机构:[1]Departments of Pathology, Molecular Pathology Research Center, PekingUnion Medical College Hospital, Peking Union Medical College, ChineseAcademy of Medical Science, Dongdan district Shuaifuyuan 1st, 100730Beijing, China[2]Departments of Pathology, Beijing Children’s Hospital, CapitalMedical University, National Center for Children’s Health, Beijing 100045,China医技科室职能科室病理科临床流行病与循证医学中心首都医科大学附属北京儿童医院[3]Department of Biochemistry and Molecular Medicine, The GeorgeWashington University School of Medicine and Health Sciences, Washington,DC, USA[4]Department of Pathology and Otolaryngology, UC Irvine School ofMedicine, UC Irvine Medical Center, Irvine, USA
Non-Hodgkin's lymphoma (NHL) primarily derived from the base of the tongue, is rare. Human papillomavirus (HPV) and Epstein-Barr virus (EBV) are important aetiological risk factors for tumours of the head and neck. This study describes the clinicopathological features of NHL in the tongue base and the status of HPV and EBV in these cases.
Seven cases were identified from the Pathological Registry Database at Peking Union Medical College Hospital (PUMCH). The study utilized immunochemistry, in situ hybridization (ISH), and gene rearrangement to confirm the disease and and performed a clinical follow up for each case.
All 7 lymphomas were localized at the base of the tongue. Six of the cases exhibited tongue base masses with smooth surface membranes. One case presented as multiple deep ulcers. The most common histologic subtype was diffuse large B-cell lymphoma (DLBCL), which occurred in five cases. The other two cases were mantle cell lymphoma (MCL) and peripheral T cell lymphoma, not otherwise specified (PTCL, NOS). One of the DLBCL cases was positive for HPV DNA and diffusely expressed P16 protein. During the follow up period, the MCL patient and an elderly DLBCL patient died. The remaining five patients were alive through the end of follow up.
Most lymphomas of the tongue base manifest as an endogenous mass without membranous change. The most common subtype of NHLs of the tongue base is DLBCL, and the occurrence at this site may have a good prognosis. With proper therapy, even late stage tongue base lymphomas can be suppressed and remain in remission.
基金:
This study was supported by grants from CAMS Initiative for Innovative Medicine (CAMS-I2M) (2016-I2M-1-002).
第一作者机构:[1]Departments of Pathology, Molecular Pathology Research Center, PekingUnion Medical College Hospital, Peking Union Medical College, ChineseAcademy of Medical Science, Dongdan district Shuaifuyuan 1st, 100730Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Departments of Pathology, Molecular Pathology Research Center, PekingUnion Medical College Hospital, Peking Union Medical College, ChineseAcademy of Medical Science, Dongdan district Shuaifuyuan 1st, 100730Beijing, China[4]Department of Pathology and Otolaryngology, UC Irvine School ofMedicine, UC Irvine Medical Center, Irvine, USA
推荐引用方式(GB/T 7714):
Xinyu Ren,Yin Cheng,Shafei Wu,et al.Primary non-Hodgkin lymphoma of the tongue base: the clinicopathology of seven cases and evaluation of HPV and EBV status.[J].Diagnostic pathology.2020,15(1):30.doi:10.1186/s13000-020-00936-w.
APA:
Xinyu Ren,Yin Cheng,Shafei Wu,Xuan Zeng,Xiaohua Shi...&Beverly Wang.(2020).Primary non-Hodgkin lymphoma of the tongue base: the clinicopathology of seven cases and evaluation of HPV and EBV status..Diagnostic pathology,15,(1)
MLA:
Xinyu Ren,et al."Primary non-Hodgkin lymphoma of the tongue base: the clinicopathology of seven cases and evaluation of HPV and EBV status.".Diagnostic pathology 15..1(2020):30