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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2006-2-27
pubmed:abstractText
We conducted clinicopathologic and immunohistochemical analyses of the prevalence of Epstein-Barr virus (EBV) among 24 patients with malignant lymphoma complicating systemic rheumatic diseases. (SRD) These 24 patients included 17 with rheumatoid arthritis (RA), 3 with systemic lupus erythematosus (SLE), 2 with systemic sclerosis (SS), and 2 with dermatomyositis (DM). There were 2 men and 22 women ranging in age from 30 to 86 years (mean: 64 years). The interval between the onset of rheumatic disease and that of malignant lymphomas ranged from 3 months to 35 years (mean: 142 months). The use of immunosuppressive drugs before the onset of malignant lymphoma was recorded in 15 patients. Among them, 5 patients received methotrexate (MTX) therapy. Malignant lymphomas were found at extranodal sites in 9 patients, and the disease was in the advanced stage in 17 patients. Histologic and immunohistochemical studies demonstrated that 18 cases (75%) were B-cell lymphoma (RA=12, SLE=2, SS=2, DM=2), 3 (12.5%) were peripheral T-cell lymphoma (RA=3), and 3 (12.5%) were classical Hodgkin lymphoma (RA=2, SLE=1). As in previous reports, there was an increased frequency of diffuse large B-cell lymphoma (50%) in the present series. Moreover, a majority of the diffuse large B-cell lymphomas exhibited activated B-cell phenotype. EBV-encoded small RNAs (Epstein-Barr early region [EBER]-) and/or LMP-1+tumor cells were identified in only 3 cases of classical Hodgkin lymphomas. Our findings suggested EBV-associated lymphoma comprised only a small fraction of all non-Hodgkin's lymphomas in the general SRD patient population.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1066-8969
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
43-8
pubmed:meshHeading
pubmed-meshheading:16501834-Adult, pubmed-meshheading:16501834-Aged, pubmed-meshheading:16501834-Aged, 80 and over, pubmed-meshheading:16501834-Antigens, CD20, pubmed-meshheading:16501834-Arthritis, Rheumatoid, pubmed-meshheading:16501834-Dermatomyositis, pubmed-meshheading:16501834-Epstein-Barr Virus Infections, pubmed-meshheading:16501834-Female, pubmed-meshheading:16501834-Herpesvirus 4, Human, pubmed-meshheading:16501834-Hodgkin Disease, pubmed-meshheading:16501834-Humans, pubmed-meshheading:16501834-Immunohistochemistry, pubmed-meshheading:16501834-Japan, pubmed-meshheading:16501834-Lupus Erythematosus, Systemic, pubmed-meshheading:16501834-Lymphoma, pubmed-meshheading:16501834-Lymphoma, B-Cell, pubmed-meshheading:16501834-Lymphoma, T-Cell, pubmed-meshheading:16501834-Male, pubmed-meshheading:16501834-Middle Aged, pubmed-meshheading:16501834-RNA, Viral, pubmed-meshheading:16501834-Rheumatic Diseases, pubmed-meshheading:16501834-Scleroderma, Systemic
pubmed:year
2006
pubmed:articleTitle
Malignant lymphoma in patients with systemic rheumatic disease (rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, and dermatomyositis): a clinicopathologic study of 24 Japanese cases.
pubmed:affiliation
Department of Pathology and Clinical Laboratories, Gunma Cancer Center Hospital, Ohta, Dokkyo University School of Medicine, Mibu, Japan.
pubmed:publicationType
Journal Article