CD10 and CD20 Expression in a Primary Cutaneous Lymphoma of Mature T Cell CD8 Phenotype.
Identifieur interne : 008506 ( Main/Exploration ); précédent : 008505; suivant : 008507CD10 and CD20 Expression in a Primary Cutaneous Lymphoma of Mature T Cell CD8 Phenotype.
Auteurs : K. Seilstad ; P. Porcu [États-Unis] ; K. Gupta ; C. MagroSource :
- Journal of Cutaneous Pathology [ 0303-6987 ] ; 2005-01.
Abstract
Introduction: Most primary cutaneous T cell lymphomas are derived from mature T lymphocytes. We encountered a case of primary cutaneous T cell lymphoma with an undescribed phenotypic profile as defined by CD3+, CD8+ lymphocytes that co‐expressed CD10, CD20 and CD30. Results: The patient, a 65‐year‐old woman, presented in 2001 with a thigh mass that was biopsied and held to represent a lymphoblastic T cell lymphoma based on CD10 expression. Two years later the patient developed a recurrence. The pathology showed a large cell lymphoma manifesting a CD8 phenotype although with CD10/CD20 expression. Conclusion: The importance in this case lies in the novel phenotype, namely a mature post thymic T cell lymphoma exhibiting CD10 and CD20 positivity. CD10 expression in primary cutaneous T cell lymphoma in the literature is largely limited to two case reports. CD10, a neutral endopeptidase, cleaves proteins with inflammatory or proinflammatory activity released by dying malignant and benign T cells including those of post thymic origin and may also degrade cytokines which inhibit T‐cell apoptosis. Another unique aspect of our case was CD20 positivity whereby only a small number of prior citations exist, all with a CD8 phenotype as was the case in our patient.
Url:
DOI: 10.1111/j.0303-6987.2005.320gs.x
Affiliations:
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<front><div type="abstract" xml:lang="en">Introduction: Most primary cutaneous T cell lymphomas are derived from mature T lymphocytes. We encountered a case of primary cutaneous T cell lymphoma with an undescribed phenotypic profile as defined by CD3+, CD8+ lymphocytes that co‐expressed CD10, CD20 and CD30. Results: The patient, a 65‐year‐old woman, presented in 2001 with a thigh mass that was biopsied and held to represent a lymphoblastic T cell lymphoma based on CD10 expression. Two years later the patient developed a recurrence. The pathology showed a large cell lymphoma manifesting a CD8 phenotype although with CD10/CD20 expression. Conclusion: The importance in this case lies in the novel phenotype, namely a mature post thymic T cell lymphoma exhibiting CD10 and CD20 positivity. CD10 expression in primary cutaneous T cell lymphoma in the literature is largely limited to two case reports. CD10, a neutral endopeptidase, cleaves proteins with inflammatory or proinflammatory activity released by dying malignant and benign T cells including those of post thymic origin and may also degrade cytokines which inhibit T‐cell apoptosis. Another unique aspect of our case was CD20 positivity whereby only a small number of prior citations exist, all with a CD8 phenotype as was the case in our patient.</div>
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