Pathology
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Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Precursor lymphoblastic leukemia/lymphoma T
Clinical signs
  • affects usually adolescents
  • massive bone marrow infiltration, often leukemic
  • pancytopenia, fatigue, fever, bleeding
  • infiltration of the thymus, spleen, lymphodes, liver, skin, CNS
  • aggresive, but responds well to chemotherapy
Histology

Diffuse, dense infiltrate of cells with moderate amount of cytoplasm, condensed chromatin.

Immunophenotype and genetic features:

  • TdT+, CD1+, CD2+, CD5+, CD7+; more mature cases are positive for CD3, CD4 and CD8
  • chromosomal anomalies are present in 90% of cases; variable (Philadelphia chromosome and other)
  • some chomosome abnormalities are associated with worse prognosis: t(9,12)