A comparative marker study of large cell lymphoma, Hodgkin's disease, and true histiocytic lymphoma in paraffin-embedded tissue

Am J Clin Pathol. 1986 Nov;86(5):591-9. doi: 10.1093/ajcp/86.5.591.

Abstract

A comparative study of large cell lymphoma (LCL) (ten B and ten T), Hodgkin's disease (15 cases), and true histiocytic lymphoma (two cases) was undertaken, using formalin-fixed paraffin-embedded tissue sections, a panel of eight antibodies, and one lectin to determine if any particular antibody or immunologic profile could reliably distinguish between these entities. The antibodies used were against Leu-M1, alpha-1-anti-chymotrypsin (alpha-ACT), alpha-anti-trypsin (alpha-AT), lysozyme, kappa, lambda, leukocyte common antigen (LCA), and S-100 protein. The lectin used was peanut agglutinin (PNA). Although Leu-M1 staining was positive in 11 of 15 cases (73%) of Hodgkin's disease, it was also positive in 4 of 10 cases (40%) of T-cell lymphoma, 2 of 10 cases (20%) of B-cell lymphoma, and 1 of 2 cases (50%) of true histiocytic lymphoma. Peanut-agglutinin staining results were similar to Leu-M1. The only staining profile that emerged was the presence of Leu-M1, PNA-, alpha-ACT, and alpha-AT staining in Reed-Sternberg (RS) cells in 11 of 15 cases of Hodgkin's disease. Leu-M1 and its staining pattern is characteristic, but not entirely specific for RS cells, and it was not positive in at least 25% of the cases of Hodgkin's disease in formalin-fixed, paraffin-embedded tissues. The limitations of this antibody and others should be recognized.

Publication types

  • Comparative Study

MeSH terms

  • Antigens, Neoplasm / immunology*
  • Histocompatibility Antigens / immunology
  • Hodgkin Disease / immunology*
  • Humans
  • Immunoenzyme Techniques
  • Lectins / immunology
  • Leukemia, Lymphocytic, Chronic, B-Cell / immunology*
  • Leukocyte Common Antigens
  • Lymphoma, Large B-Cell, Diffuse / immunology*
  • Muramidase / immunology
  • Peanut Agglutinin
  • S100 Proteins / immunology
  • alpha 1-Antichymotrypsin / immunology
  • alpha 1-Antitrypsin / immunology

Substances

  • Antigens, Neoplasm
  • Histocompatibility Antigens
  • Lectins
  • Peanut Agglutinin
  • S100 Proteins
  • alpha 1-Antichymotrypsin
  • alpha 1-Antitrypsin
  • Leukocyte Common Antigens
  • Muramidase