Question
희귀림프종 조직검사지,유전자검사지 해독 부탁드립니다.
1)
Skin,(right thigh),punch biopsy:
Moderate atypical lage T cell infiltration with ulcer, suggestive of atypical monoclonal T-cell proliferation of undetermined significance.
Note:
-indolent T cell lymphoproliferative disease is suspicious.Pityriasis lichenoides and infection cannot be ruled out.
Close follow-up and clinical correlation is recommended.
*CD3 : positive
*CD30(ki-1) : positive
*CD4 : negative
*CD8 : positive
2)
A)Skin,(right flank,a),punch biopsy:
-Mild superficial perivascular lymphocytic infiltration.
B)Skin,(right flank,b) punch biopsy:
-Moderate atypical large T cell infiltration with uncer , suggestive of atypical monoclonal T-cell proliferation of
undetermined significance.
NOTE:
-indolent T cell lymphoproliferative disease is suspicious. Pityriasis lichenoides and infection
cannot be ruled out.Close follow-up and clinical correlation is recommended.
*CD3 : positive
*CD30(ki-1) : negative
*CD4 : negative
*CD8 : positive
*EBV : negative (<10%)
*KI-67 : 20%
*TCR delta : negative
*CD2 : positive
*CD5 : positive
*CD56 : negative
3)
Positive for the detection of TCR- β gene rearrangement by BIOMED-2 clonality assays.
4)
Positive for the detection of clonal TCR- γ chain gene rearrangement by BIOMED-2 clonality assays.
최종진단은 LYP로 진단되었습니다. LYP가 아닐 가능성이 있을까요? 워낙 희귀한 질환이라서 어떠한 조직검사 결과인지 무엇을 의미하는지 궁금해서 질문드립니다.