Gastrointestinal lymphomas. Immunohistologic study of 23 cases

Am J Clin Pathol. 1987 Dec;88(6):707-12. doi: 10.1093/ajcp/88.6.707.

Abstract

Twenty-three primary gastrointestinal lymphomas were studied morphologically and immunologically on fresh frozen tissue, and on cell suspension for 16 of them. Polyclonal antibodies reactive with immunoglobulin chains and a panel of 16 monoclonal antibodies reactive with B- and T-cells, histiocytes, and epithelial cells were used. According to the Working Formulation, 5 cases were low grade, 12 intermediate grade, and 5 high grade; 1 case was an extramedullary plasmocytoma. Forty-seven percent were large cell lymphomas and 13% follicular lymphomas. There were 20 (86%) B-cell lymphomas and 2 T-cell lymphomas; one case lacked detectable markers for B-, T-, or histiocytic cells. Monoclonality was demonstrated in 13 out of the 20 B-cell lymphomas, whereas the other 7 expressed pan-B antigens. It is concluded that immunologic studies on frozen surgical material are of precise diagnostic value in gastrointestinal lymphomas, whereas fixed endoscopic biopsies only permit the distinction between lymphomas and undifferentiated carcinomas.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Monoclonal
  • Female
  • Gastrointestinal Neoplasms / immunology
  • Gastrointestinal Neoplasms / pathology*
  • Humans
  • Lymphoma / immunology
  • Lymphoma / pathology*
  • Male
  • Middle Aged
  • T-Lymphocytes

Substances

  • Antibodies, Monoclonal