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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1994-4-22
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pubmed:abstractText |
Tissue eosinophilia is commonly seen in Hodgkin's disease and non-Hodgkin's lymphomas of T-cell lineage. In contrast, eosinophilia is infrequent in non-Hodgkin's lymphomas of B-cell origin. We describe five-B-cell lymphomas with exuberant tissue eosinophils. According to the Working Formulation, three were classified as large-cell immunoblastic, one as small lymphocytic lymphoma/chronic lymphocytic leukemia, and one as low-grade, not further subclassified, with features of monocytoid B-cell lymphoma. Immunophenotypic studies in each case revealed B-cell lineage; neoplastic cells expressed monotypic immunoglobulin light chain (four of five cases) or pan-B-cell antigens (five of five cases) and were negative for T-cell antigens. Southern blot hybridization in one case revealed immunoglobulin gene rearrangements, further confirming B-cell lineage. Eosinophilopoiesis is stimulated by interleukin 5 (IL-5), and Epstein-Barr virus (EBV) has been shown to upregulate IL-5 production. Therefore, both EBV infection and IL-5 expression were investigated as possibly pathogenetic mechanisms for the eosinophilia. However, both in situ hybridization studies for EBV mRNA and IL-5 mRNA were negative in the neoplastic cells. In one tumor, IL-5 was abundant in the cytoplasm of the eosinophils, a pattern similar to that seen in five cases of Hodgkin's disease studied with the same technique. Although rare, marked tissue eosinophilia may be associated with B-cell non-Hodgkin's lymphomas. Immunophenotypic or molecular genetic analyses are needed to make the correct diagnosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0147-5185
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
347-56
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8141429-Adult,
pubmed-meshheading:8141429-Eosinophilia,
pubmed-meshheading:8141429-Female,
pubmed-meshheading:8141429-Herpesvirus 4, Human,
pubmed-meshheading:8141429-Humans,
pubmed-meshheading:8141429-Immunophenotyping,
pubmed-meshheading:8141429-In Situ Hybridization,
pubmed-meshheading:8141429-Interleukin-5,
pubmed-meshheading:8141429-Leukemia, Lymphocytic, Chronic, B-Cell,
pubmed-meshheading:8141429-Lymphoma, B-Cell,
pubmed-meshheading:8141429-Lymphoma, Large-Cell, Immunoblastic,
pubmed-meshheading:8141429-Lymphoma, Non-Hodgkin,
pubmed-meshheading:8141429-Male,
pubmed-meshheading:8141429-Middle Aged
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pubmed:year |
1994
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pubmed:articleTitle |
Malignant lymphomas of B-cell lineage with marked tissue eosinophilia. A report of five cases.
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pubmed:affiliation |
Hematopathology Section, National Cancer Institute, Bethesda, Maryland 20892.
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pubmed:publicationType |
Journal Article,
Case Reports
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