Clinicopathological factors relating malignant lymphoma with Sjogren's syndrome

J. M. Anaya, H. S. McGuff, P. M. Banks, N. Talal

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

108 Citas (Scopus)

Resumen

This study was undertaken to summarize the current status of the clinicopathologic factors related to non-Hodgkin's lymphoma (NHL) development in patients with Sjogren's syndrome (SS). Through a MEDLINE search, pertinent articles on SS, monoclonality, and NHL were found and reviewed. Malignant lymphoma description was based on the International Lymphoma Study Group classification. Patients with SS are known to have an increased risk for developing B-cell NHL (B-NHL). However, such a complication occurs in less than 10% of patients, being reported mainly in those with primary SS. Extranodal low-grade B-NHL are observed most frequently. Persistent enlargement of parotid glands, adenopathy, monoclonal gammopathy, and cross- reactive idiotypes are all signs suggesting possible lymphoma evolution. Although monoclonality does not mean malignancy unequivocally, it is considered to be a precursor for NHL development in SS. Factors implicated into lymphomagenesis in SS include dysregulation in the mechanisms leading to apoptosis, hyperstimulation of B-1 cells, and an infectious agent. Polyclonal lymphoproliferation characterizing SS might in some instances transform into monoclonal, and then to malignancy. Further studies on the mechanism whereby NHL develops in SS are warranted.

Idioma originalInglés estadounidense
Páginas (desde-hasta)337-346
Número de páginas10
PublicaciónSeminars in Arthritis and Rheumatism
Volumen25
N.º5
DOI
EstadoPublicada - 1996
Publicado de forma externa

All Science Journal Classification (ASJC) codes

  • Reumatología
  • Anestesiología y analgésicos

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