Nonhepatosplenic gamma delta T-cell lymphoma with initial testicular compromise

Am J Hematol. 2000 Nov;65(3):260-2. doi: 10.1002/1096-8652(200011)65:3<260::aid-ajh15>3.0.co;2-v.

Abstract

We report here a case of nonhepatosplenic gammadelta T-cell lymphoma with undescribed initial localization in testis, without hepatosplenomegaly or adenopathies, and subsequent development in the maxillary sinus. The maxillar mass biopsy revealed a T-cell infiltration, and its immunologic characterization by flow cytometry showed a gammadelta T-cell phenotype (CD45+, CD3+, CD2+, TCR gammadelta+), without expression of CD7, CD5, CD1a, TdT, CD4, CD8, TCR alphabeta, or NK antigens (CD16, CD56, and CD57). Clonal gamma-chain gene rearrangement by polymerase chain reaction (PCR) was detected in testicular and maxillar biopsies. Epstein-Barr virus type 1 (EBV) sequences were detected by molecular biology in the biopsy material, suggesting that this oncogenic virus may play a role in the genesis of the clonal expansion of gammadelta T-cells. The patient was initially treated with standard chemotherapeutic protocols, with poor response and aggressive course.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Liver Neoplasms / pathology*
  • Lymphoma, T-Cell / pathology*
  • Male
  • Maxillary Sinus Neoplasms / pathology
  • Middle Aged
  • Receptors, Antigen, T-Cell, gamma-delta / analysis
  • Splenic Neoplasms / pathology*
  • Testicular Neoplasms / pathology*

Substances

  • Receptors, Antigen, T-Cell, gamma-delta