Angioimmunoblastic T-Cell lymphoma: A critical analysis of clinical, morphologic and immunophenotypic features.

dc.contributor.authorBal, Munita
dc.contributor.authorGujral, Sumeet
dc.contributor.authorGandhi, Jatin
dc.contributor.authorShet, Tanuja
dc.contributor.authorEpari, Sreedhar
dc.contributor.authorSubramanian, P G
dc.date.accessioned2012-09-27T08:11:29Z
dc.date.available2012-09-27T08:11:29Z
dc.date.issued2010-10
dc.description.abstractBackground: Angioimmunoblastic T-cell lymphoma (AITL), a subtype of peripheral T-cell lymphoma (PTCL), is characterized by unique clinical and biological features. Its diagnosis remains a challenge as clinical presentation as well as pathologic findings are frequently misleading. Material and Methods: We retrospectively analyzed the clinical, morphological and immunophenotypic spectrum of 17 cases of histologically proven AITL. Result: The mean age was 54 years and male to female ratio was 2.4. Common clinical features included generalized lymphadenopathy (60%), hepatomegaly (70%), splenomegaly (50%), anemia (80%) and polyclonal hypergammaglobulinemia (100%). Microscopically, three architectural patterns; pattern I (6%), pattern II (41%) and pattern III (53%) were observed. Bone marrow infiltration was seen in 60% cases and 30% cases revealed plasmacytosis. Absence of follicles, polymorphous infiltrate, extra-follicular follicular dendritic cell (FDC) proliferation, high endothelial venules (HEV) prominence and neoplastic T-cells were the diagnostic features of AITL. CD10 positivity (47%), clear cells in the background (59%) admixture with large size CD20+ B-immunoblasts (35%) and bone marrow plasmacytosis (50%) were common observations. Conclusion: Awareness of various morphological and immunophenotypic complexities of AITL and distinction from reactive adenopathies and other types of lymphomas that mimic AITL is underscored in this study.en_US
dc.identifier.citationBal Munita, Gujral Sumeet, Gandhi Jatin, Shet Tanuja, Epari Sreedhar, Subramanian P G. Angioimmunoblastic T-Cell lymphoma: A critical analysis of clinical, morphologic and immunophenotypic features. Indian Journal of Pathology & Microbiology. 2010 Oct-Dec; 53(4): 640-645.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/141778
dc.language.isoenen_US
dc.source.urihttps://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=4;spage=640;epage=645;aulast=Balen_US
dc.subjectAngioimmunoblastic T-cell lymphomaen_US
dc.subjectimmunohistochemistryen_US
dc.subjectmorphologyen_US
dc.titleAngioimmunoblastic T-Cell lymphoma: A critical analysis of clinical, morphologic and immunophenotypic features.en_US
dc.typeArticleen_US
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