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New immunohistochemistry for B-cell lymphoma and Hodgkin lymphoma.

B细胞淋巴瘤和霍奇金淋巴瘤新的免疫组织化学标记

Abstract

B-cell non-Hodgkin lymphoma is a heterogeneous group of lymphoproliferative malignancies with different clinical behaviors and treatments. It is important to differentiate individual B-cell lymphoma to apply the best treatment and management. Morphology and immunohistochemistry are the primary tools used for diagnosing lymphoma. There is a characteristic pattern of expression with immunohistochemical antibodies in most well-defined B-cell lymphomas. Some cases of B-cell lymphoma, however, show unusual morphologic and immunophenotypic features. The new and sometimes more specific antibodies have been developed recently, which may further define those lymphomas. Only with use of the antibodies over time does their true nature and specificity become evident.
To present new antibodies for B-cell lymphoma that enhance the probability for diagnosis or can act as alternate markers in unusual cases, in which a B-cell lymphoma does not present with characteristic immunohistochemical staining, and to present prognostic markers that allow for better management of patients with specific B-cell lymphomas.
Data were obtained from literature review and figures from slides in personal practice.
The immunohistochemical antibodies presented in this article increase our ability to understand, diagnosis, and manage patients with B-cell lymphoma.

摘要

非霍奇金B细胞淋巴瘤是淋巴增殖性恶性肿瘤中的一组异质性疾病,各自的临床行为和治疗方法不同。鉴别不同类别的B细胞淋巴瘤以给患者提供最好的治疗和处理相当重要。形态学和免疫组织化学是用于诊断淋巴瘤的主要方法。大多数定义明确的B细胞淋巴瘤有典型的免疫组织化学抗体表达模式。但一些B细胞淋巴瘤病例呈现罕见形态学和免疫表型特征。最近开发了一些新的、某种程度上更为特异的抗体,这些抗体可进一步界定那些诊断困难的淋巴瘤病例。这些抗体只有经过长期使用,才能显示其真正的性质和特异性。

新的B细胞淋巴瘤抗体能提高诊断明确的比例,或作为罕见病例的替代标记,用于那些不呈现典型免疫组织化学染色特征的B细胞淋巴瘤。还有一些用于特殊类型B细胞淋巴瘤患者的预后标记以更好的对患者进行治疗。

数据来自文献复习,图片来自作者工作中收集的组织切片。

本文提到的免疫组织化学抗体提高了我们理解、诊断和处理B细胞淋巴瘤患者的能力。

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