Abstract
Malignant lymphomas often involve sites that are not primary organs of the lymphoreticular system. This involvement may be part of a disseminated lymphomatous process and in such cases even when an extranodal tumour dominates the clinical presentation staging procedures will reveal lymphoma elsewhere. The organ distribution of disseminated lymphoma is rarely totally random but probably reflects the physiological circulation of the normal counterparts of the tumour cells; thus involvement of the jaws in Burkitt’s lymphoma is an age-dependent phenomenon (Wright, 1971) possibly related to dental development, and the remarkable involvement of the breasts in this disease during pregnancy and lactation (Shepherd and Wright, 1967) may be related to the physiological migration of B-lymphocytes to the breast at these times.
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References
Al-Attar, A., Al-Mondhirg, H., Al-Bahrani, Z. and Al-Saleem, J. (1979), Burkitt’s lymphoma in Iraq. Clinical and pathological study of forty-seven patients. Int. J. Cancer, 23, 14–17.
Al-Saleem, T. and Peale, A. R. (1969), Lymphocytic tumors and pseudo tumors of the lung. Report of five cases with special emphasis on pathology. Am. Rev. Resp. Dis., 99, 767–72.
Azzopardi, J. G. and Evans, D. J. (1971), Malignant lymphoma of parotid associated with Mikulicz disease (benign lymphoepithelial lesion). J. Clin. Pathol, 24, 744–52.
Bienenstock, J., Johnston, M. and Perey, D. Y. E. (1973a), Bronchial lymphoid tissue. I. Morphologic characteristics. Lab. Invest., 28, 686–92.
Bienenstock, J., Johnston, N. and Perey, D. Y. E. (1973b), Bronchial lymphoid tissue. II. Functional characteristics. Lab. Invest., 28, 693–8.
Black, M. M. and Wilson Jones, E. (1972), ‘Lymphomatoid’ pityriasis lichenoides; a variant with histological features simulating a lymphoma. A clinical and histopathological study of 15 cases with details of long-term follow-up. Br.J. Dermatol., 86, 329–47.
Boston, H. C., Dahlin, D. C., Ivins, J. C. and Cupps, R. E. (1974), Malignant lymphoma (so-called reticulum cell sarcoma) of bone. Cancer, 34, 1131–7.
Burke, J. S., Butler, J. J. and Fuller, L. M. (1977), Malignant lymphomas of the thyroid: A clinical pathologic study of 35 patients including ultrastructural observations. Cancer, 39, 1587–1602.
Caro, W. A. and Helwig, E. B. (1969), Cutaneous lymphoid hyperplasia. Cancer, 24, 487–502.
Chorlton, I., Norris, H. J. and King, F. M. (1974), Malignant reticuloendothelial disease involving the ovary as a primary manifestation. A series of 19 lymphomas and 1 granulocytic sarcoma. Cancer, 34, 397–407.
Clark, W. H., Mihm, M. C., Reed, R. J. and Ainsworth, A. M. (1974), The lymphocytic infiltrates of the skin. Human Pathol., 5, 25–43.
Colby, T. V. and Carrington, C. B. (1982), Pulmonary lymphomas simulating lymphomatoid granulomatosis. Am. J. Surg. Pathol., 6, 19–32.
Compagno, J. and Oertel, J. E. (1980), Malignant lymphoma and the lymphopro-liferative disorders of the thyroid gland. A clinicopathologic study of 245 cases. Am. J. Clin. Pathol., 74, 1–11.
Cruickshank, A. H. (1965), Benign lymphoepithelial salivary lesion to be distinguished from adenolymphoma. J. Clin. Pathol 18, 391–400.
Evans, H. L., Winkelmann, R. R. and Banks, P. M. (1979), Differential diagnosis of malignant and benign cutaneous lymphoid infiltrates. A study of 57 cases in which malignant lymphoma had been diagnosed or suspected in the skin. Cancer, 44, 699–717.
Evans, R. A. and Cruickshank, A. H. (1970), Epithelial Tumours of the Salivary Glands, W. B. Saunders Co., Philadelphia, London, Toronto, pp. 279–95.
Fisher, E. R., Park, E. J. and Wechsler, H. L. (1976), Histologic identification of malignant lymphoma cutis. Am. J. Surg. Pathol., 65, 149–58.
Gibbs, A. R. and Seal, R. M. E. (1978), Primary lymphoproliferative conditions of lung. Thorax, 33, 140–52.
Godwin, T. (1952), Benign lymphoepithelial lesion of the parotid gland. Cancer, 5, 1089–103.
Gowing, N. F. C. (1976), Malignant lymphoma of the testis. In Pathology of the Testis (ed. R. C. B. Pugh), Blackwell Scientific Publications, Oxford, pp. 334–355.
Greaves, M. F. (1981), Analysis of the clinical and biological significance of lymphoid phenotypes in acute leukemia. Cancer Res., 41, 4752–66.
Greenberg, S. D., Heisler, J. G., Gyorkey, F. and Jenkins, D. E. (1972), Pulmonary lymphoma versus pseudolymphoma: A perplexing problem. South Med.J., 65, 775–84.
Gwynne-Jenkins, B. A. and Salm, R. (1971), Primary lymphosarcoma of the lung. Br. J. Dis. Chest., 65, 225–37.
Hanto, D. W., Frizzera, G., Purtilo, D. T. et al. (1981), Clinical spectrum of lymphoproliferative disorders in renal transplant recipients and evidence for the role of Epstein-Barr virus. Cancer Res., 41, 4253–61.
Heimann, R., Vanninheuse, A., DeSloover, C. and Dor, P. (1978), Malignant lymphomas and undifferentiated small cell carcinoma of the thyroid: A clinicopathological review in the light of the Kiel classification for malignant lymphomas. Histopathology, 2, 201–13.
Henry, J. M., Heffner, R. R., Dillard, S. H. et al. (1974), Primary malignant lymphomas of the central nervous system. Cancer, 34, 1293–1302.
Henry, K. and Farrer-Brown, G. (1977), Primary lymphomas of the gastrointestinal tract. I. Plasma cell tumours. Histopathology, 1, 53–76.
Holmes, G. K. T., Stokes, P. L., Soraham, J. M. et al (1976), Coeliac disease, gluten free diet and malignancy. Gut, 17, 612–19.
Hoover, R. and Fraumeni, J. F. (1973), Risk of cancer in renal-transplant recipients. Lancet, ii, 55–7.
Hyman, G. A. and Wolff, M. (1976), Malignant lymphomas of the salivary glands. Review of the literature and report of 33 new cases, including four cases associated with the lymphoepithelial lesion. Am. J. Clin. Pathol., 65, 421–38.
Isaacson, P. (1979), Middle East lymphoma and a-chain disease. An immuno-histochemical study. Am. J. Surg. Pathol., 3, 431–41.
Isaacson, P. (1980), Malignant histiocytosis of the intestine: the early histological lesion. Gut, 21, 381–6.
Isaacson, P. (1981), Primary gastrointestinal lymphoma. Virchows Arch. (Pathol. Anat.), 391, 1–8.
Isaacson, P., Jones, D. B., Sworn, M. J. and Wright, D. H. (1982), Malignant histiocytosis of the intestine. Report of 3 cases with immunological and cytochemical analysis. J. Clin. Pathol., 35, 510–16.
Isaacson, P. and Wright, D. H. (1978), Malignant histiocytosis of the intestine: its relationship to malabsorption and ulcerative jejunitis. Human Pathol., 9, 661–77.
Isaacson, P. and Wright, D. H. (1980), Malabsorption and intestinal lymphomas. In Recent Advances in Gastrointestinal Pathology (ed. R. Wright), W. B. Saunders, London, pp. 193–212.
Isaacson, P., Wright, D. H., Judd, M. A. and Mepham, B. L. (1979), Primary gastrointestinal lymphomas: A classification of 66 cases. Cancer, 43, 1805–19.
Ive, F. A., Magnus, I. A., Warin, R. P. and Wilson Jones, E. (1969), ‘Actinic reticuloid’. A chronic dermatosis associated with severe photosensitivity and the histological resemblance to lymphoma. Br. J. Dermatol, 81, 469–85.
Kassan, S. S. and Gardy, M. (1978), Sjögen’s syndrome: An update and overview. Am. J. Med., 64, 1037–45.
Kuo, T. T., Tschang, T. P. and Chu, J.Y. (1976), Testicular relapse in childhood acute lymphocytic leukaemia during bone marrow remission. Cancer, 38, 2604–12.
Law, I. P., Dick, F. R., Blom, J. and Bergevin, P. R. (1975), Involvement of the central nervous system in non-Hodgkin’s lymphoma. Cancer, 36, 225–31.
Lee, Y-TN. and Spratt, J. S. (1974), Gastrointestinal malignant lymphomas. In Malignant Lymphoma Nodal and Extranodal Diseases (Modern Surgical Monograph), Grune and Stratton, New York, pp. 229–60.
Lennert, K. (1978), Malignant lymphomas other than Hodgkin’s disease. In Handbuch der Speziellen. Pathologischen Anatomie und Histologie, Springer-Verlag, Berlin (in collaboration with N. Mohri, H. Stein, E. Kaiserling and H. K. Müller-Hermelink).
Lennert, K. (1981), Histopathology of Non-Hodgkin’s Lymphomas (Based on the Kiel Classification), Springer-Verlag, Berlin.
Leong, A. S-Y., Sage, R. E., Kinnear, G. C. and Forbes, I. J. (1980), Preferential epidermotrophism in adult T-cell leukemia-lymphoma. Am. J. Surg. Pathol., 4, 421–30.
Lever, W. F. and Schaumburg-Lever, G. (1975), Histopathology of the Skin, 5th edn, J. B. Lippincott Co. Philadelphia, Toronto.
Liebow, A. A., Carrington, C. B. and Friedman, P. J. (1972), Lymphomatoid granulomatosis. Human Pathol., 3, 457–58.
Long, J. C., Mihm, M. C. and Qazi, R. (1976), Malignant lymphoma of the skin. A clinicopathologic study of lymphoma other than mycosis fungoides diagnosed by skin biopsy. Cancer, 38, 1282–96.
Macauley, W. L. (1966), Lymphomatoid papulosis: A continuing self-healing eruption, clinically benign, histologically malignant. Arch. Dermatol, 94, 26–32.
Macauley, W. L. (1978), Lymphomatoid papulosis. Int. J. Dermatol., 17, 204–12.
McNamara, J. J., Kingsley, W. B., Paulson, D. L. et al (1969), Primary lymphosarcoma of the lung. Ann. Surg., 169, 133–9.
Mahoney, J. P. and Alexander, R. W. (1980), Primary histiocytic lymphoma of bone. A light and ultrastructural study of four cases. Am. J. Surg. Pathol., 4, 149–61.
Mambo, N. C., Burke, J. S. and Butler, J. J. (1977), Primary malignant lymphomas of the breast. Cancer, 39, 2033–40.
Maurer, R., Taylor, C. R., Terry, R. and Lukes, R. J. (1979), Non-Hodgkin lymphomas of the thyroid. A clinicopathologic review of 29 cases applying the Lukes-Collins classification and an immunoperoxidase method. Virchows Arch. (Pathol. Anat.), 383, 293–317.
Morgan, W. S. and Castleman, B. (1953), Clinicopathologic study of ‘Mikulicz’s disease’. Am. J. Pathol., 29, 471–503.
Paladugu, R. R., Bearman, R. M. and Rappaport, H. (1980), Malignant lymphoma with primary manifestation in the gonad. A clinicopathologic study of 38 patients. Cancer, 45, 561–71.
Parker, F. and Jackson, H. (1939), Primary reticulum cell sarcoma of bone. Surg. Gynecol. Obstet., 68, 45–53.
Parrott, D. M. V. (1976), The gut as a lymphoid organ. Clin. Gastroenterol, 5, 211–28.
Pascoe, H. R. (1970), Tumors composed of immature granulocytes occurring in the breast in chronic granulocytic leukaemia. Cancer, 26, 697–703.
Rappaport, H. and Thomas, L. B. (1974), Mycosis fungoides: the pathology of extracutaneous involvement. Cancer, 34, 1198–229.
Saltzstein, S. L. (1963), Pulmonary malignant lymphomas and pseudolymphomas: classification therapy and prognosis. Cancer, 16, 928–55.
Schmid, V., Helbron, D. and Lennert, K. (1982), Development of malignant lymphoma in myoepithelial sialadenitis (Sjögren’s syndrome). Virchows Arch. (Pathol Anat.), 395, 11–43.
Sears, H. F. and Reid, J. (1976), Granulocytic sarcoma. Localised presentation of a systemic disease. Cancer, 37, 1808–13.
Seligmann, M., Danon, F., Hurez, D. et al. (1968), Alpha chain disease: a new immunoglobulin abnormality. Science, 162, 1396–7.
Shepherd, J. J. and Wright, D. H. (1967), Burkitt’s tumour presenting as bilateral swelling of the breast in women of child-bearing age. Br. J. Surg., 54, 776–80.
Shoji, H. and Miller, T. R. (1971), Primary reticulum cell sarcoma of bone. Cancer, 28, 1234–44.
Taylor, C. R., Russell, R., Lukes, R. J. and Davis, R. L. (1978), An immunohistological study of immunoglobulin content of primary central nervous system lymphomas. Cancer, 41, 2197–205.
Turner, R. R., Colby, T. V. and MacKintosh, F. R. (1981), Testicular lymphoma: A clinicopathologic study of 35 cases. Cancer, 48, 2095–102.
Waldron, J. A., Leech, J. H., Glick, A. D. et al. (1977), Malignant lymphoma of peripheral T-lymphocyte origin. Immunologic pathologic and clinical features in six patients. Cancer, 40, 1604–17.
Wolfe, J. D., Trevor, E. D. and Kjeldsberg, C. R. (1980), Pulmonary manifestations of mycosis fungoides. Cancer, 46, 2648–53.
Woolner, L. B., McConahey, W. M., Beahrs, O. H. and Black, B. M. (1966), Primary malignant lymphoma of the thyroid. Review of forty-six cases. Am. J. Surg., 111, 502–23.
Wright, D. H. (1971), Burkitfs lymphoma: A review of the pathology, immunology and possible etiologic factors in Pathology Annual, (ed. S. C. Sommers), Appleton-Century Crofts, New York, pp. 337–63.
Zulman, J., Jaffe, R. and Talal, N. (1978), Evidence that the malignant lymphoma of Sjögren’s syndrome is a monoclonal B-cell neoplasm. New Engl. J. Med. 299, 1215–20.
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Wright, D.H., Isaacson, P.G. (1983). Extranodal malignant lymphomas. In: Biopsy Pathology of the Lymphoreticular System. Biopsy Pathology Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3396-6_13
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DOI: https://doi.org/10.1007/978-1-4899-3396-6_13
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