中华皮肤科杂志 ›› 2014, Vol. 47 ›› Issue (2): 129-131.

• 研究报道 • 上一篇    下一篇

CD8阳性皮肤γ/δ T细胞淋巴瘤一例

董正邦1,张丽华1,张敬东2,潘永正3,赵德明1,王飞4   

  1. 1. 东南大学附属中大医院
    2. 南京东南大学中大医院皮肤科
    3. 东南大学附属中大医院皮肤科
    4. 南京东南大学附属中大医院皮肤科
  • 收稿日期:2013-01-05 修回日期:2013-08-08 出版日期:2014-02-15 发布日期:2014-02-01
  • 通讯作者: 王飞 E-mail:ffwangfei@163.com
  • 基金资助:
    教育部留学回国人员科研启动基金

Cutaneous CD8-positive gamma/delta T-cell lymphoma

  • Received:2013-01-05 Revised:2013-08-08 Online:2014-02-15 Published:2014-02-01
  • Contact: fei wang E-mail:ffwangfei@163.com

摘要: 【摘要】 患者女,44岁。躯干多发斑块、溃疡2个月。皮损初起为红色斑块,迅速破溃形成溃疡。皮肤组织病理检查示真皮全层及皮下脂肪层弥漫中等至较大的淋巴样细胞浸润,细胞明显异形性,亲表皮生长。免疫组化结果显示,异形细胞表达CD3、CD8、CD56、颗粒酶B(GranB)、穿孔素,而TCRα/β、CD4、CD5、CD20和CD79α不表达。EB病毒(EBV)检查阴性。T细胞受体基因重排示γ基因重排阳性。诊断:皮肤γ/δ T细胞淋巴瘤。患者放弃治疗,于发病20个月后死亡。

关键词: 淋巴瘤,T细胞, CD8阳性T淋巴细胞, 病例报告[文献类型]

Abstract: Dong Zhengbang*, Zhang Lihua, Zhang Jingdong, Pan Yongzheng, Zhao Deming, Wang Fei. *Department of Dermatology and Venereology, Zhongda Hospital, Southeast University, Nanjing 210009, China Corresponding author: Wang Fei, Email: ffwangfei@163.com 【Abstract】 A 44-year-old female presented with ulcers and plaques on the trunk for two months. The lesions began as red plaques, and rapidly developed into ulcers. Histopathology revealed an infiltrate of middle to large atypical lymphoid cells throughout the dermis and subcutaneous fat layer along with epidermotropism. Immunohistochemically, the atypical cells showed positive staining for CD3, CD8, CD56, granzyme B, perforin, but negative staining for the α/β chain of T cell receptor, CD4, CD5, CD20 and CD79α. Epstein-Barr virus-encoded RNA (EBER) was undetected. PCR confirmed the rearrangement of TCR-γ gene. According to the above findings, a diagnosis of cutaneous γ/δ T-cell lymphoma was made. The patient gave up therapy, and died 20 months after the onset of disease.

Key words: Lymphoma, T-cell, CD8-positive T-lymphocytes, Case reports [Publication types]

中图分类号: 

  • R751