Document Detail


HTLV-I associated and non-associated primary T-cell lymphoma of gastrointestinal tract.
MedLine Citation:
PMID:  8348075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The gastrointestinal (GI) tract is the common extranodal site for non-Hodgkin's lymphoma (NHL), and primary lymphoma of GI tract are mostly of B-cell origin. We have treated 16 patients with primary lymphoma of GI tract between 1981 and 1991, of whom 10 (62%) were of B-cell origin, while 6 (38%) were of T-cell origin. The incidence of T-cell phenotype in our hospital was considered to be much higher than that of previous reports and these 6 patients with primary T-cell lymphoma of GI tract were carefully studied. The primary sites were stomach in 4, ileocecum in 1, and duodenum in 1 case. Their T-cell nature was confirmed by immunohistochemical methods. All were peripheral T-cell lymphomas; one was CD 3+ 4- 8- and the other 5 were CD 3+ 4+ 8-. The antibody against human T-cell leukemia virus type I (HTLV-I) was positive in 3 cases (HTLV-I associated), but negative in 3 (HTLV-I non-associated). The integration of HTLV-I proviral DNA in HTLV-I associated patients was demonstrated by Southern blot analysis after DNA amplification by means of polymerase chain reaction (PCR). The clinical features of the HTLV-I associated and HTLV-I non-associated primary T-cell lymphoma of the GI tract were quite different. HTLV-I associated patients showed leukemic manifestations and tumor involvement of the skin at a later stage of the disease. These observations indicated that HTLV-I can play an important role in the occurrence of primary T-cell lymphoma of GI tract.
Authors:
T Tokioka; Y Shimamoto; O Tokunaga; M Yamaguchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Leukemia & lymphoma     Volume:  9     ISSN:  1042-8194     ISO Abbreviation:  Leuk. Lymphoma     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-09-15     Completed Date:  1993-09-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9007422     Medline TA:  Leuk Lymphoma     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  399-405     Citation Subset:  IM; X    
Affiliation:
Department of Internal Medicine, Saga Medical School, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blotting, Southern
DNA, Neoplasm / analysis
DNA, Viral / analysis
Digestive System / pathology
Female
Gastrointestinal Neoplasms / epidemiology,  microbiology,  pathology*
HTLV-I Antibodies / immunology
Human T-lymphotropic virus 1 / immunology,  isolation & purification
Humans
Incidence
Japan / epidemiology
Leukemia-Lymphoma, Adult T-Cell / epidemiology,  microbiology,  pathology*
Leukemic Infiltration
Lymphoma, T-Cell / epidemiology,  pathology*
Male
Middle Aged
Polymerase Chain Reaction
Proviruses / isolation & purification
Tumor Markers, Biological / analysis
Chemical
Reg. No./Substance:
0/DNA, Neoplasm; 0/DNA, Viral; 0/HTLV-I Antibodies; 0/Tumor Markers, Biological

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