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Detection of Epstein-Barr virus DNA and expression of CD30 antigen in primary anaplastic diffuse large B-cell lymphoma of the brain

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Abstract

We describe a case of primary anaplastic diffuse large-cell lymphoma arising in the central nervous system (CNS). Primary CD30-positive anaplastic diffuse large B-cell lymphoma of the brain is very rarely reported. Given that this tumor is immunohistochemically heterogeneous, polymerase chain reaction (PCR) and Epstein-Barr virus (EBV) analysis of tumor DNA are essential techniques for early and accurate histological diagnosis in these CD30-positive cerebral lymphoma cases. We report an early CD30- and EBV-positive anaplastic diffuse large B-cell lymphoma in the CNS that was diagnosed not only from the immunohistochemical study and MRI findings, but also from the genotype confirmations. This tumor was documented to have EBV episomes of monoclonal origin by PCR analysis of immunoglobulin gene rearrangement.

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References

  1. Bergmann M, Edel G (1991) Primare intrazerebrale non-Hodgkin-lymphome. Pathologe 12:246–253

    PubMed  CAS  Google Scholar 

  2. Feldges A, Gerhard L, Reinhardt V, et al, (1992) Primary cerebral anaplastic T-cell lymphoma (type Ki-1): review and case report. Clin Neuropathol 11:55–59

    PubMed  CAS  Google Scholar 

  3. Goldbrunner R, Warmuth-Metz M, Tonn J-C, et al, (1996) Primary Ki-1—positive T-cell lymphoma of the brain—an aggressive subtype of lymphoma: case report and review of the literature. Surg Neurol 46:37–41

    Article  PubMed  CAS  Google Scholar 

  4. Havlioglu N, Manepalli A, Galindo L, et al (1995) Primary Ki-1 (anaplastic large cell) lymphoma of the brain and spinal cord. Am J Clin Pathol 103:496–499

    PubMed  CAS  Google Scholar 

  5. Jellinger KA, Paulus W (1992) Primary central nervous system lymphomas—an update. J Cancer Res Clin Oncol 119:7–27

    Article  PubMed  CAS  Google Scholar 

  6. MacMahon EME, Glass JD, Hayward SD, et al (1991) Epstein-Barr virus in AIDS-related primary central nervous lymphoma Lancet 338:969–973

    Article  PubMed  CAS  Google Scholar 

  7. Miyazono M, Iwaki T, Tateishi J, et al (1992) Anaplastic large cell Ki-1 lymphoma in the central nervous system: report of an autopsy case. Acta Neuropathol 84:577–580

    Article  PubMed  CAS  Google Scholar 

  8. Paulus W, Ott MM, Strik H, et al (1994) Large cell anaplastic (Ki-1) brain lymphoma of T-cell genotype. Hum Pathol 25:1253–1256

    Article  PubMed  CAS  Google Scholar 

  9. Ambinder RF, Browing PJ, Lorenzana I, et al (1993) Epstein-Barr virus and childhood Hodgkin's disease in Honduras and the United States. Blood 81:462–467

    PubMed  CAS  Google Scholar 

  10. Wan JH, Sykes PJ, Orell SR, et al (1992) Rapid method for detecting monoclonality in B-cell lymphoma in lymph node aspirates using the polymerase chain reaction. J Clin Pathol 45:420–423

    PubMed  CAS  Google Scholar 

  11. Klein R, Mullges W, Bendszus M, et al (1999) Primary intracerebral Hodgkin's disease. Report of a case. Epstein-Barr virus association and review of the literature. Am J Surg Pathol 23:477–481

    Article  PubMed  CAS  Google Scholar 

  12. Stansfeld AG, Diebold J, Kapanci Y, et al (1988) Update Kiel classification for lymphomas Lancet 1:292–293

    Article  PubMed  CAS  Google Scholar 

  13. Herbst H, Dallenbach F, Hummel M, et al (1991) Epstein-Barr virus DNA and latent gene products in Ki1 (CD30)-positive anaplastic large cell lymphomas. Blood 78:2666–2673

    PubMed  CAS  Google Scholar 

  14. Segal GH, Kjeldsberg CR, Smith GP, et al (1994) CD30 antigen expression in florid immunoblastic proliferations: a clinicopathologic study of 14 cases. Am J Clin Pathol 102:292–298

    PubMed  CAS  Google Scholar 

  15. Lai R, Medeiros LJ, Dabbagh L, et al (2000) Sinusoidal CD30-positive large B-cell lymphoma: a morphologic mimic of anaplastic large cell lymphoma. Mod Pathol 13:223–228

    Article  PubMed  CAS  Google Scholar 

  16. Morgello S (1995) Pathogenesis and classification of primary central nervous system lymphoma: an update. Brain Pathol 5:383–393

    PubMed  CAS  Google Scholar 

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Shimura, T., Sugisaki, Y., Fukino, K. et al. Detection of Epstein-Barr virus DNA and expression of CD30 antigen in primary anaplastic diffuse large B-cell lymphoma of the brain. Brain Tumor Pathol 18, 161–165 (2001). https://doi.org/10.1007/BF02479431

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  • DOI: https://doi.org/10.1007/BF02479431

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