恶性淋巴瘤:病理形态学及实验。

G Kelényi, L Pajor, G Csanaky
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摘要

在过去的15年里,在恶性淋巴瘤的病理形态学诊断、患者的临床随访和治疗方面取得了重大进展。诊断建立在功能形态学基础上(免疫组织学)。新方法在鉴定新型分子方面取得了进展。根据淋巴瘤参考中心登记的大量病例,可以确定具体的有机分布。MALT型滤泡周围b细胞mls常见于胃肠道,在Waldeyer环和淋巴结中少见。流式细胞术检测细胞DNA含量被证明是非常有用的诊断mls,因此可能的非整倍体和增殖活性的测定分别。这些参数具有预测意义。淋巴细胞的再循环可能在nHmls的传播中起作用。基于淋巴细胞与高内皮毛细血管后小静脉内皮细胞的相互作用(粘附),可以进行免疫形态学(体外)试验研究。我们的观察表明,b细胞CLL和浆细胞白血病的克隆细胞表现出内皮粘附性,而骨髓瘤的多种细胞则没有。
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[Malignant lymphomas: pathomorphology and experiment].

The last fifteen years have provided a significant development in pathomorphological diagnosis of malignant lymphomas (ml), in clinical fellow-up of patients and in its therapy. Diagnosis is built on functional morphological basis (immunohistology). New methods have reslited in identification of new types of mls. On the basis of high number of cases registered in Lymphoma Reference Centre, specific organic distribution new entities can be determined. Perifollicular B-cellular mls of MALT type are frequent in gastrointestinal tract and are rare in Waldeyer ring and in lymph nodes. Flow cytometric determination of DNA content of cells proved to be very useful in diagnostics of mls, so the probably determination of aneuploid and proliferative activity, respectively. These parameters are of prognostic significance. Recirculation of lymphocytes may play a role in dissemination os nHmls. It can be studied in immunomorphological (in vitro) test ased on the interaction (adherence) of lymphocytes and of endothelial cells of high endothelial postcapillary venule. Our observations present that B-cellular CLL and clonal cells of plasma cellular leukemia show endothelial adherence, while multiple cells of myeloma do not.

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