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淋巴瘤样丘疹病[J]. 肿瘤防治研究, 2000, 27(02): 130-132. DOI: 10.3971/j.issn.1000-8578.2197
引用本文: 淋巴瘤样丘疹病[J]. 肿瘤防治研究, 2000, 27(02): 130-132. DOI: 10.3971/j.issn.1000-8578.2197
Lymphomatoid Papulosis[J]. Cancer Research on Prevention and Treatment, 2000, 27(02): 130-132. DOI: 10.3971/j.issn.1000-8578.2197
Citation: Lymphomatoid Papulosis[J]. Cancer Research on Prevention and Treatment, 2000, 27(02): 130-132. DOI: 10.3971/j.issn.1000-8578.2197

淋巴瘤样丘疹病

Lymphomatoid Papulosis

  • 摘要: 目的 研究淋巴瘤样丘疹病(LyP)的临床与病理特征,以提高LyP的临床早期诊断率。方法 运用组织病理学及免疫组化标记(SP或ABC)法对7例LyP进行临床、病理学和免疫组化(CD20、CD45RO、CD30、CD68及HTLV-1抗体)观察。结果 临床表现为患者的躯干和/或四肢皮肤多发性、复发性、小于1cm的斑丘疹。临床上是一个慢性、良性经过,而病理组织学LyP是由多量小或大的异型淋巴样细胞组成,淋巴样细胞浸润小血管周围和真皮层皮肤附件周围,免疫组化标记CD45RO+。随访两例病人分别于10年和17年后死亡。结论 LyP是一类潜在恶性(交界性病变)的外周T细胞病变。

     

    Abstract: Objective To investigate 7 cases of lymphomatoid papulosis (LyP) in order to analyze their clinical manifestations and pathological features and improve the clinical early diagnosis of LyP. Methods Histopathological method was used to study the morphological characteristics of LyP.The immunohistochemical determination of LCA,CD20、CD45RO、CD30、CD68 and HTLV-1 antibody of the routine paraffin samples of 7 cases with LyP was carried out using SP or ABC method. Results All patients presented with <1cm diameter recurrent papular eruptions over lower trunk and extremities.The clinical course of these patients was a chronic,clinically benign skin disorder.Histopathologically,the lesion were composed of numerous small or large atypical lymphoid cells which display antigen markers of T lymphocytes (CD45RO+) infiltrating perivascularity and periappendage of dermis.Follow-up,two patients died within 10 years and 17 years. Conclusion LyP is a type of pereipheral T cell lesion which is potentially malignant (borderline lesion).

     

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