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Malignant Lymphoma of Mucosa Associated Lymphoid Tissue (Malt)

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Lymphoproliferative Diseases

Part of the book series: Immunology and Medicine Series ((IMME,volume 15))

Abstract

The majority of extranodal non-Hodgkin’s lymphomas occur in the gastrointestinal tract and other mucosal organs where the tumours arise from mucosa associated lymphoid tissue (MALT). This lymphoid tissue may be a normal tissue component as in the mucosa of the intestine and bronchi, or acquired, usually as the result of an ‘autoimmune’ disorder as in the stomach, salivary glands and thyroid. In either case, the organization and histological features of the lymphoid tissue are distinctive and differ from that of peripheral lymph nodes. As a consequence, the clinicopathological features of the lymphomas derived from MALT are equally distinctive, differing from the much more common nodal lymphomas1. At present, studies of MALT derived lymphomas have principally been confined to those of B-cell origin. These appear to account for the great majority of this group of lymphomas. It is conceivable that an equally distinctive group of T-cell lymphomas arises from MALT, and the recent characterization of coeliac associated lymphoma as a T-cell neoplasm2 suggests that this is indeed the case. The clinicopathological features of MALT derived lymphomas can only be fully comprehended in relation to the histology and physiologic behaviour of MALT. Thus the cells of these lymphomas share the homing patterns of MALT lymphocytes and this may account for the slow evolution of the lymphomas and their tendency to remain localized. Certain specific and diagnostically useful histological features common to these lymphomas can also be explained in relation to their origin from MALT.

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References

  1. Isaacson, P. and Wright, D. H. (1984). Extranodal malignant lymphoma arising from mucosa-associated lymphoid tissue. Cancer, 53, 2515–24

    Article  PubMed  CAS  Google Scholar 

  2. Isaacson, P. G., O’Connor, N. T. J., Spencer, J., Bevan, D. H., Connolly, C. E., Kirkham, N., Pollock, D. J., Wainscoat, J. S., Stein, H. and Mason, D. Y. (1985). Malignant histiocytosis of the intestine–a T cell lymphoma. Lancet, 2, 688–91

    Article  PubMed  CAS  Google Scholar 

  3. Cornes, J. S. (1965). Number size and distribution of Peyer’s patches in the human small intestine. Part 1. The development of Peyer’s patches. Gut, 6, 225–9

    Article  PubMed  CAS  Google Scholar 

  4. Spencer, J., MacDonald, T. T., Finn, T. and Isaacson, P. G. (1986). The development of gut-associated lymphoid tissue in the terminal ileum of fetal human intestine. Clin. Exp. Immunol., 64, 536–43

    PubMed  CAS  Google Scholar 

  5. Owen, R. L. and Jones, A. L. (1974). Epithelial cell specialisation within human Peyer’s patches: an ultrastructural study of intestinal lymphoid follicles. Gastroeenterology, 66, 189–203

    CAS  Google Scholar 

  6. Owen, R. L. (1977). Sequential uptake of horseradish peroxidase by lymphoid follicle epithelium of Peyer’s patches in the normal unobstructed mouse intestine: an ultrastructural study. Gastroenterology, 72, 440–51

    PubMed  CAS  Google Scholar 

  7. Bockman, D. E., Boydston, W. R. and Beezhold, D. H. (1983). The role of epithelial cells in gut-associated immune reactivity. In McGhee, J. R. and Mestecky, J. (eds) The Secretory Immune System. vol. 409, pp. 129–144. ( New York: New York Academy of Sciences )

    Google Scholar 

  8. Richman, L. K., Graeff, A. S. and Strober, W. (1981). Antigen presentation by macrophage-enriched cells from mouse Peyer’s patch. Cell. Immunol., 62, 110–18

    Article  PubMed  CAS  Google Scholar 

  9. MacDonald, T. T. and Carter, P. B. (1982). Isolation and functional characterisation of adherent phagocytic cells from mouse Peyer’s patches. Immunology, 45, 769–74

    PubMed  CAS  Google Scholar 

  10. Griscelli, G., Vasalli, P. and McCluskey, R. T. (1969). The distribution of large dividing lymph node cells in syngeneic recipient rats after intravenous injection. J. Exp. Med., 130, 1427–51

    Article  PubMed  CAS  Google Scholar 

  11. Hall, J. G., Parry, D. M. and Smith, M. E. (1972). The distribution and differentiation of lymph-borne immunoblasts after intravenous injection into syngeneic recipients. Cell Tiss. Kin., 5, 269–81

    CAS  Google Scholar 

  12. Crabbe, P. A., Baxin, H., Eyssen, H. and Heremans, J. F. (1968). The normal microbial flora as a major stimulus for proliferation of plasma cells synthesising IgA in the gut. Int. Arch. Allergy Appl. Immunol., 34, 362–75

    Article  PubMed  CAS  Google Scholar 

  13. Nash, D. R., Vaerman, J. P., Bazin, H. and Heremans, J. F. (1969). Identification of IgA in rat serum and secretions. J. Immunol., 103, 145–8

    PubMed  CAS  Google Scholar 

  14. South, M. A., Cooper, M. D., Wollheim, F. A., Hong, R. and Good, R. A. (1966). The IgA system. I. studies on the transport and immunocytochemistry of IgA in the saliva. J. Exp. Med., 123, 615–27

    Article  PubMed  CAS  Google Scholar 

  15. Porter, P., Noakes, D. E. and Allen, W. D. (1972). Intestinal secretions in pre-ruminant calf. Immunology, 23, 299–312

    PubMed  CAS  Google Scholar 

  16. Orlans, E., Peppard, J. V., Reynolds, J. and Hall, J. G. (1978). Rapid active transport of immunoglobulin A from blood to bile. J. Exp. Med., 147, 588–92

    Article  PubMed  CAS  Google Scholar 

  17. Walker, W. A. and Isselbacher, K. J. (1977). Intestinal antibodies. N. Engl. J. Med., 297, 767–73

    Article  PubMed  CAS  Google Scholar 

  18. Vaerman, J. P., Andre, C., Bazin, H. and Heremans, J. F. (1973). Mesenteric lymph as a major Source of serum IgA in guinea pigs and rats. Eur. J. Immunol., 3, 580–4

    Article  PubMed  CAS  Google Scholar 

  19. Bienenstock, J., McDermott, M., Befus, D. and O’Neill, M. (1978). A common mucosal immunologic system involving bronchus breast and bowel. Adv. Exp. Med. Biol., 107, 53–9

    PubMed  CAS  Google Scholar 

  20. Montgomery, P. C., Ayyildiz, A., Lemaitre-Coelho, I. M., Vaerman, J-P. and Rockey, J. H. (1983). Induction and expression antibodies in secretions: The occular immune system. In McGhee, J. R. and Mestecky, J. (eds). The Secretory Immune System, vol. 409, pp. 428–440. ( New York: New York Academy of Sciences )

    Google Scholar 

  21. Spencer, J. and Hall, J. G. (1984). Studies on the lymphocytes of sheep. IV Migration patterns of lung-associated lymphocytes efferent from the caudal mediastinal lymph node. Immunology, 52, 1–5

    PubMed  CAS  Google Scholar 

  22. Vaerman, J. P. and Heremans, J. F. (1966). Subclasses of human IgA based on differences in the alpha polypeptide chains. Science, 153, 647–9

    Article  PubMed  CAS  Google Scholar 

  23. Andre, C., Andre, F. and Fargier, M. C. (1978) Distribution of IgA, and IgA2 plasma cells in various normal human tissues and in the jejunum of plasma IgA-deficient patients. Clin. Exp. Immunol., 33, 327–31

    PubMed  CAS  Google Scholar 

  24. Crago, S. S., Kutteh, N. H., Moro, I., Allansmith, M. R., Radl, J., Haaijman, J. J. and Mestecky, J. (1984). Distribution of IgA1-, IgA2- and J chain-containing cells in human tissue. J. ImmunoL, 132, 16–18

    CAS  Google Scholar 

  25. Tourville, D. R., Adler, R. H., Bienenstock, J. and Tomasi, T. B. (1969). The human secretory immunoglobulin system: immunohistochemical localisation of aA, secretory ‘piece’ and lactoferrin in normal human tissues. J. Exp. Med., 129, 411–29

    Article  PubMed  CAS  Google Scholar 

  26. Spencer, J., Finn, T., Pulford, K. A. F., Mason, D. Y. and Isaacson, P. G. (1985). The human gut contains a novel population of B lymphocytes which resemble marginal zone cells. Clin. Exp. Immunol., 62, 607–12

    PubMed  CAS  Google Scholar 

  27. Spencer, J., Finn, T. and Isaacson, P. G. (1986). Human Peyer’s patches–an immunohistochemical study. Gut, 27, 405–10

    Article  PubMed  CAS  Google Scholar 

  28. Spencer, J., Finn, T. and Isaacson, P. G. (1986). A comparative study of the gut-associated lymphoid tissue in primates and rodents. Virch. Arch., 51, 509–19

    Article  CAS  Google Scholar 

  29. Spencer, J., Finn, T. and Isaacson, P. G. (1985). Gut-associated lymphoid tissue: a morphological and immunocytochemical study of the human appendix. Gut, 26, 672–9

    Article  PubMed  CAS  Google Scholar 

  30. Fergusson, A. (1977). Progress report. Intraepithelial lymphocytes of the small intestine. Gut, 18, 921–37

    Article  Google Scholar 

  31. Pulford, K. A. F., Ralfkiaer, E., MacDonald, S. N., Erber, W. N., Falini, B., Gatter, K. C. and Mason, D. Y. A. (1986). A new monoclonal antibody (KB61) recognising an antigen of 40,000 molecular weight which is selectively expressed on a subpopulation of human lymphocytes. Immunology, 57, 71–6

    PubMed  CAS  Google Scholar 

  32. Rowe, M., Hildreth, J. E. K., Rickinson, A. B. and Epstein, M. A. (1982). Monoclonal antibodies to Epstein-Barr virus-induced, transformation-associated cell surface antigens: binding patterns and effect upon virus-specific T-cell cytotoxicity. Int. J. Cancer, 29, 373–80

    Article  PubMed  CAS  Google Scholar 

  33. Sminia, T. and Plesch, B. E. C. (1982). An immunohistochemical study of cells with surface and cytoplasmic immunoglobulins in situ in Peyer’s patches and lamina propria of rat small intestine. Virch. Arch., 40, 181–9

    Article  CAS  Google Scholar 

  34. Herbert, A., Wright, D. H., Isaacson, P. G. and Smith, J. L. (1984). Primary malignant lymphoma of the lung: Histopathologic and immunologic evaluation of nine cases. Hum. Pathol., 15, 415–22

    Article  PubMed  CAS  Google Scholar 

  35. Anscombe, A. M. and Wright, D. H. (1985). Primary malignant lymphoma of the thyroid–a tumour of mucosa-associated lymphoid tissue: review of seventy-six cases. Histopathology, 9, 81–97

    Article  PubMed  CAS  Google Scholar 

  36. Ree, H. J., Rege, V. B., Knisley, R. E., Thayer, W. R., D’amico, R. P., Song, J. Y. and Crowley, J. P. (1980). Malignant lymphoma of Waldeyer’s ring following gastrointestinal lymphoma. Cancer, 46, 1528–35

    Article  PubMed  CAS  Google Scholar 

  37. Isaacson, P. G., Spencer, Jo. and Finn, T. (1986). Primary B-cell gastric lymphoma. Hum. PathoL, 17, 72–82

    Article  PubMed  CAS  Google Scholar 

  38. World Health Organisation. (1976). Alpha-chain disease and related small intestinal lymphoma: A memorandum. Bull. WHO, 54, 615–24

    Google Scholar 

  39. Isaacson, P. (1979). Middle East lymphoma and a-chain disease. An immunohistochemical study. Am. J. Surg. PathoL, 3, 431–41

    Article  PubMed  CAS  Google Scholar 

  40. Asselah, F., Slavin, G., Sowter, G. and Assehah, H. (1983). Immunoproliferative small intestinal disease in Algerians. 1. Light microscopic and immuno-chemical studies. Cancer, 52, 227–37

    Article  PubMed  CAS  Google Scholar 

  41. Isaacson, P. G. and Price, S. K. (1985). Light chains in Mediterranean lymphoma. J. Clin. Pathol., 38, 601–7

    Article  PubMed  CAS  Google Scholar 

  42. Al-Bahrani, Z. R., Al-Mondhiry, H., Bakir, F. and Al-Saleem, T. (1983). Clinical and pathological subtypes of primary intestinal lymphoma. Experience with 132 patients over a 14 year period. Cancer, 52, 1666–72

    Article  PubMed  CAS  Google Scholar 

  43. Banerjee, D. and Ahmad, D. (1982). Malignant lymphoma complicating lymphocytic interstitial pneumonia: A monoclonal B-cell neoplasm arising in a polyclonal lymphoproliferative disorder. Hum. Pathol., 13 (8), 780–4

    Article  PubMed  CAS  Google Scholar 

  44. Schmid, U., Helbron, D. and Lennert, K. (1982). Development of malignant lymphoma in myeopithelial sialadenitis (Sjörgren’s syndrome). Virch. Arch. (Pathol. Anat.), 395, 11–43

    Article  CAS  Google Scholar 

  45. Wilkin, T. J. and Casey, C. (1984). The distribution of immunoglobulin-containing cells in human autoimmune thyroiditis. Acta Endocrinol., 106, 490–8

    PubMed  CAS  Google Scholar 

  46. Wright, D. H. (1985). Histogenesis of Burkitt’s lymphoma: a B-cell tumour of mucosa-associated lymphoid tissue. pp. 37–45. Presented at the WHO Symposium on Burkitt’s Lymphoma: A Human Cancer Model. December 26–29, Lyon

    Google Scholar 

  47. Cornes, J. S. (1961). Multiple lymphomatous polyposis of the gastrointestinal tract. Cancer, 14, 249–57

    Article  PubMed  CAS  Google Scholar 

  48. Isaacson, P. G., Maclennan, K. A. and Subbuswamy, S. G. (1984). Multiple lymphomatous polyposis of the gastrointestinal tract. Histopathology, 8, 641–56

    Article  PubMed  CAS  Google Scholar 

  49. Stein, H., Gerdes, J. and Mason, D. Y. (1982). The normal and malignant germinal centre. Clin. Haematol, 11, 531–59

    PubMed  CAS  Google Scholar 

  50. Salter, D. M., Krajewski, A. S. and Dewar, A. E. (1986). Immunophenotype analysis of malignant histiocytosis of the intestine. J. Clin. Pathol, 39, 8–15

    Article  PubMed  CAS  Google Scholar 

  51. Loughran, T. P., Kadin, M. E. and Deek, H. J. (1986). T-cell intestinal lymphoma associated with celiac sprue. Ann. of Int. Med., 104, 44–7

    Google Scholar 

  52. Isaacson, P. and Wright, D. H. (1978). Malignant histiocytosis of the intestine: its relationship to malabsorption and ulcerative jejunitis. Hum. Pathol. 9, 661–77

    Article  PubMed  CAS  Google Scholar 

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© 1990 Kluwer Academic Publishers

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Isaacson, P.G., Spencer, J. (1990). Malignant Lymphoma of Mucosa Associated Lymphoid Tissue (Malt). In: Jones, D.B., Wright, D.H. (eds) Lymphoproliferative Diseases. Immunology and Medicine Series, vol 15. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0739-3_9

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  • DOI: https://doi.org/10.1007/978-94-009-0739-3_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6817-8

  • Online ISBN: 978-94-009-0739-3

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