Anaplastic large cell lymphoma of the mediastinum diagnosed by transbronchial scratch cytology: A case report

Anaplastic large cell lymphoma (ALCL) is a subtype of non-Hodgkin's lymphoma characterized by CD30 antigen-positive, large neoplastic cells. We describe a case of ALCL suggested by cytologic examination of the tumor cells obtained from bronchial scratch preparations. A 26-year-old woman had had...

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Veröffentlicht in:Acta cytologica 2002-03, Vol.46 (2), p.405-411
Hauptverfasser: KAYAO, Junko, TAMARU, Jun-Ichi, WAKITA, Hisasi, SAITOU, Tadasi, KUZUU, Yoshihiko, MIKATA, Atsuo, TANAKA, Noboru
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container_issue 2
container_start_page 405
container_title Acta cytologica
container_volume 46
creator KAYAO, Junko
TAMARU, Jun-Ichi
WAKITA, Hisasi
SAITOU, Tadasi
KUZUU, Yoshihiko
MIKATA, Atsuo
TANAKA, Noboru
description Anaplastic large cell lymphoma (ALCL) is a subtype of non-Hodgkin's lymphoma characterized by CD30 antigen-positive, large neoplastic cells. We describe a case of ALCL suggested by cytologic examination of the tumor cells obtained from bronchial scratch preparations. A 26-year-old woman had had a dry cough since November 1996. Chest radiography in May 1997 revealed an abnormal shadow in the mediastinum extending to the pulmonary hilar region. The patient was hospitalized in June 1997. Computed tomography revealed a neoplastic lesion in the anterior mediastinum invading the right lung. Transbronchial scratch cytology revealed large, atypical lymphoid cells expressing CD30 and CD3 on immunocytochemical examination. A transcutaneous mediastinal biopsy was performed and a diagnosis of ALCL made. Differentiation from Hodgkin's disease was the most difficult point in this case. Detailed cytologic observation and CD3-positive immunocytology led to the correct diagnosis. The cell transfer technique of Sherman et al was very useful for immunocytologic staining. Thus, transbronchial scratch cytology was an especially valuable and effective procedure in this case.
doi_str_mv 10.1159/000326741
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subjects Adult
Biological and medical sciences
Biopsy
Bronchi - pathology
Diagnosis, Differential
Female
Hematologic and hematopoietic diseases
Hodgkin Disease - diagnosis
Hodgkin Disease - pathology
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, Large-Cell, Anaplastic - diagnosis
Lymphoma, Large-Cell, Anaplastic - pathology
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - pathology
Medical sciences
title Anaplastic large cell lymphoma of the mediastinum diagnosed by transbronchial scratch cytology: A case report
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