[Diminished expression of CD5 and/or CD7 surface antigens as the first clue of diagnosis for monoclonal T lymphocytosis]

Rinsho Ketsueki. 2012 Aug;53(8):785-7.
[Article in Japanese]

Abstract

The significance of precursor status for mature T-cell neoplasms has not been elucidated. Diagnosis of T-cell neoplasms is often challenging and sometimes overlooked when leukocytosis is not evident and neoplastic cell morphology is hardly distinguishable. Here, we report two cases of monoclonal T lymphocytosis (MTL) without evident lymphocytosis and lymphadenopathies that show slightly diminished CD5 and/or CD7 surface antigens as the first clue of diagnosis. Recently, some reports have demonstrated the possibility that monoclonal lymphocytosis precedes leukemia/lymphoma. Although its clinical significance is unknown, flow cytometric analysis of peripheral blood is useful for detection of occult MTL and careful follow-up is required.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomarkers / blood*
  • CD5 Antigens / blood*
  • Female
  • Flow Cytometry
  • Humans
  • Lymphocytosis / diagnosis*
  • Lymphocytosis / immunology
  • Male
  • Middle Aged
  • Nerve Tissue Proteins / blood*
  • T-Lymphocytes / immunology*

Substances

  • Biomarkers
  • CD5 Antigens
  • D-7 antigen
  • Nerve Tissue Proteins