This is an aggressive lympho-proliferative disorder associated with Human T-Cell Leukemia Virus Type I (HTLV-1). Most patients present with widespread lymphadenopathy and peripheral blood involvement.
Immunophenotypic Expression Pattern
Marker
|
Comment
|
Positive
|
|
Positive
|
|
Positive
|
|
Usually Negative
|
|
Usually Positive
|
|
Usually negative (there are occasional CD8+/CD4= or CD8+/CD4+ cases)
|
|
Strongly expressed in almost all cases.
|
|
May stain some large transformed cells.
|
|
Negative
|
|
TIA-1
|
Negative
|
Negative
|
|
HTLV-1
|
Positive. There is no IHC stain, but this is an important test that can be done on the peripheral blood.
|
References
Hematopathology. [edited by] Jaffe, ES. 1st. ed. Elsevier, Inc. © 2011. pp. 281-84.