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Clinical and laboratory observations in a lymphoma-prone family

✍ Scribed by Jeffrey W. Clark; Margaret A. Tucker; Mark H. Greene


Publisher
John Wiley and Sons
Year
1987
Tongue
English
Weight
540 KB
Volume
60
Category
Article
ISSN
0008-543X

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✦ Synopsis


Three sisters developed non-Hodgkin's lymphoma (NHL). Thirteen maternal relatives had adenocarcinomas of various types, predominantly breast and large bowel. Detailed laboratory assessment of this family revealed a variety of immunologic abnormalities. Two lymphoma patients had elevated anti-early antigens (EA) Epstein-Barr virus (EBV) titers. One of the two also had a markedly elevated anti-viral capsid antigen (VCA) EBV titer. The two lymphoma patients were human leukocyte antigen (HLA)-identical, but two unaffected siblings shared the same HLA haplotypes. One of the lymphoma patients and four unaffected family members were anergic; and three unaffected family members had a decreased percentage of T-cells. These data suggest that a subtle disturbance in cellular immune functions may play a causal role in some familial aggregations of malignant lymphoma.


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