Clinical spectrum of γδ+ T cell LGL leukemia:: Analysis of 20 cases

被引:51
作者
Bourgault-Rouxel, A. S. [1 ]
Loughran, T. P., Jr. [3 ]
Zambello, R. [4 ]
Epling-Burnette, P. K. [5 ]
Semenzato, G. [4 ]
Donadieu, J. [6 ]
Amiot, L. [2 ]
Fest, T. [2 ]
Lamy, T. [1 ]
机构
[1] Serv Hematol Clin, Rennes, France
[2] Lab Hematol Immnnol & Therapie Cellulaire, Rennes, France
[3] Penn State Canc Inst, Hershey, PA USA
[4] Univ Padua, Sch Med, Hematol & Clin Immunol Branch, Dept Clin & Expt Med, Padua, Italy
[5] H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
[6] Hop Trousseau, Serv Hemato Oncol Pediat, F-75571 Paris, France
基金
美国国家卫生研究院;
关键词
LGL leukemia; TCR-gamma delta; TCR alpha beta;
D O I
10.1016/j.leukres.2007.04.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
We report on the clinico-biological characteristics of 20 cases of gamma delta T cell large granular lymphocyte (LGL) leukemia. All the data were compared to that of 196 cases with up T cell subtype, which represents the majority of T cell LGL leukemias. Clinical findings were quite similar in the two groups regarding age, sex ratio, recurrent infections, and association with auto-immune diseases especially rheumatoid arthritis. gamma delta LGL predominantly expressed a CD3+/CD4-/CD8+/CD16+/CD57+phenotype, in 50% of cases. Clinical outcome was favorable for these patients with overall survival of 85% at 3 years. Fifty percent of gamma delta patients required treatment and the response to therapy was estimated at 55%. gamma delta and alpha beta T cell LGL leukemia harbor a very similar clinico-biological behavior and represent part of an antigen-driven T cell lymphoproliferation. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:45 / 48
页数:4
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