Clinicopathologic Analysis of 22 Cases of Subcutaneous Panniculitis-Like CD56- or CD56+ Lymphoma and Review of 44 Other Reported Cases

Morishige Takeshita, Shuhei Imayama, Yumi Oshiro, Kenji Kurihara, Sumika Okamoto, Yasumasa Matsuki, Yutaka Nakashima, Takashi Okamura, Motoaki Shiratsuchi, Toru Hayashi, Masahiro Kikuchi

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33 Citations (Scopus)

Abstract

In 22 histologic cases of subcutaneous panniculitis-like lymphoma, we studied the clinicopathologic differences between CD56- and CD56+ cases (11 each). CD56- cases had skin ulcers (1 [9%]); tumor invasion in the superficial dermis (1 [9%]); erythrophagocytosis (10 [91%]); and medium-sized (11 [100%]), CD8+ (10 [91%]), T-cell receptor (TcR)βF1 + (10 [91%]), and CD95 (Fas)- tumor cells. CD56+ cases had skin ulcers (9 [82%]); tumor invasion in the superficial dermis (8 [73%]); erythrophagocytosis (1 [9%]); and pleomorphic large (10 [91%]), CD8+ (2/10 [20%]), TcRβF1 + (3/10 [30%]), and CD95 (Fas) + (7/10 [70%]) tumor cells. These 7 factors were significantly different between groups (P < .01) Median survival rates were 96 and 12 months for the CD56- and CD56+ groups, respectively. Age younger than 40 years, no skin ulcers, no tumor invasion in the superficial dermis, and CD8+, TcRβF1 +, CD95 (Fas)-, and CD56- tumor cells were significantly better prognostic factors (P < .01). The CD56- and CD56+ groups showed different tumor cell characteristics, clinicopathologic findings, and prognosis. In the CD56+ group, 1 was γ/δ T-cell phenotype, 3 were α/β T-cell, and 6 were TcRβF1- and γ/δ- NK/T-cell, and 3 NK/T-cell cases had nuclear signals of Epstein-Barr virus-encoded RNA. Cases of CD56+ T- and NK/T-cell lymphoma had similar clinicopathologic findings and prognosis.

Original languageEnglish
Pages (from-to)408-416
Number of pages9
JournalAmerican Journal of Clinical Pathology
Volume121
Issue number3
DOIs
Publication statusPublished - Mar 2004

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All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine

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