Four unstained glass slides prepared from three cases autopsied by Dr. Thomas Hodgkin himself over 170 years ago were obtained during a visit to Gordon Museum, Guy's Hospital Medical School, London, UK. Hematoxylin and eosin staining confirmed the well-preserved spleen and autolytic liver to be massively infiltrated by Reed-Sternberg (R-S) cells in fibronodular background, and the two lymph nodes to have numerous R-S cells in one case and features of non-Hodgkin's lymphoma in the other. After bleaching the dyes, sections were transferred to silane-coated glass slides, and for the liver and spleen, the sections were divided into two. The labeled streptavidin biotinylated peroxidase method was employed for detecting CD15, CD30 and LMP-1, and the
in situ hybridization technique for EBER-1 (Epstein-Barr virus-related small nuclear RNA). For the liver and spleen, EBER-1 was re-stained using sections negative for LMP-1. CD15 was detected on R-S cells in the liver. CD30 and LMP-1 were undetectable. EBER-1 was demonstrated in the nuclei of R-S cells in the lymph node, liver and spleen. The lymph node of non-Hodgkin's lymphoma was negative for EBER-1. The present study confirmed the diagnosis of Hodgkin's lymphoma and Epstein-Barr viral infection in R-S cells in archival samples from two of the three original cases autopsied by Dr. Thomas Hodgkin.
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