Assuntos
Bases de Dados Factuais , Linfoma Anaplásico de Células Grandes , Linfoma Cutâneo de Células T , Neoplasias Cutâneas , Feminino , Humanos , Linfoma Anaplásico de Células Grandes/epidemiologia , Linfoma Anaplásico de Células Grandes/etnologia , Linfoma Cutâneo de Células T/epidemiologia , Linfoma Cutâneo de Células T/etnologia , Masculino , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/etnologia , Estados Unidos/epidemiologia , Estados Unidos/etnologiaRESUMO
Anaplastic large cell lymphoma (ALCL) is one of the most common peripheral T-cell lymphomas, and the incidence is higher in blacks than non-Hispanic whites. ALK-positive and ALK-negative ALCL are distinct subtypes that have different characteristics and clinical outcomes. Breast implant-associated ALCL is a rare lymphoma that has a good survival outcome, and a recent study showed that total capsulectomy is essential for treatment. Brentuximab vedotin (BV) is a standard treatment for relapsed/refractory ALCL. The response rate is high at 80-90%; however, once the disease progresses in patients on BV, survival outcome is very poor, with a median overall survival of less than two months.
Assuntos
Imunoconjugados/uso terapêutico , Linfoma Anaplásico de Células Grandes/tratamento farmacológico , Linfoma Anaplásico de Células Grandes/mortalidade , Implantes de Mama/efeitos adversos , Brentuximab Vedotin , Intervalo Livre de Doença , Feminino , Humanos , Imunoconjugados/efeitos adversos , Linfoma Anaplásico de Células Grandes/etnologia , Masculino , Taxa de SobrevidaRESUMO
T-cell lymphoma, a collection of subtypes of Non-Hodgkin lymphoma, is a rare malignancy. The low prevalence of this disease has made it challenging to identify subtype-specific risk factors. Potential risk factors could enable us to identify high-risk patients and predict patient outcomes. Here, we report on the current epidemiologic and prognostic factors data associated with the individual subtypes both of peripheral T-cell lymphoma (PTCL) and cutaneous T-cell lymphoma (CTCL) found in large cohort and case studies. Additionally, with recent findings, as well as updates in the new World Health Organization (WHO) classification of lymphoid neoplasms, we consider what this could do to change our approach to this group of diseases.
Assuntos
Linfoma de Células T/epidemiologia , Fatores Etários , Humanos , Linfoma Anaplásico de Células Grandes/epidemiologia , Linfoma Anaplásico de Células Grandes/etnologia , Linfoma Anaplásico de Células Grandes/patologia , Linfoma de Células T/etnologia , Linfoma de Células T/patologia , Linfoma Cutâneo de Células T/epidemiologia , Linfoma Cutâneo de Células T/etnologia , Linfoma Cutâneo de Células T/patologia , Linfoma de Células T Periférico/epidemiologia , Linfoma de Células T Periférico/etnologia , Linfoma de Células T Periférico/patologia , Razão de Chances , Fatores de Risco , Síndrome de Sézary/epidemiologia , Síndrome de Sézary/mortalidade , Síndrome de Sézary/patologiaRESUMO
CD30 (Ki-1)-positive anaplastic large cell lymphoma (CD30+ ALCL) is a morphologically and immunophenotypically distinct subset of non-Hodgkin's lymphoma. Although the presence of Epstein-Barr virus (EBV) has been well documented in a significant proportion of cases of Hodgkin's disease, another CD30+ malignancy, few studies have examined the association of EBV with CD30+ ALCL. These latter studies have produced conflicting findings. To further investigate the existence of a putative association of EBV with CD30+ ALCL, and whether this association, if present, shows geographic variation, we examined 34 formalin-fixed, paraffin-embedded specimens from cases of CD30+ ALCL from the United States and Hong Kong. Immunophenotypically, 15 cases were of B lineage, 15 cases were of T lineage, one case expressed both B- and T-cell markers, and three were of null lineage. A highly sensitive in situ hybridization method was performed with use of an antisense oligonucleotide probe to the EBV-encoded RNA (EBER-1). EBV-RNA was identified in 3 of 14 CD30+ ALCL specimens from Hong Kong patients and in 1 of 20 from the American patients. The EBER-1 signal was present in all or virtually all of the tumor cell nuclei in the three EBV-RNA-positive CD30+ ALCL Hong Kong cases, but was only focally present in the single EBV-positive American case. The latent membrane protein-1 (LMP1) of EBV was identified in only one of the four positive cases, a Hong Kong case. Our results suggest that in contrast to Hodgkin's disease, EBV has no significant association with CD30+ ALCL.