Epstein-Barr Virus-Associated Primary Central Nervous System Lymphoma in the Japanese Population

被引:21
作者
Kitai, Ryuhei [1 ]
Matsuda, Ken [1 ]
Adachi, Erika [1 ]
Saito, Yasushi [1 ]
Nakajima, Tsuyoshi [1 ]
Takeuchi, Hiroaki [1 ]
Sato, Kazufumi [1 ]
Imamura, Yoshiaki [2 ]
Kubota, Toshihiko [1 ]
机构
[1] Univ Fukui, Fac Med Sci, Dept Neurosurg, Eiheiji, Fukui 9101193, Japan
[2] Univ Fukui Hosp, Div Surg Pathol, Fukui, Japan
关键词
Epstein-Barr virus; Japan; immunocompromised patient; primary central nervous system lymphoma; ACQUIRED-IMMUNODEFICIENCY-SYNDROME; NON-HODGKINS-LYMPHOMA; BRAIN LYMPHOMA; EBV INFECTION; IMMUNOCOMPETENT; HYBRIDIZATION; CHEMOTHERAPY; INDIVIDUALS; CARCINOMAS; EXPRESSION;
D O I
10.2176/nmc.50.114
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The incidence of Epstein-Barr virus (EBV)-associated primary central nervous system (CNS) lymphoma in Japan was assessed using in situ hybridization of EBV-encoded small ribonucleic acid-1 (EBER-1) to identify the presence of EBV in 22 cases of formalin-fixed and paraffin-embedded primary CNS lymphoma. All cases were B-cell lymphoma. EBER-1 expression was observed in the nuclei of 3 of 22 primary CNS lymphoma cases (13.6%). The incidence of EBV-positive lymphoma in Japanese cases is higher than previously reported from Western countries. Patients with EBV-positive primary CNS lymphoma showed shorter survival than those with negative tumors (median 4 months vs. 26 months). EBER-1 in situ hybridization for the detection of EBV infection is rapid and reliable. Infrequent association suggests a different pathogenetic mechanism in the evolution of these tumors. Geographical differences in the incidence of EBV-associated primary CNS lymphoma may reflect epidemiological factors.
引用
收藏
页码:114 / 118
页数:5
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