Clinicopathologic analysis of 6 lymphomatoid gastropathy cases: Expanding the disease spectrum to CD4-CD8+ Cases

Katsuyoshi Takata, Mai Noujima-Harada, Tomoko Miyata-Takata, Koichi Ichimura, Yasuharu Sato, Takafumi Miyata, Keishi Naruse, Toshiyuki Iwamoto, Akira Tari, Taro Masunari, Hiroshi Sonobe, Hiroyuki Okada, Masaya Iwamuro, Kohichi Mizobuchi, Yuka Gion, Tadashi Yoshino

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Lymphomatoid gastropathy, which was first reported in 2010, is a rare NK-cell proliferation of cyCD3+, CD4-, CD5-, CD8-, CD56+ phenotypes with unknown etiology. The diagnosis is challenging, as there is histopathologic similarity to malignant lymphoma. In the 2010 report on 10 cases, all lesions were located in the stomach, and all regressed without any therapy. In the present study, we analyzed 6 cases of lymphomatoid gastropathy by investigating the clinicopathologic, immunohistochemical, and molecular findings. Endoscopic and morphologic appearances of all cases were consistent with previous reports, but 2 cases showed previously unreported unique immunophenotypes of CD4-CD8+. Three of 6 patients underwent lower gastrointestinal examination (1 case underwent double-balloon endoscopic examination), but no patient had lesions in the lower gastrointestinal tract. No obvious difference of histology was found between the cases of CD4-CD8-typical phenotype and ones of CD4-CD8+ phenotype. Both cases had similar clinical behavior as the other 4 cases, implying that the spectrum of the disease is broader than initially thought. Careful clinical and endoscopic follow-up is required for the diagnosis of lymphomatoid gastropathy, and additional case studies and molecular studies are warranted to further investigate the pathophysiology of this peculiar benign mimic of lymphoma.

Original languageEnglish
Pages (from-to)1259-1266
Number of pages8
JournalAmerican Journal of Surgical Pathology
Volume39
Issue number9
DOIs
Publication statusPublished - 2015

Keywords

  • A benign mimic of lymphoma
  • CD4
  • CD8
  • Lymphomatoid gastropathy

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine

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    Takata, K., Noujima-Harada, M., Miyata-Takata, T., Ichimura, K., Sato, Y., Miyata, T., Naruse, K., Iwamoto, T., Tari, A., Masunari, T., Sonobe, H., Okada, H., Iwamuro, M., Mizobuchi, K., Gion, Y., & Yoshino, T. (2015). Clinicopathologic analysis of 6 lymphomatoid gastropathy cases: Expanding the disease spectrum to CD4-CD8+ Cases. American Journal of Surgical Pathology, 39(9), 1259-1266. https://doi.org/10.1097/PAS.0000000000000443