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Intravascular NK/T-cell lymphoma: a case report and literature reviewopen accessIntravascular NK/T-cell lymphoma: a case report and literature review

Other Titles
Intravascular NK/T-cell lymphoma: a case report and literature review
Authors
나지민정욱재김민혜천윤홍이종실송대현양정욱
Issue Date
Nov-2023
Publisher
대한병리학회
Keywords
Malignant lymphoma; Extranodal NK-T-cell lymphoma; Epstein-Barr virus
Citation
Journal of Pathology and Translational Medicine, v.57, no.6, pp 332 - 336
Pages
5
Indexed
SCOPUS
ESCI
KCI
Journal Title
Journal of Pathology and Translational Medicine
Volume
57
Number
6
Start Page
332
End Page
336
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/68935
DOI
10.4132/jptm.2023.10.30
ISSN
2383-7837
2383-7845
Abstract
Intravascular lymphoma is characterized by an exclusively intravascular distribution of tumor cells. Intravascular natural killer/T-cell lymphoma (IVNKTL) is extremely rare, highly aggressive, commonly Epstein-Barr virus (EBV)–positive, and predominantly affects the skin and central nervous system. Here we report a case of IVNKTL diagnosed in a 67-year-old female, presenting with persistent intermittent fever and skin rashes throughout the body. Incisional biopsy of an erythematous lesion on the chest exhibited aggregation of medium to large-sized atypical lymphoid cells confined to the lumen of small vessels that were positive for CD3, granzyme B, and CD56 on immunohistochemistry and EBV-encoded RNA in situ hybridization. EBV DNA was also detected in serum after diagnosis. With a review of 26 cases of IVNKTL to date, we suggest that active biopsy based on EBV DNA detection may facilitate early diagnosis of IVNKTL.
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