Non-Hodgkin's lymphomas of the gastrointestinal tract. An evaluation of paraffin section immunostaining

Am J Clin Pathol. 1990 Feb;93(2):233-9. doi: 10.1093/ajcp/93.2.233.

Abstract

Although the gastrointestinal (GI) tract is the most common site of primary extranodal lymphomas, the lineage of these tumors has been controversial. The authors used paraffin-reactive antibodies detecting markers of B-, T-, histiocytic, and epithelial cells to study 34 non-Hodgkin's lymphomas of the GI tract for which unequivocal frozen-section immunophenotypine was available as a control to determine whether these antibodies are reliable in the study of these tumors. Frozen-section studies revealed 31 tumors of B-cell origin and three T-cell tumors. Paraffin-reactive antibodies confirmed B-cell lineage in 28 of the 31 cases, with equivocal results in the remaining three. Only one of the T-cell lymphomas was identified in paraffin studies. Our results indicate that paraffin-reactive antibodies can reliably identify most B-cell lymphomas in the GI tract but may be unreliable in the detection of lymphomas of T-cell origin.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antigens, Neoplasm / analysis
  • B-Lymphocytes / pathology
  • Evaluation Studies as Topic
  • Female
  • Frozen Sections
  • Gastrointestinal Neoplasms / metabolism
  • Gastrointestinal Neoplasms / pathology*
  • Humans
  • Immunoenzyme Techniques
  • Lymphoma, Non-Hodgkin / metabolism
  • Lymphoma, Non-Hodgkin / pathology*
  • Male
  • Middle Aged
  • Paraffin
  • Phenotype
  • Pilot Projects
  • Retrospective Studies
  • Staining and Labeling
  • T-Lymphocytes / pathology

Substances

  • Antigens, Neoplasm
  • Paraffin