Skip to main content
Log in

Expression of CD56 antigen in Langerhans cell histiocytosis associated with T-lymphoblastic lymphoma in a same lymph node

  • Case Report
  • Published:
Virchows Archiv Aims and scope Submit manuscript

Abstract

Association of T-lymphoblastic lymphoma (LBL) and Langerhans cell histiocytosis (LCH) in the same lymph node is very rare. Herein, we report such two cases with expression of CD56 in Langerhans cells. Immunohistochemically, lymphoblasts were positive for anti-polyclonal CD3 antibody, CD34, CD7, CD99, and terminal deoxynucleotidyl transferase. LCH cells were positive for anti-S100 protein, CD1a, CD4, CD56, and CD68. Although those two populations were separated topographically, many histiocytes intermingled with lymphoblasts in the paracortex and a few lymphoblasts were scattered within the intrasinusoidal sheets of histiocytes. Neither admixed eosinophils nor multinucleated giant cells were observed. The pathogenetic mechanism of CD56 expression in LCH associated with LBL is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Chaperot L, Bendriss N, Manches O, Gressin R, Maynadie M, Trimoreau F, Orfeuvre H, Corront B, Feuillard J, Sotto JJ, Bensa JC, Briere F, Plumas J, Jacob MC (2001) Identification of a leukemic counterpart of the plasmacytoid dendritic cells. Blood 97:3210–3217

    Article  PubMed  CAS  Google Scholar 

  2. Drenou B, Lamy T, Amiot L, Fardel O, Caulet-Maugendre S, Sasportes M, Diebold J, Le Prise PY, Fauchet R (1997) CD3-CD56+ non-Hodgkin's lymphomas with an aggressive behavior related to multidrug resistance. Blood 8:2966–2974

    Google Scholar 

  3. Egeler RM, Neglia JP, Puccetti DM, Brennan CA, Nesbit ME (1993) Association of Langerhans cell histiocytosis with malignant neoplasms. Cancer 71:865–873

    Article  PubMed  CAS  Google Scholar 

  4. Egeler RM, Neglia JP, Arico M, Favara BE, Heitger A, Nesbit ME, Nicholson HS (1998) The relation of Langerhans cell histiocytosis to acute leukemia, lymphomas, and other solid tumors. The LCH–Malignancy study group of the Histiocyte society. Hematol Oncol Clin North Am 12:369–378

    Article  PubMed  CAS  Google Scholar 

  5. Ito T, Inaba M, Inaba K, Toki J, Sogo S, Iguchi T, Adachi Y, Yamaguchi K, Amakawa R, Valladeau J, Saeland S, Fukuhara S, Ikehara S (1999) A CD1a+/CD11c+ subset of human blood dendritic cells is a direct precursor of Langerhans cells. J Immunol 163:1409–1419

    PubMed  CAS  Google Scholar 

  6. Knowles DM (2001) Immunophenotypic markers useful in the diagnosis and classification of hematopoietic neoplasms. In: Knowles DM (ed) Neoplastic hematopathology, 2nd edn. Lippincott Williams and Wilkins, Philadelphia, pp 93–226

    Google Scholar 

  7. Knowles DM (2001) Lymphoblastic lymphoma. In: Knowles DM (ed) Neoplastic hematopathology, 2nd edn. Lippincott Williams and Wilkins, Philadelphia, pp 915–951

    Google Scholar 

  8. Li S, Borowitz MJ (2001) CD79a(+) T-cell lymphoblastic lymphoma with coexisting Langerhans cell histiocytosis. Arch Pathol Lab Med 125:958–960

    PubMed  CAS  Google Scholar 

  9. Magni M, Di Nicola M, Carlo-Stella C, Matteucci P, Lavazza C, Grisanti S, Bifulco C, Pilotti S, Papini D, Rosai J, Gianni AM (2002) Identical rearrangement of immunoglobulin heavy chain gene in neoplastic Langerhans cells and B-lymphocytes: evidence for a common precursor. Leuk Res 26:1131–1133

    Article  PubMed  CAS  Google Scholar 

  10. Maurer D, Stingl G (2001) Langerhans cells. In: Lotze MT, Thomson AW (eds) Dendritic cells, Chapter 5. Academic, Somerset

    Google Scholar 

  11. Petrella T, Comeau MR, Maynadie M, Couillault G, De Muret A, Maliszewski CR, Dalac S, Durlach A, Galibert L (2002) ‘Agranular CD4+CD56+ hematodermic neoplasm’ (blastic NK-cell lymphoma) originates from a population of CD56+ precursor cells related to plasmacytoid monocytes. Am J Surg Pathol 26:852–862

    Article  PubMed  Google Scholar 

  12. Quintanilla-Martinez L, Zukerberg LR, Harris NL (1992) Prethymic adult lymphoblastic lymphoma. A clinicopathologic and immunohistochemical analysis. Am J Surg Pathol 16:1075–1084

    Article  PubMed  CAS  Google Scholar 

  13. Robertson MJ (1998) Natural killer cell clinical studies: surface antigens of human natural killer cells in health and disease. In: Kishimoto T, Kikutani H, von dem Borne AEGK et al (eds) Leukocyte typing VI: white cell differentiation antigens. Garland Publishing, New York, pp 327–329

    Google Scholar 

  14. Ricciardi-Castagnoli P, Granucci F (2002) Interpretation of complexity of innate immune responses by functional genomics. Nat Rev Immunol 2:881–888

    Article  PubMed  CAS  Google Scholar 

  15. Signoretti S, Murphy M, Cangi MG, Puddu P, Kadin ME, Loda M (1999) Detection of clonal T-cell receptor gamma gene rearrangements in paraffin-embedded tissue by polymerase chain reaction and nonradioactive single-strand conformational polymorphism analysis. Am J Pathol 154:67–75

    PubMed  CAS  Google Scholar 

  16. Spits H, Blom B, Jaleco AC, Weijer K, Verschuren MC, van Dongen JJ, Heemskerk MH, Res PC (1998) Early stages in the development of human T, natural killer and thymic dendritic cells. Immunol Rev 165:75–86

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Young-Hyeh Ko.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ko, YH., Kim, WS. & Kim, Y. Expression of CD56 antigen in Langerhans cell histiocytosis associated with T-lymphoblastic lymphoma in a same lymph node. Virchows Arch 448, 90–94 (2006). https://doi.org/10.1007/s00428-005-0093-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00428-005-0093-1

Keywords

Navigation