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Anaplastic large cell lymphoma, CD30/Ki-1 positive, expressing the CD15/Leu-M1 antigen

Immunohistochemical and morphological relationships to Hodgkin's disease

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Summary

In this report we analyze the morphological and immunohistochemical findings observed in 5 cases of CD30/Ki-1 positive anaplastic large cell lymphoma, a recently recognized neoplastic entity. In comparison with the Ki-1 lymphomas so far described, these cases showed a fairly large number of Reed-Sternberg-like cells, often admixed with small lymphocytes and occasional eosinophils. Moreover, in all our cases immunohistochemical reactions detected the CD15/ Leu-M1 antigen, together with markers of the T-lineage and of lymphoid activation. In previous studies the CD15/Leu-M1 antigen has been found in the majority of cases of Hodgkin's disease, but has been stated to be absent typically in Ki-1 lymphomas. Our results indicate that this antigen cannot be considered a reliable tool to distinguish between Ki-1 lymphomas and Hodgkin's disease. Furthermore, the morphological and immunohistochemical findings reported suggest that in some cases Ki-1 cell lymphoma and Hodgkin's disease may be closely related. They may represent different steps in the progression of the same lymphoproliferative disorder.

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References

  • Agnarsson BA, Kadin ME (1988) Ki-1 positive large cell lymphoma. A morphologic and immunologic study of 19 cases. Am J Surg Pathol 12:264–274

    Google Scholar 

  • Al Saati T, Caveriviere P, Gourget B, Delsol G, Gatter KC, Mason DY (1986) Epithelial membrane antigen in hematopoietic neoplasms. Hum Pathol 17:533–534

    Google Scholar 

  • Blaustein JC, Lewkow L (1987) Recurrent “syncitial variant” of Hodgkin's disease: An immunohistologic study. Hum Pathol 18:746–748

    Google Scholar 

  • Cordell JL, Falini B, Erber WN, Ghosh AK, Abdulaziz Z, MacDonald S, Pulford KAF, Stein H, Mason DY (1984) Immunoenzymatic labeling of monoclonal antibodies using immune complexes of alkaline phosphatase and monoclonal anti-alkaline phosphatase (APAAP complexes). J Histochem Cytochem 32:219–229

    Google Scholar 

  • Falini B, Pileri S, Stein H, Dieneman D, Dallenbach F, Delsol G, Minelli O, Poggi S, Martelli F, Pallesen G, Palestro G (1989) Variable expression of leukocyte common (CD45) antigen in CD30 (Ki-1)-positive anaplastic large cell (ALC) lymphomas. Implications in the differential diagnosis between lymphoid and non-lymphoid malignancies. Hum Pathol (in press)

  • Hall PA, D'Ardenne AJ, Stansfeld AG (1988) Paraffin section immunohistochemistry. II. Hodgkin's disease and large cell anaplastic (Ki1) lymphoma. Histopathology 13:161–169

    Google Scholar 

  • Hsu SM, Jaffe ES (1984) Leu M1 and peanut agglutinin stain the neoplastic cells of Hodgkin's disease. Am J Clin Pathol 82:29–32

    Google Scholar 

  • Kadin ME, Sako D, Berliner N, Franklin W, Woda B, Borowitz M, Ireland K, Schweid A, Herzog P, Lange B, Dorfman R (1986) Childhood Ki-1 lymphoma presenting with skin lesions and peripheral lymphadenopathy. Blood 68:1042–1049

    Google Scholar 

  • Meis JM, Osborne BM, Butler JJ (1986) A comparative marker study of large cell lymphoma, Hodgkin's disease and true histiocytic lymphoma in paraffin-embedded tissue. Am J Clin Pathol 86:591–599

    Google Scholar 

  • O'Connor NTJ, Stein H, Gatter KC, Wainscoat JS, Crick J, Al Saati T, Falini B, Delsol G, Mason DY (1987a) Genotypic analysis of large cell lymphomas which express the Ki-1 antigen. Histopathology 11:733–740

    Google Scholar 

  • O'Connor NTJ, Crick JA, Gatter KC, Mason DY, Falini B, Stein H (1987b) Cell lineage in Hodgkin's disease. Lancet i:158

    Google Scholar 

  • Pileri S, Mazza P, Zinzani PL, Poggi S, Poletti G, Tura S, Falini B (1989) Letter to the Editor. Haematologica 74:334–335

    Google Scholar 

  • Second International Workshop on Ki-1 (CD30)+Anaplastic Large Cell Lymphoma Berlin, June 3–4, 1988

  • Sheibani S, Battifora H, Burke JS, Rappaport H (1986) Leu-M1 antigen in human neoplasms — An immunohistologic study of 400 cases. Am J Surg Pathol 10:227–236

    Google Scholar 

  • Shi ZR, Itzkowitz SH, Kim YS (1988) A comparison of three imrmmoperoxidase techniques for antigen detection in colorectal carcinoma tissues. J Histochem Cytochem 36:317–322

    Google Scholar 

  • Stein H, Mason DY, Gerdes J, O'Connor N, Wainscoat J, Pallesen G, Gatter K, Falini B, Delsol G, Lemke H, Schwarting R, Lennert K (1986) The expression of the Hodgkin's disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells. Blood 66:848–858

    Google Scholar 

  • Stein H, Gerdes J, Tippelman G, Dienemann D, Schwarting R, Palescu G, O'Connor NTJ, Falini B, Delsol G, Pileri S (1987) Hodgkin's disease and Ki-1 cell lymphomas: updating of the findings. International Meeting on Genotypic, Phenotypic, and Functional Aspects of Haematopoiesis. Assisi (Italy), April 6–8, 1987

  • Sternberger LA (1986) Immunocytochemistry. 3rd ed., John Wiley & Sons, New York

    Google Scholar 

  • Sundeen JT, Cossman J, Jaffe ES (1988) Lymphocyte predominant Hodgkin's disease nodular subtype with coexistent “large cell lymphoma”. Histological progression or composite malignancy? Am J Surg Pathol 12:599–606

    Google Scholar 

  • Weiss LM, Picker LJ, Copenhaver CM, Warnke RA, Sklar J (1988) Large cell hematolymphoid neoplasms of uncertain lineage. Hum Pathol 19:967–973

    Google Scholar 

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This work has been partially supported by the Italian Association for Cancer Research, Milan Italy

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Rosso, R., Paulli, M., Magrini, U. et al. Anaplastic large cell lymphoma, CD30/Ki-1 positive, expressing the CD15/Leu-M1 antigen. Vichows Archiv A Pathol Anat 416, 229–235 (1990). https://doi.org/10.1007/BF01678982

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  • DOI: https://doi.org/10.1007/BF01678982

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