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Indian J Pathol Microbiol ; 2008 Jul-Sep; 51(3): 315-22
Article Dans Anglais | IMSEAR | ID: sea-72871

Résumé

We present clinical features, histopathology and results of treatment in cases of mantle cell lymphoma (MCL) at our hospital. We had 93 cases (2.1%) of MCL out of total 4301 cases of non-Hodgkin's lymphoma (NHL) in a 4-year period. It included 68 cases (1.7%) of MCL from 3987 cases of NHL diagnosed on histopathology. Remaining 25 cases (7.9%) diagnosed solely on peripheral blood examination were excluded. Thirty-six (85%) patients had advanced-stage disease. Sixty-three were nodal and five were extranodal (all gastrointestinal tract). Common patterns were diffuse (64%), nodular (25%) and mantle zone type (11%). Sixty-two cases had lymphocytic while six had blastic morphology (all nodal). Tumor cells expressed CD20 (100%), CD43 (94%), CD5 (89%) and cyclin D1 (85%). Bone marrow was involved in 25 (59%) cases. Thirty-two patients could be treated. Median recurrence-free survival was 22.23 months. Diffuse pattern of nodal involvement had a lower overall survival.


Sujets)
Adulte , Sujet âgé , Antigènes CD20/biosynthèse , Antigènes CD43/biosynthèse , Antigènes CD5/biosynthèse , Antinéoplasiques/usage thérapeutique , Moelle osseuse/anatomopathologie , Cycline D1/biosynthèse , Femelle , Tube digestif/anatomopathologie , Hôpitaux , Humains , Inde , Lymphome à cellules du manteau/traitement médicamenteux , Mâle , Adulte d'âge moyen , Analyse de survie
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