Table 2.

Morphologic and immunophenotypic features of mature T-cell leukemias




T-PLL; n = 38

Primary SS; n = 32

T-LGL leukemia; n = 15
Tumor cell morphology, no. (%)    
Mostly prolymphocytoid   20 (53)   7 (22)   1 (7)  
Mostly small cerebriform   8 (21)   14 (44)   2 (14)  
Mixed small and large forms   10 (26)   11 (34)   12 (80)  
Cytoplasmic granules   3 (8)   4 (13)   12 (80)  
Pattern in bone marrow biopsy, no. (%)    
Nodular   0 (0)   1/30 (3)   1 (7) 
Nodular/interstitial   5 (13)   6/30 (20)   10 (67) 
Interstitial   30 (79)   23/30 (77)   4 (26)  
Diffuse   3 (8)   0/30 (0)   0 (0)  
Sinusoidal   0 (0)   0/30 (0)   0 (0)  
Tumor immunophenotype by flow cytometry, no. (%)    
CD4+ CD8  24 (63)   30 (94)   2 (13)  
CD4+ CD8+  12 (32)   1 (3)   0 (0)  
CD4 CD8+  2 (5)   0 (0)   13 (87)  
CD4 CD8  0 (0)   1 (3)   0 (0)  
CD5+  38 (100)   18/18 (100)   −/dim 9/12 (75)  
CD7+  35/37 (95)   19/31 (61)   10/13 (77)  
CD26+  20/26 (77)   1/32 (3)   2/11 (18)  
TCR-α/β+  12/14 (86)  4/4 (100)   12/14 (86)  
TCR-γ/δ+  0/14 (0)  0/2 (0)   2/14 (14)  
TCL1 expression*
 
27/38 (71)
 
0/17 (0)
 
0/5 (0)
 



T-PLL; n = 38

Primary SS; n = 32

T-LGL leukemia; n = 15
Tumor cell morphology, no. (%)    
Mostly prolymphocytoid   20 (53)   7 (22)   1 (7)  
Mostly small cerebriform   8 (21)   14 (44)   2 (14)  
Mixed small and large forms   10 (26)   11 (34)   12 (80)  
Cytoplasmic granules   3 (8)   4 (13)   12 (80)  
Pattern in bone marrow biopsy, no. (%)    
Nodular   0 (0)   1/30 (3)   1 (7) 
Nodular/interstitial   5 (13)   6/30 (20)   10 (67) 
Interstitial   30 (79)   23/30 (77)   4 (26)  
Diffuse   3 (8)   0/30 (0)   0 (0)  
Sinusoidal   0 (0)   0/30 (0)   0 (0)  
Tumor immunophenotype by flow cytometry, no. (%)    
CD4+ CD8  24 (63)   30 (94)   2 (13)  
CD4+ CD8+  12 (32)   1 (3)   0 (0)  
CD4 CD8+  2 (5)   0 (0)   13 (87)  
CD4 CD8  0 (0)   1 (3)   0 (0)  
CD5+  38 (100)   18/18 (100)   −/dim 9/12 (75)  
CD7+  35/37 (95)   19/31 (61)   10/13 (77)  
CD26+  20/26 (77)   1/32 (3)   2/11 (18)  
TCR-α/β+  12/14 (86)  4/4 (100)   12/14 (86)  
TCR-γ/δ+  0/14 (0)  0/2 (0)   2/14 (14)  
TCL1 expression*
 
27/38 (71)
 
0/17 (0)
 
0/5 (0)
 
*

Determined by Western blot or immunohistochemistry or both.

Four of these 11 cases showed an exclusively interstitial pattern in subsequent biopsy specimens.

Two analyzed cases did not show expression of surface TCR.

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