Extranodal NK/T-cell lymphoma, nasal type presenting as primary intestinal lymphoma vs intestinal T-cell lymphoma: A borderline diagnostic category in the revised WHO classification

Bibliographic Details
Title: Extranodal NK/T-cell lymphoma, nasal type presenting as primary intestinal lymphoma vs intestinal T-cell lymphoma: A borderline diagnostic category in the revised WHO classification
Authors: Brady E. Beltrán, Mario L. Marques-Piubelli, M. Pilar Quiñones, Esther Cotrina, Eugenio A. Palomino, Johnny Morales, Wilder Ramos, Eduardo M. Sotomayor, Julio C. Chavez, Jorge J. Castillo, Roberto N. Miranda
Source: Human Pathology: Case Reports, Vol 25, Iss , Pp 200534- (2021)
Publisher Information: Elsevier, 2021.
Publication Year: 2021
Collection: LCC:Pathology
Subject Terms: Intestinal lymphoma, NK/T-cell, EBV, T-cell lymphoma, Peripheral T-cell lymphoma, Pathology, RB1-214
More Details: Extranodal NK/T-cell lymphoma, nasal type, is an unusual Epstein-Barr Virus (EBV)-related lymphoma that carries a poor prognosis. Most cases affect upper aerodigestive tract, and secondarily may extend to skin, lungs, testis, and other sites. Extranodal NK/T-cell lymphoma, nasal type, presenting primarily as intestinal lymphoma is rare, and not recognized as a distinct entity and neither is considered as a special subtype of intestinal lymphoma of T-cell lineage. Here, we describe a 36-year-woman who presented with abdominal pain and acute-onset diarrhea. Her clinical course was complicated by intestinal perforation and peritonitis. She died one month later of sepsis. Pathologic examination revealed extranodal NK/T-cell lymphoma, nasal type, confined to the intestine. Immunophenotypically, the neoplastic cells expressed CD3 and Granzyme B, and were positive for EBV-encoded RNA (EBER) by in situ hybridization. From the practical point of view, we highlight the clinical, pathologic and immunophenotypic features that can be useful in the differential diagnosis from other intestinal lymphomas of T-cell lineage.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2214-3300
Relation: http://www.sciencedirect.com/science/article/pii/S2214330021000638; https://doaj.org/toc/2214-3300
DOI: 10.1016/j.ehpc.2021.200534
Access URL: https://doaj.org/article/3f8d29d6b3b948249c4094e6160afc03
Accession Number: edsdoj.3f8d29d6b3b948249c4094e6160afc03
Database: Directory of Open Access Journals
More Details
ISSN:22143300
DOI:10.1016/j.ehpc.2021.200534
Published in:Human Pathology: Case Reports
Language:English