Abstract
AIMS--To evaluate the immunoreactivities of neoplastic and non-neoplastic monocytoid B cells (MBC) and compare them with hairy cell leukemia (HCL) and mantle cell lymphoma (MCL). METHODS--An immunohistochemical study of paraffin wax embedded sections was done on surgically resected specimens of spleens with MBC clusters from patients with gastric cancer (14 cases), tonsils (five cases), and lymph node (two cases) showing lymphoid follicular hyperplasia (LFH), submandibular lymph nodes containing MBC in Sjögren's syndrome (one case). Extranodal organs affected by MCL (three cases) and monocytoid B cell lymphoma (MBCL) (seven cases), and spleens from HCL (four cases) were also studied. These specimens were fixed in 10% formalin and routinely processed for paraffin wax embedding. Fresh spleen specimens from patients with liver cirrhosis (one case) and gastric cancer (seven cases) were snap frozen. RESULTS--Mantle zone lymphocytes were DBA.44, CD74 positive and showed a weaker reaction for CDw75 than marginal zone lymphocytes and MBC, which were almost DBA negative. In neoplastic diseases tumour cells in MCL were DBA.44, CD74, and CDw75 positive. MBCL showed a positive reaction for CD74 and CDw75, but positivity for DBA.44 was observed in only one of seven cases. The HCL specimens, all positive for DBA.44, showed a weaker reaction for CD74 and a stronger reaction for CDw75 than either MCL and MBCL specimens. CONCLUSION--These results show that mantle zone lymphocytes and MCL more closely matched HCL for reactivity to DBA.44 than MBC and MBCL. Reactivities for DBA.44 and CDw75 were greater in MBCL compared with its non-neoplastic counterpart, MBC.
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- Aozasa K., Ohsawa M., Horiuchi K., Mishima K., Kawano K., Ito N. The occurrence of monocytoid B-lymphocytes in the spleen in gastric cancer. Mod Pathol. 1993 Nov;6(6):717–720. [PubMed] [Google Scholar]
- Aozasa K., Ohsawa M., Horiuchi K., Saeki K., Katayama S., Matsuzuka F., Yamamura T. The occurrence of monocytoid B-lymphocytes in autoimmune disorders. Mod Pathol. 1993 Mar;6(2):121–124. [PubMed] [Google Scholar]
- Burke J. S., Sheibani K. Hairy cells and monocytoid B lymphocytes: are they related? Leukemia. 1987 Apr;1(4):298–300. [PubMed] [Google Scholar]
- Hounieu H., Chittal S. M., al Saati T., de Mascarel A., Sabattini E., Pileri S., Falini B., Ralfkiaer E., Le Tourneau A., Selves J. Hairy cell leukemia. Diagnosis of bone marrow involvement in paraffin-embedded sections with monoclonal antibody DBA.44. Am J Clin Pathol. 1992 Jul;98(1):26–33. doi: 10.1093/ajcp/98.1.26. [DOI] [PubMed] [Google Scholar]
- Hsu S. M. Phenotypic expression of B lymphocytes. III. Marginal zone B cells in the spleen are characterized by the expression of Tac and alkaline phosphatase. J Immunol. 1985 Jul;135(1):123–130. [PubMed] [Google Scholar]
- Jansen J., LeBien T. W., Kersey J. H. The phenotype of the neoplastic cells of hairy cell leukemia studied with monoclonal antibodies. Blood. 1982 Mar;59(3):609–614. [PubMed] [Google Scholar]
- Korsmeyer S. J., Greene W. C., Cossman J., Hsu S. M., Jensen J. P., Neckers L. M., Marshall S. L., Bakhshi A., Depper J. M., Leonard W. J. Rearrangement and expression of immunoglobulin genes and expression of Tac antigen in hairy cell leukemia. Proc Natl Acad Sci U S A. 1983 Jul;80(14):4522–4526. doi: 10.1073/pnas.80.14.4522. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schwarting R., Stein H., Wang C. Y. The monoclonal antibodies alpha S-HCL 1 (alpha Leu-14) and alpha S-HCL 3 (alpha Leu-M5) allow the diagnosis of hairy cell leukemia. Blood. 1985 Apr;65(4):974–983. [PubMed] [Google Scholar]
- Sheibani K., Fritz R. M., Winberg C. D., Burke J. S., Rappaport H. "Monocytoid" cells in reactive follicular hyperplasia with and without multifocal histiocytic reactions: an immunohistochemical study of 21 cases including suspected cases of toxoplasmic lymphadenitis. Am J Clin Pathol. 1984 Apr;81(4):453–458. doi: 10.1093/ajcp/81.4.453. [DOI] [PubMed] [Google Scholar]
- Sheibani K., Sohn C. C., Burke J. S., Winberg C. D., Wu A. M., Rappaport H. Monocytoid B-cell lymphoma. A novel B-cell neoplasm. Am J Pathol. 1986 Aug;124(2):310–318. [PMC free article] [PubMed] [Google Scholar]
- Sohn C. C., Sheibani K., Winberg C. D., Rappaport H. Monocytoid B lymphocytes: their relation to the patterns of the acquired immunodeficiency syndrome (AIDS) and AIDS-related lymphadenopathy. Hum Pathol. 1985 Oct;16(10):979–985. doi: 10.1016/s0046-8177(85)80274-4. [DOI] [PubMed] [Google Scholar]
- Stein H., Lennert K., Mason D. Y., Liangru S., Ziegler A. Immature sinus histiocytes. Their identification as a novel B-cell population. Am J Pathol. 1984 Oct;117(1):44–52. [PMC free article] [PubMed] [Google Scholar]
- Stroup R., Sheibani K. Antigenic phenotypes of hairy cell leukemia and monocytoid B-cell lymphoma: an immunohistochemical evaluation of 66 cases. Hum Pathol. 1992 Feb;23(2):172–177. doi: 10.1016/0046-8177(92)90239-y. [DOI] [PubMed] [Google Scholar]
- Traweek S. T., Sheibani K., Winberg C. D., Mena R. R., Wu A. M., Rappaport H. Monocytoid B-cell lymphoma: its evolution and relationship to other low-grade B-cell neoplasms. Blood. 1989 Feb;73(2):573–578. [PubMed] [Google Scholar]
- al Saati T., Caspar S., Brousset P., Chittal S., Caverivière P., Hounieu H., Dastugue N., Idoipe J. B., Icart J., Mazerolles C. Production of anti-B monoclonal antibodies (DBB.42, DBA.44, DNA.7, and DND.53) reactive on paraffin-embedded tissues with a new B-lymphoma cell line grafted into athymic nude mice. Blood. 1989 Nov 15;74(7):2476–2485. [PubMed] [Google Scholar]
- van Krieken J. H., von Schilling C., Kluin P. M., Lennert K. Splenic marginal zone lymphocytes and related cells in the lymph node: a morphologic and immunohistochemical study. Hum Pathol. 1989 Apr;20(4):320–325. doi: 10.1016/0046-8177(89)90040-3. [DOI] [PubMed] [Google Scholar]
- van den Oord J. J., de Wolf-Peeters C., De Vos R., Desmet V. J. Immature sinus histiocytosis. Light- and electron-microscopic features, immunologic phenotype, and relationship with marginal zone lymphocytes. Am J Pathol. 1985 Feb;118(2):266–277. [PMC free article] [PubMed] [Google Scholar]
- van den Oord J. J., de Wolf-Peeters C., Desmet V. J. Hairy cell leukemia: a B-lymphocytic disorder derived from splenic marginal zone lymphocytes? Blut. 1985 Apr;50(4):191–194. doi: 10.1007/BF00320293. [DOI] [PubMed] [Google Scholar]
- van den Oord J. J., de Wolf-Peeters C., Desmet V. J. The marginal zone in the human reactive lymph node. Am J Clin Pathol. 1986 Oct;86(4):475–479. doi: 10.1093/ajcp/86.4.475. [DOI] [PubMed] [Google Scholar]



