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    Post-transplant T-cell lymphoproliferative disorder/T-cell lymphoma: a report of three cases of T-anaplastic large-cell lymphoma with cutaneous presentation and a review of the literature.

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    Authors
    Coyne, John
    Banerjee, Saumitra S
    Bromley, Michael
    Mills, S
    Diss, T C
    Harris, Martin
    Affiliation
    Department of Histopathology, Withenshawe Hospital, Manchester, UK.
    Issue Date
    2004-04
    
    Metadata
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    Abstract
    AIMS: To report the clinical, pathological and immunohistochemical features of three cases of post-transplant T-cell lymphoproliferative disorder (T-PTLD) T-cell lymphoma with primary cutaneous presentation. METHODS AND RESULTS: Three cases of primary cutaneous post-transplantation anaplastic large-cell lymphomas occurred in renal transplant recipients and were shown to display a T-cell immunophenotype; all were ALK 1 protein and EMA negative and two were Epstein-Barr virus positive using in-situ hybridization. Two displayed a CD4+ phenotype, two were focally CD56+ and all three were negative for the cytolytic enzyme granzyme B. In two cases monoclonality was established by T-cell receptor gene rearrangement study. All presented with nodular cutaneous involvement and all were ultimately fatal. CONCLUSION: T-PTLDs are uncommon histological subtypes both in a general context and associated with cutaneous presentation. Our findings suggest clinicopathological and immunophenotypic similarities to primary cutaneous anaplastic large-cell lymphoma but with a progressive clinical behaviour similar to previously reported T-PTLD and to systemic nodal ALK- anaplastic large-cell lymphoma.
    Citation
    Post-transplant T-cell lymphoproliferative disorder/T-cell lymphoma: a report of three cases of T-anaplastic large-cell lymphoma with cutaneous presentation and a review of the literature. 2004, 44 (4):387-93 Histopathology
    Journal
    Histopathology
    URI
    http://hdl.handle.net/10541/78129
    DOI
    10.1111/j.1365-2559.2004.01847.x
    PubMed ID
    15049906
    Type
    Article
    Language
    en
    ISSN
    0309-0167
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2559.2004.01847.x
    Scopus Count
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    All Christie Publications
    All Paterson Institute for Cancer Research

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