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. Author manuscript; available in PMC: 2018 Jun 1.
Published in final edited form as: Am J Surg Pathol. 2017 Jun;41(6):795–800. doi: 10.1097/PAS.0000000000000823

Table 1.

Clinical and Biological Features of GLPD

Current Case 1 Current Case 2 Lit Case 1 Lit Case 2 Lit Case 3 Lit Case 4 Lit Case 5 Lit Case 6
Reported by Du et al., 2002 Du et al., 2002 Du et al., 2002 D’antonio Antonio et al., 2007 Oh et al., 2012 Taris et al., 2014
Age
(years)/sex
84/Female 58/ Male 41/Male 61/Male 63/Female 60/Male 75/Male 49/Female
Clinical
presentation
Multifocal bulky
lymphadenopathy
involving left common
femoral (largest node, 5 ×
3.7 cm), common,
external, and internal iliac
chain lymph nodes and
right axillary lymph nodes
10-year-history of
localized right axillary
mass, extending to
chest wall, slowly
growing (26 ×16 × 11
cm). Mild
splenomegaly, no B
symptoms
Axillary (6 × 6 × 6 cm)
and cervical lymph
node enlargement for 6
years; staging revealed
right perirenal
lymphadenopathy;
bone marrow trephine
and aspirate were
normal
Submandibular and
inguinal lymph node
enlargement for 4
years; staging
showed slightly
enlarged spleen and
right “paratracheal”
lymphadenopathy
Presented with
left leg swelling
and
paraesthesia;
enlarged
paraaortic
lymph node (5
× 4 × 3.5 cm)
Cervical
lymphadenopathy
(2.8 ×1.2 cm); no
other
lymphadenopathy;
post-operative
radiological
studies and
bilateral bone
marrow biopsies
were normal
Incidental (3 × 2.5 ×
1.5 cm) mass in the
neck; enlarged, solid,
enhancing lymph
node with an
increased FDG
uptake in left
submandibular area;
1.5 cm partially cystic
lymph node in left
cervical level II area;
bilateral bone marrow
trephine and aspirate
were normal
Right jugulo-cervical
isolated nodal mass,
slowly evolving for 4
months; no systemic
symptoms; 9 nodes
including two nodes
(greater than 3.5 cm ×
3 cm)
Viral
serology
KSHV+ EBV+ HCV−
HIV−
KSHV+ EBV+ HIV+ KSHV+ EBV+ HCV+
HIV−
KSHV+ EBV+ HIV− Not available KSHV+ EBV+
HIV−
KSHV+ EBV+ HIV− KSHV+ EBV+ HIV−
HBV− HCV− HTLV1−
HTLV2−
Treatment 6 cycles of CHOP Resection 6 cycles of CHOP Surgical excision
and radiotherapy
Not available 4 cycles of CHOP Surgical excision and
radiotherapy
Outcome Complete remission after
6 months
Subsequent EBV+
DLBCL (HHV8−)
Patient expired, exact
date unknown.
Complete remission for
7 years
Complete remission
for 15 years
NA No clinical
evidence of
relapse after 2
years
Remained disease-
free for 19 months
Complete remission
for more than 1 year
B-cell
antigens
CD20− PAX5− CD79a−
CD138− BCL6− CD10−,
MUM1+, EMA+ focal,
CD30−
CD20− PAX5− BCL6−
MUM1+, CD10−
CD30−
CD20− CD79a− CD138−
CD38−BCL6− CD10−
CD27− CD30−
CD20− CD79a−
CD138− CD38+
BCL6− CD10− EMA−
CD27− CD30+
CD20−
CD79a−
CD138−
CD38+ BCL6−
CD10− EMA−
CD27− BCL2−
CD30−
CD20− CD79a−
CD138− BCL6−
CD10− CD22−
BCL2− CD19−
CD45− CD30−
CD20− CD79a−
CD138+ CD10−
EMA+ CD30−
CD20− PAX5−
CD79a− CD138−
CD38+ weak, EMA+
MUM1+ BOB1+
OCT2+ BCL2+ CD30−
T/NK cell &
other
antigens
CD56− ALK1− CD3+
partial, CD5− CD43+
partial, CD7− CD4− CD8−
CD3+ partial, CD5−
CD4− CD8− CD2−
ND ND ND ND CD3− CD5− CD43+
CD15− CD21− CD23−
CD45− CD56− CD68−
S100−
ALK1− CD3− CD15−
CD21− CD23− CD45−
CD56− CD68− S100−
Viral
Antigens
vIL-6+ LANA+ EBER+
LMP1− EBNA2− BZLF1−
vIL-6+ LANA+ EBER+
LMP1− EBNA2−
BZLF1−
largely vIL-6+ LANA+
EBER+
largely vIL-6+
LANA+ EBER+
largely vIL-6+
LANA+ EBER+
LANA+ EBER+ HHV8+ EBER+ HHV8+ EBER+
Ig light
chain
None None lambda lambda kappa kappa kappa lambda
Ig heavy
chain
Not done Not done IgM+ D+ IgA+ IgM− IgD−
IgG− IgA−
IgM+ Not done Not done
IG Clonality
by PCR
Polyclonal for both B and
T cell gene
rearrangements
No amplification Weak dominant band in
a polyclonal
background
PCR failed Polyclonal Polyclonal Not done Polyclonal