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  1. Dokkyo Medical Journal
  2. 1(4) 2022

Gross Findings in Lymphadenectomy Specimens: Diagnosis and Differentiation of Malignant Lymphoma

https://dmu.repo.nii.ac.jp/records/5360
https://dmu.repo.nii.ac.jp/records/5360
34632ec6-371f-4dff-9a58-4c4b09b90836
名前 / ファイル ライセンス アクション
DKMJ-1-4-6.pdf DKMJ-1-4-Onozaki-Fulltext (1.1 MB)
license.icon
Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Gross Findings in Lymphadenectomy Specimens: Diagnosis and Differentiation of Malignant Lymphoma
言語
言語 eng
キーワード
主題 Gross findings
キーワード
主題 lymphadenectomy specimen
キーワード
主題 malignant lymphoma
キーワード
主題 reactive lymphoid hyperplasia
キーワード
主題 malignant lymphoma subtypes
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Onozaki, Masato

× Onozaki, Masato

WEKO 6439

en Onozaki, Masato

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Nakazato, Yoshimasa

× Nakazato, Yoshimasa

WEKO 10465

en Nakazato, Yoshimasa

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Takada-Owada, Atsuko

× Takada-Owada, Atsuko

WEKO 47293

en Takada-Owada, Atsuko

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Takaoka, Mina

× Takaoka, Mina

WEKO 47294

en Takaoka, Mina

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Nozawa, Yumi

× Nozawa, Yumi

WEKO 47295

en Nozawa, Yumi

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Noda, Shuhei

× Noda, Shuhei

WEKO 47296

en Noda, Shuhei

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Matsuda, Hadzuki

× Matsuda, Hadzuki

WEKO 47297

en Matsuda, Hadzuki

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Kaneko, Yuko

× Kaneko, Yuko

WEKO 47298

en Kaneko, Yuko

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Mitani, Kinuko

× Mitani, Kinuko

WEKO 1651

en Mitani, Kinuko

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Ishida, Kazuyuki

× Ishida, Kazuyuki

WEKO 46330

en Ishida, Kazuyuki

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著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Hematology and Oncology, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Diagnostic Pathology, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 4, p. 309-316, 発行日 2022-12
抄録
内容記述タイプ Abstract
内容記述 In the diagnosis of malignant lymphoma (ML), lymphadenectomy specimens are separated as needed for histological diagnosis, flow cytometry, and various genetic analyses after determining the suitability of the specimens from gross findings. We investigated gross findings for cut surfaces of lymphadenectomy specimens. Of the 57 patients who underwent lymphadenectomies, 7 were diagnosed with reactive lymphoid hyperplasia (RLH), 19 with follicular lymphoma (FL), 20 with diffuse large B-cell lymphoma (DLBCL), and 11 with Hodgkin lymphoma (HL). The gross findings for fresh, unfixed lymph node specimens with the maximum cut surface were evaluated in terms of color homogeneity, unevenness of cut surface, aspect ratio, presence of internal nodules, and capsular disruption. After this evaluation, a histological diagnosis was performed. In a comparison of color homogeneity, significantly more cases in the ML group (30/50 [60.0%]) were homogeneous than in the RLH group (1/7 [14.2%]) (P = 0.039). Capsular disruption was not observed in the RLH group, whereas it was found in 42/50 (84.0%) cases in the ML group (P = 0.001). The internal nodules between the FL group (17/19 [89.5%]) and HL group (9/11 [81.8%]) occurred more frequently than those of the DLBCL group (11/20 [55.0%]) (P = 0.039). Moreover, the internal nodules tended to be smaller in FL and HL than in DLBCL (P = 0.007). The color homogeneity and capsular disruption findings were important in differentiating ML from RLH, and the presence and size of the internal nodules were important in differentiating the ML subtypes.
記事種別
Original
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-522X
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.2022-025
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