Frequency of CD43 expression in non-Hodgkin lymphoma. A survey of 742 cases and further characterization of rare CD43+ follicular lymphomas

Am J Clin Pathol. 1999 Apr;111(4):488-94. doi: 10.1093/ajcp/111.4.488.

Abstract

CD43 expression on B cells is an immunophenotypic feature suggestive of malignancy. In the light of its diagnostic importance, we performed a comprehensive survey of CD43 expression in various types of non-Hodgkin lymphoma (NHL) and determined the frequency of its expression in routinely fixed paraffin-embedded tissues. Tissue sections in 742 cases of NHL, pretreated by the heat-induced epitope retrieval technique, were immunostained using an anti-CD43 antibody. Three categories of CD43 positivity were found: (1) more than 90% of T-cell lymphoma, mantle cell lymphoma, B-cell small lymphocytic lymphoma, and Burkitt lymphoma cases were positive; (2) 20% to 40% of nodal and extranodal marginal zone lymphoma (MZL), diffuse large B-cell lymphoma, Burkitt-like B-cell lymphoma, and lymphoplasmacytoid lymphoma cases were positive; and (3) 0% to 6% of primary splenic MZL and various types of follicular lymphoma cases were positive. Most CD43+ follicular lymphomas were predominantly large cell type with focally diffuse areas; their follicular center cell origin in 4 of 8 cases was supported by the presence of CD10 immunoreactivity and/or t(14;18) fusion gene product. CD43 is frequently detectable in a subset of B-NHL, and, thus, it seems to be a highly sensitive marker for these tumors. CD43 also may be a useful marker for classifying B-cell NHLs by virtue of its differential expression in these tumors.

MeSH terms

  • Adult
  • Antigens, CD*
  • B-Lymphocytes / immunology*
  • Biomarkers, Tumor / analysis
  • Burkitt Lymphoma / immunology
  • Female
  • Humans
  • Immunohistochemistry
  • Leukemia, Lymphocytic, Chronic, B-Cell / immunology
  • Leukosialin
  • Lymphoma, B-Cell / immunology
  • Lymphoma, Follicular / immunology*
  • Lymphoma, Non-Hodgkin / immunology*
  • Lymphoma, T-Cell / immunology
  • Male
  • Middle Aged
  • Sialoglycoproteins / analysis*
  • Tissue Embedding

Substances

  • Antigens, CD
  • Biomarkers, Tumor
  • Leukosialin
  • SPN protein, human
  • Sialoglycoproteins