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T-cell prolymphocytic leukemia in Japan: is it a variant?
https://repo.qst.go.jp/records/46652
https://repo.qst.go.jp/records/466525e5589c2-8754-4517-8082-e01bdd2e76e5
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-12-02 | |||||
タイトル | ||||||
タイトル | T-cell prolymphocytic leukemia in Japan: is it a variant? | |||||
言語 | ||||||
言語 | eng | |||||
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 | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
著者 |
Kameoka, Junichi
× Kameoka, Junichi× Takahashi, Naoto× Noji, Hideyoshi× Murai, Katzunori× Tajima, Katsushi× Kameoka, Yoshihio× Sato, Shinji× Shichishima, Tsutomu× Ishida, Yoji× Harigae, Hideo× Sawada, Kenichi× 田嶋 克史 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | T-cell prolymphocytic leukemia (T-PLL) is characterized by a post-thymic immunophenotype, salient chromosome abnormalities, and an aggressive clinical course. However, cases in which these features are absent have been occasionally reported in Japan. Here, clinical and biological features of 13 T-PLL cases, diagnosed between 1992 and 2009 in the Tohoku region of Japan, were compared with three Western series. Median age was 64 (range 40-78) years old, and the male to female ratio (12:1) was higher than that of the Western series (P < 0.04). Presented manifestations were similar to those of Western cases, but central nervous system involvement, which is rare in Western cases, was observed in 3 of 13 cases (23 %) (P < 0.04). Immunophenotypic patterns were similar to those of Western cases, but HLA-DR was positive in 6 of 9 cases (67 %), which is distinct from Western cases (0-9 %) (P < 0.002). By chromosome analyses, 14q11 abnormality and trisomy 8q, which are common among Western cases (70-80 %), were not observed in any cases (P < 0.002). Morphologically, seven were classified as typical type, five as a small-cell variant, and one as a cerebriform variant. Seven cases experienced an aggressive course, whereas six experienced an indolent course over a median follow-up of 50 months. In contrast to Western cases, clinical courses were closely correlated with morphological types; 86 % of typical types were aggressive, whereas 83 % of small-cell types were indolent (P = 0.025). On the basis of these observations, together with previous Japanese cases in the literature, we propose that Japanese cases of T-PLL may constitute a variant. | |||||
書誌情報 |
International Journal of Hematology 巻 95, 号 6, p. 660-7, 発行日 2012-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0925-5710 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1007/s12185-012-1077-y |