A case of hemophagocytic syndrome progressing into large granular lymphoma in a dog

© 2019 American Society for Veterinary Clinical Pathology.

Détails bibliographiques
Publié dans:Veterinary clinical pathology. - 1975. - 48(2019), 1 vom: 01. März, Seite 71-77
Auteur principal: Akiyoshi, Makoto (Auteur)
Autres auteurs: Hisasue, Masaharu, Neo, Sakurako, Akiyoshi, Masami, Goto-Koshino, Yuko
Format: Article en ligne
Langue:English
Publié: 2019
Accès à la collection:Veterinary clinical pathology
Sujets:Case Reports Journal Article LGL T-cell lymphoma bone marrow hemophagocytosis hepatosplenic lymphoma
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520 |a A 12-year-old castrated male mixed breed dog was presented with anorexia, lethargy, intermittent vomiting, diarrhea, and weight loss. Clinicopathologic and imaging abnormalities included pancytopenia, icterus, and splenomegaly with multiple minute hypoechogenic nodules. Bone marrow (BM) smears revealed 2.5% hemophagocytic macrophages. In addition, an increased number of small to intermediate lymphocytes (16.3%) and plasma cells (3.2%) were recognized in the BM smears. More than 80% of the lymphocytes contained multiple small intracytoplasmic magenta granules. Histopathologic findings of the spleen revealed hemophagocytosis. Large granular lymphocytes (LGLs) were not found on the liver cytology or splenic histopathology at this time. PCR for antigen receptor rearrangement (PARR) analysis showed a clonal reaction in the T-cell receptor ɤ (TCRɤ) gene in the BM sample. The dog was diagnosed with hemophagocytic syndrome (HPS). The dog was maintained in good condition with immunosuppressive therapy. However, the dog developed hepatic LGL lymphoma 7 months later. At this time, PARR analysis showed a clonal TCRɤ gene rearrangement in the hepatic LGL lymphoma samples. The BM and liver sample clonal rearrangements showed 100% homology, indicating that the small to intermediate granular lymphocytes in the BM at the HPS stage had progressed to hepatic LGL lymphoma. To our knowledge, this is the first report of canine secondary HPS caused by the occurrence of a BM LGL lymphoma clone that progressed to hepatic LGL lymphoma 
650 4 |a Case Reports 
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650 4 |a LGL 
650 4 |a T-cell lymphoma 
650 4 |a bone marrow 
650 4 |a hemophagocytosis 
650 4 |a hepatosplenic lymphoma 
700 1 |a Hisasue, Masaharu  |e verfasserin  |4 aut 
700 1 |a Neo, Sakurako  |e verfasserin  |4 aut 
700 1 |a Akiyoshi, Masami  |e verfasserin  |4 aut 
700 1 |a Goto-Koshino, Yuko  |e verfasserin  |4 aut 
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