Véronique Latger-Cannard, Sylvain Salignac, Christopher Aubert, Delphine Gérard, Julien Broseus, Jean-François Lesesve
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引用次数: 0

Abstract

Mature B-cell lymphoproliferation with hairy lymphocytes include Marginal Zone Splenic Lymphoma (SMZL), Hairy Cell Leukemia (HCL), Splenic Diffuse Red Pulp Lymphoma (SDRPL), and Variant Hairy Cell Leukemia (HCL-v), the two latter being provisional entities that appeared in the 2008 WHO classification. We report the case of a 75-year-old man who benefited from a diagnostic re-evaluation of his SMZL. The good clinical evolution, the flow cytometry investigation (HCL score < 3, SDRPL score > 3, strong CD180 and CD200/CD180 ratio < 0.5) and the histological assessment favored a SDRPL. This entity did not exist at the time of the diagnosis in 2006. The differential diagnosis between these diseases sometimes remains uneasy. Here are mentioned some practical clues to assess the diagnosis.

毛状淋巴细胞增生:1例报告及文献复习
成熟b细胞淋巴细胞增生伴毛状淋巴细胞包括边缘带脾淋巴瘤(SMZL)、毛细胞白血病(HCL)、脾弥漫性红髓淋巴瘤(SDRPL)和变异型毛细胞白血病(HCL-v),后者是2008年WHO分类中出现的临时实体。我们报告的情况下,一个75岁的男子谁受益于诊断重新评估他的SMZL。临床进展良好,流式细胞术检查(HCL评分< 3,SDRPL评分> 3,强CD180和CD200/CD180比值< 0.5)和组织学评价倾向于SDRPL。这个实体在2006年诊断时并不存在。这些疾病之间的鉴别诊断有时仍然不稳定。这里有一些实用的线索来评估诊断。
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来源期刊
Annales de biologie clinique
Annales de biologie clinique 医学-医学:研究与实验
CiteScore
0.80
自引率
20.00%
发文量
53
审稿时长
6-12 weeks
期刊介绍: Multidisciplinary information with direct relevance to everyday practice Annales de Biologie Clinique, the official journal of the French Society of Clinical Biology (SFBC), supports biologists in areas including continuing education, laboratory accreditation and technique validation. With original articles, abstracts and accounts of everyday practice, the journal provides details of advances in knowledge, techniques and equipment, as well as a forum for discussion open to the entire community.
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