Volume 64, Issue 1 pp. 64-66
Case Report
Free Access

HTLV-1 unrelated adult T-cell leukemia/lymphoma with unique phenotype and karyotype

Kazunori Nakase

Corresponding Author

Kazunori Nakase

Department of Internal Medicine, Saiseikai Matsusaka Hospital, Matsusaka, Japan

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

Department of Internal Medicine, Saiseikai Matsusaka Hospital, 1-15-6 Asahimachi, Matsusaka, Mie 515-8557, JapanSearch for more papers by this author
Masaki Hasegawa

Masaki Hasegawa

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

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Kota Tsuji

Kota Tsuji

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

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Takeshi Ikeda

Takeshi Ikeda

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

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Shigehisa Tamaki

Shigehisa Tamaki

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

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Motoaki Tanigawa

Motoaki Tanigawa

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

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Eiki Miyanishi

Eiki Miyanishi

Department of Internal Medicine, Yamada Red Cross Hospital, Misono, Japan

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Hiroshi Shiku

Hiroshi Shiku

Second Department of Internal Medicine, Mie University School of Medicine, Tsu, Japan

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Abstract

We describe a unique case of adult T-cell leukemia/lymphoma (ATL). The patient had typical clinicohematological features as ATL, but showed a lack of antibody to human T-cell leukemia virus type-1 (HTLV-1) and was negative for HTLV-I proviral DNA in the peripheral mononuclear cells by means of polymerase chain reaction. The phenotype of tumor cells revealed CD7+, CD5+, CD2+, CD3+, WT31−, TcR δ 1−, CD4−, CD8−, CD25−, and the karyotype showed a 5q-, t(12;18). HTLV-I unrelated ATL is very rare, and the karyotype as in our case has not been reported previously. Am. J. Hematol. 64:64–66, 2000. © 2000 Wiley-Liss, Inc.

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