Non-T, non-B lymphomas are rare in childhood and associated with cutaneous tumor

Blood. 1982 Mar;59(3):549-54.

Abstract

Tumor cells from a total of 116 children with non-Hodgkin's lymphoma were studied for their pattern of reactivity with a battery of cell markers, including their capacity for spontaneous formation of sheep erythrocyte rosettes (E-rosettes), demonstration of surface immunoglobulins (SIg), and positivity with antisera against T-cell antigens, the common acute-lymphoblastic-leukemia-associated antigen (cALLa), and Ia-like antigens. Fifty-eight children (50%) had T-cell lymphomas, including all those with mediastinal tumors. Fifty children (43%) had B-cell lymphomas, including 44 of the 45 with abdominal primaries. Eight children (7%) had non-T, non-B tumors, 4 of whom presented at a young age with cutaneous lymphoblastic tumors. These results demonstrate that the great majority of children with NHL, not leukemic at diagnosis, have tumors clearly committed to either T- or B-cell differentiation pathways and only rarely exhibit the common ALL phenotype (cALLa+, Ia+, E-, T-, SIg-), contrasting with the distribution of childhood lymphoblastic leukemias. The unusual association of these non-T, non-B cases with skin involvement has not previously been reported, raising speculation regarding patterns of lymphocyte traffic and origins of childhood lymphomas and leukemias.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Antigens, Neoplasm / immunology
  • B-Lymphocytes / cytology
  • B-Lymphocytes / immunology*
  • Cell Transformation, Neoplastic
  • Child
  • Child, Preschool
  • HLA-D Antigens
  • Histocompatibility Antigens Class II / immunology
  • Humans
  • Infant
  • Leukemia, Lymphoid / immunology
  • Lymphoma / complications
  • Lymphoma / immunology*
  • Lymphoma / pathology
  • Male
  • Mycosis Fungoides / complications
  • Phenotype
  • Sezary Syndrome / complications
  • Skin Neoplasms / complications*
  • Skin Neoplasms / immunology
  • T-Lymphocytes / cytology
  • T-Lymphocytes / immunology*

Substances

  • Antigens, Neoplasm
  • HLA-D Antigens
  • Histocompatibility Antigens Class II