Clinicopathological study of T cell lymphoma in Kagoshima prefecture, which has been known to be an endemic area of adult T cell leukemia (ATL), was performed. From 1987 to 1990, 82 patients diagnosed as T cell lymphoma were studied. These 82 patients were analysed pathologically and clinically in detail. By this study, following results were obtained.
1) Anti-HTLV-1 antibodies in sera were detected in 71(86.6%) out of 82 patients with T cell lymphoma. Almost all patients who had anti-HTLV-1 antibody were diagnosed as adult T cell leukemia/lymphoma, and their prognosis was poor comparing with anti-HTLV-1 antibody negative patients.
2) Histopathologically, 28 out of 71 patients were diagnosed as malignant lymphoma, diffuse pleomorphic type, according to Lymphoma Study Group classification.
3) The incidence of CD4+8-, CD4+8+, CD4-8+ and CD4-8- surface phenotypes was 78.9%, 11.3%, 4.2% and 5.6%, respectively. In patients whose lymphoma cells had CD4+8- antigen, the survival rate was slightly higher than those with other phenotypes.
4) In patients with T cell lymphoma who had CD30 antigen on tumor cells, the frequency of hypercalcemia was significantly lower and survival rate higher than in those without CD30 antigen.
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