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原发性睾丸DLBCL临床病理特征和免疫表型分析

Primary Testis Diffuse Large B-cell Lymphoma:Clinicopathological Characterization and Immunophenotype Profile

  • 摘要: 目的 探讨原发性睾丸弥漫大B细胞性淋巴瘤(DLBCL)的临床病理和免疫表型特征。方法分析10例原发性睾丸DLBCL的临床病理特点;免疫组织化学检测CD10、Bcl-6、MUM1、Bcl-2和Ki-67的表达,并进一步区分其生发中心B细胞(GCB)或非GCB细胞免疫表型。 结果 10例患者平均年龄65岁(51~79岁),Ⅰ~Ⅱ期8例(87.5%)。失访3例,6例患者在发病后5~42月内复发或死亡。CD10、Bcl-6、MUM1、Bcl-2的表达率依次为0,50%,70%,100%。9例显示非GCB细胞免疫表型,1例显示GCB免疫表型。Ki-67平均指数70%。结论 原发性睾丸弥漫大B细胞性淋巴瘤显示非GCB细胞免疫表型特征及Bcl-2和Ki-67高表达可能与其不良预后有关。

     

    Abstract: Objective To investigate the clinicopathologic and immunophenotype of primary testis diffuse large B-cell lymphoma. Methods The clinical feature of 10 cases of primary testis diffuse large B-cell lymphoma was studied. The expression of CD10, Bcl-6, MUM1, Bcl-2 and Ki-67 was detected by immunohistochemitry on paraffin-embedded tissues. Germinal center B-cell like (GCB) or non-GCB immunophenotype was identified using an algorithm based on CD10, Bcl-6 and MUM1 expressions. ResultsThe mean age of these 10 patients were 65 years. Eight patients were at stage Ⅰ or Ⅱ. Six patients replaced or died within 5~42 months. The expression of CD10, Bcl-6, MUM1 and Bcl-2 was found to be 0, 50%, 70%, and 100%,respectively,in the 10 cases. Most cases (9/10) showed an expression pattern corresponded to the non-GCB immunophenotype. The Ki-67 index indicated a relatively high proliferation of the lymphoma cells with a mean 70%. ConclusionPrimary testis large B-cell lymphoma shows non-GCB immunophenotype. This feature adding with high Bcl-2 expression and Ki-67 index might be associated with its poor prognosis.

     

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