Percentage of {gamma}{delta} T cells in panniculitis by paraffin immunohistochemical analysis

Am J Clin Pathol. 2009 Jun;131(6):820-6. doi: 10.1309/AJCPMG37MXKYPUBE.

Abstract

Cutaneous T-cell lymphomas with panniculitis-like histologic features have different clinical courses depending on whether they are composed of alphabeta T cells or gammadelta T cells, necessitating their distinction for proper prognostication. However, unlike alphabeta T cells, gammadelta T cells cannot be reliably detected in formalin-fixed, paraffin-embedded sections. We demonstrated that a commercially available antibody can detect gammadelta T cells and examined 2 cases of flow cytometry-proven gammadelta T-cell lymphomas and 15 control cases of nonneoplastic panniculitis. In both lymphomas, the atypical lymphocytes were gammadelta T cells, whereas the reactive lymphocytes were alphabeta T cells. In contrast, nonneoplastic panniculitis had predominantly alphabeta T cells with many fewer and individually scattered gammadelta T cells. The detection of gammadelta T cells in paraffin sections provides a powerful new tool to characterize T cells in lymphomas and inflammation.

MeSH terms

  • Antibodies, Monoclonal*
  • Antigens, CD / immunology
  • Antigens, CD / metabolism
  • Diagnosis, Differential
  • Flow Cytometry
  • Humans
  • Immunohistochemistry / methods
  • Immunophenotyping
  • Lymphoma, T-Cell, Cutaneous / diagnosis*
  • Lymphoma, T-Cell, Cutaneous / immunology
  • Panniculitis / immunology*
  • Paraffin Embedding*
  • Receptors, Antigen, T-Cell, alpha-beta / immunology
  • Receptors, Antigen, T-Cell, gamma-delta / immunology*
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / immunology

Substances

  • Antibodies, Monoclonal
  • Antigens, CD
  • Receptors, Antigen, T-Cell, alpha-beta
  • Receptors, Antigen, T-Cell, gamma-delta