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Conjunctival T-cell lymphoma caused by human T-cell lymphotrophic virus infection

PURPOSE: To examine the cause of adult T-cell leukemia/lymphoma. METHODS: We examined a conjunctival biopsy from a 29-year-old Jamaican man who developed bilateral conjunctival masses. Adult T-cell leukemia/lymphoma was diagnosed using routine histology, immunohistochemistry, electron microscopy, mi...

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Published in:American journal of ophthalmology 2001-03, Vol.131 (3), p.381-383
Main Authors: Buggage, Ronald R, Smith, Janine A, Shen, DeFen, Chan, Chi-Chao
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container_title American journal of ophthalmology
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creator Buggage, Ronald R
Smith, Janine A
Shen, DeFen
Chan, Chi-Chao
description PURPOSE: To examine the cause of adult T-cell leukemia/lymphoma. METHODS: We examined a conjunctival biopsy from a 29-year-old Jamaican man who developed bilateral conjunctival masses. Adult T-cell leukemia/lymphoma was diagnosed using routine histology, immunohistochemistry, electron microscopy, microdissection, and the polymerase chain reaction. RESULTS: Histopathologic examination revealed a conjunctival lymphoma. Clonality of the T-cell receptor gamma gene and human T-cell lymphotrophic virus gag gene were detected in the malignant cells. The demonstration of the human T-cell lymphotrophic virus gene and the rearrangement of the T-cell receptor gene in this neoplasm provide proof that human T-cell lymphotrophic virus is the cause of this conjunctival T-cell lymphoma. CONCLUSION: Human T-cell lymphotrophic virus is the cause of adult T-cell leukemia/lymphoma, an aggressive malignancy of CD4+ lymphocytes.
doi_str_mv 10.1016/S0002-9394(00)00865-5
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METHODS: We examined a conjunctival biopsy from a 29-year-old Jamaican man who developed bilateral conjunctival masses. Adult T-cell leukemia/lymphoma was diagnosed using routine histology, immunohistochemistry, electron microscopy, microdissection, and the polymerase chain reaction. RESULTS: Histopathologic examination revealed a conjunctival lymphoma. Clonality of the T-cell receptor gamma gene and human T-cell lymphotrophic virus gag gene were detected in the malignant cells. The demonstration of the human T-cell lymphotrophic virus gene and the rearrangement of the T-cell receptor gene in this neoplasm provide proof that human T-cell lymphotrophic virus is the cause of this conjunctival T-cell lymphoma. 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METHODS: We examined a conjunctival biopsy from a 29-year-old Jamaican man who developed bilateral conjunctival masses. Adult T-cell leukemia/lymphoma was diagnosed using routine histology, immunohistochemistry, electron microscopy, microdissection, and the polymerase chain reaction. RESULTS: Histopathologic examination revealed a conjunctival lymphoma. Clonality of the T-cell receptor gamma gene and human T-cell lymphotrophic virus gag gene were detected in the malignant cells. The demonstration of the human T-cell lymphotrophic virus gene and the rearrangement of the T-cell receptor gene in this neoplasm provide proof that human T-cell lymphotrophic virus is the cause of this conjunctival T-cell lymphoma. 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subjects Adult
Biological and medical sciences
Biopsy
CD4-Positive T-Lymphocytes - virology
Conjunctival Neoplasms - diagnosis
Conjunctival Neoplasms - virology
DNA, Neoplasm - analysis
Gene Rearrangement, T-Lymphocyte - genetics
Genes, gag - genetics
Hematologic and hematopoietic diseases
Human T-lymphotropic virus 1 - genetics
Human T-lymphotropic virus 1 - isolation & purification
Humans
Leukemia-Lymphoma, Adult T-Cell - diagnosis
Leukemia-Lymphoma, Adult T-Cell - virology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Medical sciences
Polymerase Chain Reaction
Receptors, Antigen, T-Cell, gamma-delta - genetics
title Conjunctival T-cell lymphoma caused by human T-cell lymphotrophic virus infection
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