Clonality of T cell and phenotypically undefined lymphoid neoplasms: the value of genotypic analyses

J Clin Pathol. 1990 Jul;43(7):548-53. doi: 10.1136/jcp.43.7.548.

Abstract

The value of genotypic analysis for routine assessment of leukaemia and lymphoma was shown by the findings in a selected series of 30 cases. T cell receptor (TcR) gene rearrangements were observed in six out of nine cases of CD3+ CD8+ lymphocytoses and provided clear evidence for clonality in this group. The T cell proliferations in two of the remaining cases masked B cell lymphocytic leukaemia and hairy cell leukaemia, while in the third case no cause was found for the polyclonal proliferation. Heterogeneity of phenotype and genotype were observed in peripheral T cell lymphomas: one out of six cases showed TcR gene rearrangement, one case retained its germline configuration, a further case masked B cell lymphoma and the remainder were polyclonal. Genotypic analysis was helpful in the analysis of a tumour of mixed T cell and myeloid phenotype which was shown to be germline for TcR and immunoglobulin genes, consistent with a myeloid origin. Two histiocytic tumours were found to have clonal rearrangement of TcR genes. Nine out of 11 B cell tumours showed immunoglobulin gene rearrangement. It is concluded that genetic analyses are useful in the analysis of T cell, histiocytic, and B cell tumours in which an immunoglobulin phenotype cannot be defined.

MeSH terms

  • Antigens, CD / analysis
  • Antigens, Differentiation, T-Lymphocyte / analysis
  • Biomarkers, Tumor / analysis
  • CD3 Complex
  • CD8 Antigens
  • Clone Cells
  • Gene Rearrangement, T-Lymphocyte*
  • Genotype
  • Humans
  • Lymphocytosis / genetics
  • Lymphoma, Non-Hodgkin / genetics*
  • Lymphoma, Non-Hodgkin / immunology
  • Membrane Glycoproteins / analysis
  • Receptors, Antigen, T-Cell / analysis
  • T-Lymphocytes* / immunology

Substances

  • Antigens, CD
  • Antigens, Differentiation, T-Lymphocyte
  • Biomarkers, Tumor
  • CD3 Complex
  • CD8 Antigens
  • Membrane Glycoproteins
  • Receptors, Antigen, T-Cell