Erythroleukemic infiltration of a lymph node: use of hemoglobin immunohistochemical techniques in diagnosis.

Abstract:

:Isolated submandibular adenopathy developed in a patient who had subacute erythroleukemia. Lymph node biopsy revealed a proliferation of immature cells and scattered foci of dyserythropoietic normoblasts. Since a review of the literature revealed no detailed description of an erythroleukemic lymph node infiltrate, a histopathologic study of this node was undertaken. The immature cells were identified as erythroblasts and pronormoblasts by histochemical staining (periodic acid-Schiff reagent and chloroacetate esterase), immunohistochemical reaction (directed against hemoglobin), and electron microscopy. The diagnosis of erythroleukemic lymph node infiltrate may be missed in the absence of a high index of suspicion. It is concluded that the detection of hemoglobin within malignant cells is most helpful in establishing the diagnosis.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Keifer J,Zaino R,Ballard JO

doi

10.1016/s0046-8177(84)80254-3

subject

Has Abstract

pub_date

1984-11-01 00:00:00

pages

1090-3

issue

11

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(84)80254-3

journal_volume

15

pub_type

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