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Mediastinal lymphoma of clear cell type is a tumor corresponding to
terminal steps of B cell differentiation
P Moller, G Moldenhauer, F Momburg, B Lammler, M Eberlein-Gonska, S Kiesel and B Dorken
This article reports eight primary mediastinal tumors occurring in young
adults (19 to 43 years, mean 29.4 years), predominantly female (six of
eight) adults. Most patients responded badly to aggressive therapy.
Progression is presently noted in one patient; five patients died 10, 11,
13, 18, and 22 months after diagnosis. No patient developed leukemia. The
tumors were highly proliferative, had a diffuse growth pattern, and
comprised clear cells of variable size. They could not be classified
histologically, but could, however, be immunohistologically characterized
as B cell lymphomas. In all cases, the immunophenotype was LC+, cALLa-,
CD19+, CD20+, CD21-, Ig (surface/cytoplasm)-, and PC-1+. In addition, the
neoplastic cells exhibited variable defects in the expression of HLA-A,B,C
and HLA-DR and inconstant expression of other B cell-restricted/associated
antigens. This combination of immunophenotypical and clinical features
suggests that the mediastinal clear cell lymphoma (MCCL) is a previously
undescribed type of B cell lymphoma corresponding to the terminal steps of
B cell differentiation.
Volume 69,
Issue 4,
pp. 1087-1095,
04/01/1987
Copyright © 1987 by The American Society of Hematology

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