Monomorphic epitheliotropic intestinal T-cell lymphoma in pleural effusion: A case report

被引:9
作者
Antoniadou, F. [1 ]
Dimitrakopoulou, A. [2 ]
Voutsinas, P. M. [3 ]
Vrettou, K. [1 ]
Vlahadami, I. [3 ]
Voulgarelis, M. [3 ]
Korkolopoulou, P. [4 ]
Kafasi, N. [2 ]
Mikou, P. [1 ]
机构
[1] Laiko Hosp, Dept Cytopathol, Athens, Greece
[2] Laiko Hosp, Dept Immunol, Athens, Greece
[3] Univ Athens, Sch Med, Laiko Hosp, Dept Pathophysiol, Athens, Greece
[4] Univ Athens, Sch Med, Laiko Hosp, Dept Histopathol, Athens, Greece
关键词
cytology; effusion; lymphoma; MEITL; pleural; CYTOLOGIC DIAGNOSIS; FLOW-CYTOMETRY; FEATURES; ASCITES;
D O I
10.1002/dc.23772
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Dissemination of lymphomas in serous effusions is quite common. Cytology aims to contribute in the clinical management of haematologic patients, providing an accurate and rapid diagnosis. Ancillary techniques such as immunocytochemistry and flow cytometry are essential to classify the lymphoma entity. Comprehensive awareness of the clinical picture and previous histologic documentation are essential for a lymphomatous effusion diagnosis. We report an unusual case of monomorphic epitheliotropic intestinal T-cell lymphoma, formerly known as enteropathy associated T-cell lymphoma (EATL) type II, spreading in the pleural cavity. Cell morphology and immunohistochemistry of the pleural fluid were consistent with the histology of a jejunal tumor previously excised. Flow cytometry data were consistent, though not pathognomonic for the disease. Serous effusions with evidence of lymphoma involvement should be thoroughly examined with cytology and adjuvant techniques to provide diagnosis for proper therapeutic strategies.
引用
收藏
页码:1050 / 1054
页数:5
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