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Immunohistochemical evaluation of bone marrow lymphoid nodules in chronic myeloproliferative disorders

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Summary

One hundred and seventy bone marrow biopsies from patients with chronic myeloproliferative disorders (CMPDs) were evaluated for the presence of lymphoid nodules (LNs) and were immunostained using a panel of monoclonal antibodies (UCHL1, 4KB5 and L26) recognizing different lymphocyte antigens. LNs were found in 35% of cases of idiopathic thrombocythaemia, 24.6% of myelofibrosis/osteomyelosclerosis, 18.2% of polycythaemia vera, 12.1% of chronic myeloid leukaemia and 19.2% of borderline cases. Varying degrees of immunohistochemical positivity for the three antibodies tested were found. LNs were always made up of variable proportions of both T-and B-lymphocytes with a prevalence of T-cells. This latter observation suggests that bone marrow LNs in CMPDs could be an expression of reactivity.

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References

  • Archimbaud E, Islam A, Preisler HD (1987) Immunoperoxidase detection of myeloid antigens in glycolmethacrylate-embedded human bone marrow. J Histochem Cytochem 35:595–599

    Google Scholar 

  • Bartl R, Frisch B, Burkhardt R, Jaeger K, Pappenberger R, Hoff-mann-Fezer G (1984) Lymphoproliferation in the bone marrow: identification and evolution, classification and staging. J Clin Pathol 37:233–254

    Google Scholar 

  • Bartl R, Frisch B, Burkhardt R (1985) Bone marrow biopsies revisited. A new dimension for haematologic malignancies. Karger, Basel

    Google Scholar 

  • Boqué C, Pujol-Moix N, Linde MA, Murcia C, Guanyabens C, Soler J (1989) Use of monoclonal anti-actin as a megakaryocyte marker in paraffin wax-embedded bone marrow biopsy specimens. J Clin Pathol 42:982–984

    Google Scholar 

  • Burkhardt R, Bartl R, Jaeger K, Frisch B, Kettner G, Mahl G, Sund M (1984) Chronic myeloproliferative disorders (CMPD). Pathol Res Pract 179:131–186

    Google Scholar 

  • Burkhardt R, Bartl R, Jaeger K, Frisch B, Kettner G, Mahl G, Sund M (1986) Working classification of chronic myeloproliferative disorders based on histological, haematological and clinical findings. J Clin Pathol 39:237–253

    Google Scholar 

  • Burkhardt R, Jaeger K, Kettner G, Helmer G (1990) Chronic myeloproliferative disorders: prognostic importance of new working classification. J Clin Pathol 43:357–364

    Google Scholar 

  • Caligaris-Cappio F, Vigliani R, Novarino A, Camussi G, Campana D, Gavosto F (1981) Idiopathic myelofibrosis: a possible role for immune-complexes in the pathogenesis of bone marrow fibrosis. Br J Haematol 49:17–21

    Google Scholar 

  • Casey TT, Beckstead JH (1990) Plastic versus paraffin embedded for histopathology and immunocytochemistry (letter). Am J Surg Pathol 14:500

    Google Scholar 

  • Chan JKC, Ng CS, Hui PK (1988) A simple guide to the terminology and application of leukocyte monoclonal antibodies. Histopathology 12:461–480

    Google Scholar 

  • Clark P, Normansell DE, Innes DJ, Hess CE (1986) Lymphocyte subsets in normal bone marrow. Blood 67:1600–1606

    Google Scholar 

  • Clark JR, Williams ME, Swerdlow SH (1990) Detection of B-and T-cells in paraffin-embedded tissue sections. Diagnostic utility of commercially obtained 4KB5 and UCHL-1. Am J Clin Pathol 93:58–69

    Google Scholar 

  • Davey FR, Olson S, Kurec AS, Eastman-Abaya R, Gottlieb AJ, Mason DY (1988) The immunophenotyping of extramedullary myeloid cell tumors in paraffin-embedded tissue sections. Am J Surg Pathol 12:699–707

    Google Scholar 

  • Davey FR, Tarek Elghetany M, Kurec AS (1990) Immunophenotyping of haematologic neoplasms in paraffin-embedded tissue sections. Am J Clin Pathol 93 [Suppl 1]:S17-S26

    Google Scholar 

  • Erber WN, McLachlan J (1989) Use of APAAP technique on paraffin wax embedded bone marrow trephines. J Clin Pathol 42:1201–1205

    Google Scholar 

  • Faulkner-Jones BE, Howie AJ, Boughton BJ, Franklin JM (1988) Lymphoid aggregates in bone marrow: study of eventual outcome. J Clin Pathol 41:768–775

    Google Scholar 

  • Frisch B, Bartl R (1985) Histology of myelofibrosis and osteomyelosclerosis. In: Lewis SM (ed) Myelofibrosis. Pathophysiology and clinical management. Dekker, New York, pp 51–86

    Google Scholar 

  • Frisch B, Bartl R, Burkhardt R, Jaeger K, Mahl G, Kettner G (1984) Classification of myeloproliferative disorders by bone marrow histology. Bibl Haematol 50:57–80

    Google Scholar 

  • Gatter KC (1989) Diagnostic immunocytochemistry: achievements and challenges. J Pathol 159:183–190

    Google Scholar 

  • Georgii A, Vykoupil KF, Buhr T, Choritz H, Doehler U, Kaloutsi V, Werner M (1990) Chronic myeloproliferative disorders in bone marrow biopsies. Pathol Res Pract 186:3–27

    Google Scholar 

  • Gordon BR, Coleman M, Kohen P, Day NK (1981) Immunologic abnormalities in myelofibrosis with activation of the complement system. Blood 58:904–910

    Google Scholar 

  • Hall PA, Lindeman R, Butler MG, Amess JAL, D'Ardenne AJ (1987) Demonstration of lymphoid antigens in decalcified bone marrow trephines. J Clin Pathol 40:870–873

    Google Scholar 

  • Hall PA, D'Ardenne AJ, Stansfeld AG (1988) Paraffin section immunohistochemistry. I. Non-Hodgkin's lymphoma. Histopathology 13:149–160

    Google Scholar 

  • Hernandez-Nieto L, Morey Sureda M, Granena A, Montserrat Costa E, Feliu E, Rozman C (1979) Les nodules lymphoides de la moelle dans la splénomégalie myéloide: comparaison avec la leucémie myéloide chronique. Nouv Rev Fr Haematol 21:251–256

    Google Scholar 

  • Horny HP, Engst U, Waltz RS, Kaiserling E (1989) “In situ” immunophenotyping of lymphocytes in human bone marrow: an immunohistochemical study. Br J Haematol 71:313–321

    Google Scholar 

  • Horny HP, Campbell M, Steinke B, Kaiserling E (1990) Acute myeloid leukemia: immunohistologic findings in paraffin-embedded bone marrow biopsy specimens. Hum Pathol 21:648–655

    Google Scholar 

  • Ishii Y, Takami T, Yuasa H, Takei T, Kikuchi K (1984) Two distinct antigen systems in human B lymphocytes: identification of cell surface and intracellular antigens using monoclonal antibodies. Clin Exp Immunol 58:183–192

    Google Scholar 

  • Islam A, Archimbaud A, Henderson ES, Han T (1988) Glycol methacrylate (GMA) embedding for light microscopy. II. Immunohistochemical analysis of semithin sections of undecalcified marrow cores. J Clin Pathol 41:892–896

    Google Scholar 

  • Jaeger K, Burkhardt R, Bartl R, Frisch B, Mahl G (1983) Lymphoid infiltrates in chronic myeloproliferative disorders (MPD). Verh Dtsch Ges Pathol 67:239–242

    Google Scholar 

  • Mason DY, Comans-Bitter WM, Cordell JL, Verhoeven MAJ, Dongen JJM van (1990) Antibody L26 recognizes an intracellular epitope on the B-cell associated CD20 antigen. Am J Pathol 136:1215–1222

    Google Scholar 

  • Navone R, Valpreda M (1983) Presenza di noduli linfatici nel midollo osseo in soggetti affetti da policitemia vera e da poliglobulie secondarie. Pathologica 75:235–240

    Google Scholar 

  • Navone R, Vigliani R, Valpreda M (1982) Studio dei noduli linfatici del midollo osseo in una casistica autoptica. Pathologica 74:231–240

    Google Scholar 

  • Navone R, Valpreda M, Pich A (1985) Lymphoid nodules and nodular lymphoid hyperplasia in bone marrow biopsies. Acta Haematol (Basel) 74:19–22

    Google Scholar 

  • Norton AJ, Isaacson PG (1989a) Lymphoma phenotyping in formalin-fixed and paraffin wax-embedded tissues. I. Range of antibodies and staining patterns. Histopathology 14:437–446

    Google Scholar 

  • Norton AJ, Isaacson PG (1989b) Lymphoma phenotyping in formalin-fixed and paraffin wax-embedded tissues. II. Profiles of reactivity in the various tumour types. Histopathology 14:557–579

    Google Scholar 

  • Rondeau E, Solal-Celigny P, Dhermy D, Vroclans M, Brousse N, Bernard JF, Boivin P (1983) Immune disorders in agnogenic myeloid metaplasia: relations to myelofibrosis. Br J Haematol 53:467–475

    Google Scholar 

  • Rywlin AM, Ortega RS, Dominguez CJ (1974) Lymphoid nodules of bone marrow: normal and abnormal. Blood 43:389–400

    Google Scholar 

  • Sangster G, Crocker J, Nar P, Leyland MJ (1986) Benign and malignant (B-cell) focal lymphoid aggregates in bone marrow trephines shown by means of an immunogold-silver technique. J Clin Pathol 39:453–457

    Google Scholar 

  • Schmitt-Graff A, Skalli O, Gabbiani G (1989) Alpha-Smooth muscle actin is expressed in a subset of bone marrow stromal cells in normal and pathological conditions. Virchows Arch [B] 57:291–302

    Google Scholar 

  • Suzuki K, Hirokawa K, Hatakeyama S (1984) Age-related change of distribution of immunoglobulin containing cells in human bone marrow. Virchows Arch [A] 404:243–251

    Google Scholar 

  • Thiele J, Simon K-G, Fischer R, Zankovich R (1988) Follow-up studies with sequential bone marrow biopsies in chronic myeloid leukaemia and so-called primary (idiopathic) osteo-myelofibrosis. Evolution of histopathological lesions and clinical course in 40 patients. Pathol Res Pract 183:434–445

    Google Scholar 

  • Thiele J, Steinberg T, Zankovich R, Fischer R (1989) Primary myelofibrosis-osteomyelosclerosis (agnogenic myeloid metaplasia): correlation of clinical findings with bone marrow histopathology and prognosis. Anticancer Res 9:429–436

    Google Scholar 

  • Valk P van der, Mullink H, Huijgens PC, Tadema TM, Vos W, Meijer CJLM (1989) Immunohistochemistry in bone marrow diagnosis. Value of a panel of monoclonal antibodies on routinely processed bone marrow biopsies. Am J Surg Pathol 13:97–106

    Google Scholar 

  • Vincic L, Weston S, Riddel RH (1989) Bone core biopsies. Plastic or paraffin? Am J Surg Pathol 13:329–334

    Google Scholar 

  • Warnke RA, Pulford KAF, Pallesen G, Ralfkiaer E, Brown DC, Gatter KC, Mason DY (1989) Diagnosis of myelomonocytic and macrophage neoplasms in routinely processed tissue biopsies with monoclonal antibody KP1. Am J Pathol 135:1089–1095

    Google Scholar 

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Franco, V., Florena, A.M., Aragona, F. et al. Immunohistochemical evaluation of bone marrow lymphoid nodules in chronic myeloproliferative disorders. Vichows Archiv A Pathol Anat 419, 261–266 (1991). https://doi.org/10.1007/BF01606516

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