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Abnormal expansions of polyclonal large to small size granular lymphocytes:
reactive or neoplastic process?
G Semenzato, G Pizzolo, A Ranucci, C Agostini, M Chilosi, I Quinti, G De Sanctis, B Vercelli and F Pandolfi
Morphological, immunologic, and functional properties of peripheral blood
cells from two patients with chronic proliferations of granular lymphocytes
are described. Cells from both patients showed a heterogeneous pattern from
both a morphological and immunologic standpoint, indicating a polyclonal,
rather than a monoclonal, expansion of these cells. In fact, both large and
small-to-medium-sized granular lymphocytes were observed, and different
percentages of positivity were found in the analysis with a large panel of
monoclonal antibodies. Serologic and histologic features support the
hypothesis that this lymphocytosis could be secondary to bacterial or viral
infections rather than a primary event, suggesting that these patients may
have chronic reactive immunoregulatory disorders.
Volume 63,
Issue 6,
pp. 1271-1277,
06/01/1984
Copyright © 1984 by The American Society of Hematology

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