A case of clinically aggressive EBV-negative ENKTL in a non-Asian female patient.

IF 0.6 4区 医学 Q4 HEMATOLOGY Journal of Hematopathology Pub Date : 2023-03-01 Epub Date: 2023-01-19 DOI:10.1007/s12308-023-00529-8
Thomas Kent, Gregory Scott, Robert Seifert
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Abstract

Background: The patient was a 65-year-old White woman who presented to dermatology with a painless, rapidly growing exophytic nodule on her left upper cheek.

Aims/purpose: In this case report, we aim to demonstrate the difficulty of diagnosing Epstein-Barr virus-negative extranodal NK cell lymphomas given the broad differential of NK cell lymphomas and the rarity of EBV-negative extranodal NK cell lymphoma.

Methods: Immunohistochemical studies confirmed the diagnosis of cutaneous, extranodal NK cell lymphoma. Interestingly, Epstein-Barr virus in situ hybridization was negative, which is unusual for most NK cell lymphomas.

Results/conclusions: In our view, a combination of immunohistochemistry, clonality assessment, sequencing, and flow cytometric studies is required.

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一例非亚洲女性患者的临床侵袭性 EBV 阴性 ENKTL。
背景:患者是一名65岁的白人女性,因左侧上脸颊出现一个无痛、生长迅速的外生结节而到皮肤科就诊。目的:在本病例报告中,我们旨在说明,鉴于NK细胞淋巴瘤的广泛鉴别以及EBV阴性结节外NK细胞淋巴瘤的罕见性,诊断Epstein-Barr病毒阴性结节外NK细胞淋巴瘤非常困难:免疫组化研究证实了皮肤结节外NK细胞淋巴瘤的诊断。有趣的是,Epstein-Barr病毒原位杂交呈阴性,这在大多数NK细胞淋巴瘤中并不常见:我们认为,需要将免疫组化、克隆性评估、测序和流式细胞术研究结合起来。
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来源期刊
Journal of Hematopathology
Journal of Hematopathology HEMATOLOGYPATHOLOGY-PATHOLOGY
CiteScore
0.80
自引率
0.00%
发文量
45
期刊介绍: The Journal of Hematopathology aims at providing pathologists with a special interest in hematopathology with all the information needed to perform modern pathology in evaluating lymphoid tissues and bone marrow. To this end the journal publishes reviews, editorials, comments, original papers, guidelines and protocols, papers on ancillary techniques, and occasional case reports in the fields of the pathology, molecular biology, and clinical features of diseases of the hematopoietic system. The journal is the unique reference point for all pathologists with an interest in hematopathology. Molecular biologists involved in the expanding field of molecular diagnostics and research on lymphomas and leukemia benefit from the journal, too. Furthermore, the journal is of major interest for hematologists dealing with patients suffering from lymphomas, leukemias, and other diseases. The journal is unique in its true international character. Especially in the field of hematopathology it is clear that there are huge geographical variations in incidence of diseases. This is not only locally relevant, but due to globalization, relevant for all those involved in the management of patients.
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