Region-specific immunological response of the different laryngeal compartments: significance of larynx-associated lymphoid tissue

The occurrence of primary extranodal marginal-zone B-cell lymphoma [of the mucosa-associated lymphoid tissue (MALT) type] has only been described in the supraglottic region, implying that preexistent organized lymphoid tissue is present at that site only. To date, studies have not established clearl...

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Veröffentlicht in:Cell and tissue research 2003-03, Vol.311 (3), p.365-371
Hauptverfasser: Kutta, Hannes, Steven, Philipp, Tillmann, Bernhard N, Tsokos, Michael, Paulsen, Friedrich P
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creator Kutta, Hannes
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Tsokos, Michael
Paulsen, Friedrich P
description The occurrence of primary extranodal marginal-zone B-cell lymphoma [of the mucosa-associated lymphoid tissue (MALT) type] has only been described in the supraglottic region, implying that preexistent organized lymphoid tissue is present at that site only. To date, studies have not established clearly whether organized MALT shows a site-related distribution in the larynx. The supraglottic region of the false vocal folds and the subglottis from 87 unselected cadavers with no known history of nasal, oral, pharyngeal, laryngeal, tracheal, or esophageal disease were examined for the presence of organized MALT. Organized lymphoid tissue was found with the cytomorphological and immunophenotypic features of MALT in 100% of false vocal folds of children and in more than 90% of adolescents, decreasing to 7.1% in persons in their sixth decade, whereas MALT was completely absent in the subglottis in all age groups. The results explain why primary extranodal marginal-zone B-cell lymphoma has only been described in the supraglottic region but is absent in the subglottis. Moreover, the results suggest a region-specific immunological response of the different laryngeal areas as reflected in clinical observations and animal studies. However, the impact on presence or absence of laryngeal MALT awaits clarification.
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subjects Adolescent
Adult
Age Factors
Aged
Child
Child, Preschool
Dendritic Cells - cytology
Dendritic Cells - immunology
Dendritic Cells - metabolism
Female
Fetus
Humans
Immunity, Mucosal - immunology
Immunoglobulin A - metabolism
Immunohistochemistry
Infant
Infant, Newborn
Laryngeal Mucosa - cytology
Laryngeal Mucosa - immunology
Laryngeal Mucosa - metabolism
Laryngitis - immunology
Laryngitis - pathology
Laryngitis - physiopathology
Lymphocytes - cytology
Lymphocytes - immunology
Lymphocytes - metabolism
Lymphoid Tissue - cytology
Lymphoid Tissue - immunology
Lymphoid Tissue - metabolism
Lymphoma, B-Cell, Marginal Zone - immunology
Lymphoma, B-Cell, Marginal Zone - pathology
Lymphoma, B-Cell, Marginal Zone - physiopathology
Macrophages - cytology
Macrophages - immunology
Macrophages - metabolism
Male
Middle Aged
Pregnancy
Sex Factors
Vocal Cords - cytology
Vocal Cords - immunology
Vocal Cords - metabolism
title Region-specific immunological response of the different laryngeal compartments: significance of larynx-associated lymphoid tissue
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