Cytology of extranodal Ki-1 anaplastic large cell lymphoma Journal Article


Authors: Zakowski, M. F.; Feiner, H.; Finfer, M.; Thomas, P.; Wollner, N.; Filippa, D. A.
Article Title: Cytology of extranodal Ki-1 anaplastic large cell lymphoma
Abstract: Ki-1-positive anaplastic large-cell lymphoma (ALCL) is an uncommon neoplasm which may present with extranodal as well as nodal disease. By definition, the tumor cells are immunoreactive for Ki-1 or Ber-H2 antigen (CD30). There have been few published cytologic descriptions of this lymphoma, or of its detection in extranodal sites. We describe the cytologic findings in five cases of extranodal Ki-1 lymphoma. Cytologic findings in all five cases were similar and consisted of a heterogeneous population of lymphocytes and bizarre, pleomorphic tumor cells. These cells were characterized by generous amounts of vacuolated, basophilic cytoplasm, eccentric, multilobulated nuclei with some showing 'wreath-like' configurations. Some nuclei contained huge nucleoli simulating Reed-Sternberg cells. All cases showed the characteristic surface membrane and cytoplasmic paranuclear dotlike staining for CD30. Our findings indicate that fine- needle aspiration and exfoliative cytology have a useful role in the diagnosis of Ki-1 ALCL in extranodal sites. Furthermore, effusions containing anaplastic cells suspicious for lymphoma, particularly in AIDS patients, should be immunostained with antibodies to CD30.
Keywords: immunohistochemistry; adolescent; adult; human tissue; bone neoplasms; retrospective studies; ascites; lymph nodes; prospective studies; cytology; cell population; immunoreactivity; needle biopsy; urinary bladder; bone; large cell lymphoma; aspiration biopsy; frozen section; pericardium; pleura; anaplastic carcinoma; ascitic fluid; cytodiagnosis; cd30 antigen; reed sternberg cell; fine-needle aspiration; lymphoma, large-cell, ki-1; humans; human; priority journal; article; cd30, ber-h2; exfoliative cytology
Journal Title: Diagnostic Cytopathology
Volume: 14
Issue: 2
ISSN: 8755-1039
Publisher: Wiley Liss  
Date Published: 1996-03-01
Start Page: 155
End Page: 161
Language: English
DOI: 10.1002/(sici)1097-0339(199603)14:2<155::aid-dc10>3.0.co;2-l
PUBMED: 8964173
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 22 November 2017 -- Source: Scopus
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  1. Maureen F Zakowski
    289 Zakowski
  2. Daniel A Filippa
    148 Filippa