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  5. Epstein-Barr virus-positive T- and NK-cell lymphoproliferative disorders: Report from the 2023 SH/EA4HP Lymphoma Workshop.

Epstein-Barr virus-positive T- and NK-cell lymphoproliferative disorders: Report from the 2023 SH/EA4HP Lymphoma Workshop.

File(s)
40619129.pdf (7.9 MB)
No Access Until
2026-07-11
Permanent Link(s)
https://hdl.handle.net/1813/118140
Collections
Department of Pathology and Laboratory Medicine
Author
Quintanilla-Martinez, L.
Li, S.
Chadburn, A.
Abstract

OBJECTIVES: To summarize the conclusions of the 2023 Society for Hematopathology/European Association for Haematopathology workshop regarding Epstein-Barr virus (EBV)-positive T- and natural killer (NK)-cell lymphoproliferative disorders (LPDs). METHODS: There were 38 cases submitted to session 3 of the workshop. RESULTS: Cases included extranodal NK/T-cell lymphoma (ENKTCL), nasal type (n = 16), EBV+ T- and NK-cell LPDs in children (n = 12), primary nodal EBV+ T- and NK-cell lymphoma (n = 5), and other EBV+ T- and NK-cell LPDs (n = 5). The ENKTCL cases highlighted some unusual features like indolent behavior, small cell morphology, and T-cell phenotype, including cases with CD4 and CD30 expression. The differential diagnosis of ENKTCL was illustrated by 4 cases with other primary cutaneous lymphomas. The difficulty in the diagnosis of systemic chronic active EBV disease, its complications, and the sometimes elusive boundaries among the EBV+ LPDs in children are also discussed. The submitted cases also unveiled cases of EBV+ γδ T-cell leukemia/lymphoma not recognized under current classifications and cases of EBV+ CD8+ cytotoxic lymphomas associated with treatment for B-cell lymphomas. The need to have a low threshold to investigate the presence of EBV is highlighted. CONCLUSIONS: The diagnosis of EBV+ T- and NK-cell LPDs is complex and requires a multiparameter approach incorporating clinical information and morphologic and molecular features.

Journal / Series
American journal of clinical pathology
Volume & Issue
164(1)
Date Issued
2025-07-11
Publisher
Oxford University Press
Keywords
WCM Library Coordinated Deposit
•
Humans
•
Epstein-Barr Virus Infections/pathology/complications/diagnosis
•
Lymphoproliferative Disorders/virology/pathology/diagnosis
•
Killer Cells, Natural/pathology/virology
•
Herpesvirus 4, Human/isolation & purification
•
Child
•
Male
•
Lymphoma, Extranodal NK-T-Cell/pathology/virology/diagnosis
•
Female
•
Adolescent
•
T-Lymphocytes/pathology/virology
•
Child, Preschool
•
Lymphoma, T-Cell/pathology/virology
•
Epstein-Barr virus
•
NK cell
•
T-cell lymphomas
•
children
•
chronic active Epstein-Barr virus disease
•
leukemia
•
nasal lymphomas
Related DOI
https://doi.org/10.1093/ajcp/aqaf020
Previously Published as
Quintanilla-Martinez L, Li S, Chadburn A. Epstein-Barr virus-positive T- and NK-cell lymphoproliferative disorders: Report from the 2023 SH/EA4HP Lymphoma Workshop. American journal of clinical pathology. 2025;164(1):46-64. doi: 10.1093/ajcp/aqaf020. PMID: 40619129.
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
Rights URI
https://creativecommons.org/licenses/by-nc-nd/4.0/
Type
article

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