Abstract
Twenty-two non-immunocompromised patients with primary intracranialmalignant lymphomas were examined on surgical material by using anargyrophilic method for the demonstration of nucleolar organizer regions asAg-NORs. The histopathological classifications of 22 patients included 3small lymphocytic, 7 small cleaved, 9 large cell, 1 mixed large and small,and 2 small non-cleaved type. The numbers of Ag-NOR of malignant lymphomapatients varied from 1.36 to 5.02 (mean 3.46 ± 0.25). The mean Ag-NORnumbers in the histopathological subtypes were small lymphocytic 1.63, smallcleaved 3.18, large 4.21, mixed large and small 3.47, and small non-cleaved3.78. The number of Ag-NORs in small lymphocytic type was significantly lessthan small cleaved or large cell type (p < 0.05). The small cleaved typealso had a smaller Ag-NOR number than the large cell type (p < 0.05).Except for two patients who had postoperative deterioration, 20 patientsreceived postoperative irradiation ranging from 36 to 54 Gy (median, 46 Gy).Sixteen patients had complete response to radiotherapy, and 4 had goodpartial response. Ten patients had tumor recurrence within the remissionperiod of 3 months to 7 years and 10 months (median 4.8 months). Threepatients with intracranial relapse at a remote site had a significantlylonger remission period (mean 57.3 months) than 7 with local relapse (mean6.29 months), p < 0.05. The mean Ag–NOR number of the short andlong remission period were 3.13 ± 0.34 and 3.81 ± 0.80,respectively. No significant difference was found between these two groups.The survival period was 3.2 months to 12 years (median 20 months). TheAg-NOR numbers of survival period less than or more than 20 months were 3.62± 0.40 and 3.27 ± 0.37, respectively. The Ag-NOR numbers didnot correlate with either the remission or the survival period. Theseresults indicate that Ag-NOR numbers may correlate with the histopathologictypes, but not with the prognosis of primary intracranial malignantlymphomas.
References
Jiddane M, Nicoli F, Diaz P, Bergvall U, Vincentelli F, Hassoun J, Salamon G: Intracranial malignant lymphoma. Report of 30 cases and review of the literature. J Neurosurg 65: 592–599, 1986
Neuwelt EA, Gumerlock MK, Dahlborg SA: Lymphomas of the brain in adults. In: Youmans JR (ed) Neurological Surgery. 3rd edition. WB Saunders Co., 3137–3151, 1990
Ploton D, Menager M, Jeannesson P, Himber G, Pigeon F, Adnet JJ: Improvement in the staining and in the visualization of the argyrophilic proteins of the nucleolar organizer region at the optical level. Histochem J 18: 5–14, 1986
Underwood JC, Giri DD: Nucleolar organizer regions as diagnostic discriminants for malignancy. J Pathol 155: 95–96, 1988
Hall PA, Levison DA: Review: Assessment of cell proliferation in histological material. J Clin Pathol 43: 184–192, 1990
Orrell JM, Evans AT, Grant A: A critical evaluation of Ag-NOR counting in benign naevi and malignant melanoma. J Pathol 163: 239–244, 1991
Derenzini M, Romagnoli T, Mingazzini P, Marinozzi V: Interphasic nucleolar organizer region distribution as a diagnostic parameter to differentiate benign from malignant epithelial tumors of human intestine. Virchows Archiv B Cell Pathol 54: 334–340, 1988
Chin LS, Hinton DR: The standardized assessment of argyrophilic nucleolar organizer regions in meningeal tumors. J Neurosurg 74: 590–596, 1991
Kajiwara K, Nishizaki T, Orita T, Nakayama H, Aoki H, Ito H: Silver colloid staining technique for analysis of glioma malignancy. J Neurosurg 73: 113–117, 1990
Shiraishi T, Tabuchi K, Mineta T, Monozaki N, Takagi M: Nucleolar organizer regions in various human brain tumors. J Neurosurg 74: 979–984, 1991
Crocker J, Nar P: Nucleolar organizer regions in lymphomas. J Pathol 151: 111–118, 1987
Howell WM, Black DA: Controlled silver-staining of nucleolus organizer regions with a protective colloidal developer: A one-step method. Experientia 36: 1014–1015, 1980
Crocker J, Boldy DA, Egan MJ: How should we count Ag-NORs? Proposals for a standardized approach. J Pathol 158: 185–188, 1989
Tan EC, Wakabayashi S, Kanai H, Nagai H: Ring-enhanced primary intracranial malignant lymphoma. Report of 2 cases. Neurologia Medico-chirurgica 31: 214–218, 1991
Quinn CM, Wright NA: The clinical assessment of proliferation and growth in human tumors: Evaluation of methods and applications as prognostic variables. J Pathol 160: 93–102, 1990
Crocker J, Egan MJ: Correlation between NOR sizes and numbers in non-Hodgkin's lymphomas. J Pathol 156: 233–239, 1988
Hall PA, Crocker J, Watts A, Stansfeld AG: A comparison of nucleolar organizer region staining and Ki67 immunostaining in non-Hodgkin's lymphoma. Histopathology 12: 373–381, 1988
Crocker J, Macartney JC, Smith PJ: Correlation between DNA flow cytometric and nucleolar organizer region data in non-Hodgkin's lymphoma. J Pathol 154: 151–156, 1988
Hochberg FH, Miller DC: Primary central nervous system lymphoma. J Neurosurg 68: 835–853, 1988
Jellinger K, Radaskiewicz TM, Slowick F: Primary malignant lymphomas of the central nervous system in man. Acta Neuropathol Suppl 6: 95–102, 1975
Tomlinson FH, Kurtin PJ, Suman VJ, Scheithauer BW, O'Fallon JR, Kelly PJ, Jack CR, O'Neill BP: Primary intra-cerebral malignant lymphoma: A clinicopathological study of 89 patients. J Neurosurg 82: 558–566, 1995
Hayakawa T, Takakura K, Abe H, Yoshimoto T, Tanaka R, Sugita K, Kikuchi H, Uozumi T, Hori T, Fukui H, Ushio Y, Nomura K, Matsutani M, Mohri N, Kumanishi T, Aozasa K, Nagashima K: Primary central nervous system lymphoma in Japan–a retrospective, co-operative study by CNS Lymphoma Study Group in Japan. J Neuro-Oncol 19: 197–215, 1994
Michalski JM, Garcia DM, Kase E, Grigsby PW, Simpson JR: Primary central nervous system lymphoma: Analysis of prognostic variables and patterns of treatment failure. Radiology 176: 855–860, 1990
Pollack IF, Lunsford LD, Flickinger JC, Dameshek HL: Prognostic factors in the diagnosis and treatment of primary central nervous system lymphoma. Cancer 63: 939–947, 1989
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Karasawa, K., Tada, T., Kanai, H. et al. Nucleolar organizing regions in primary intracranial malignant lymphomas. J Neurooncol 35, 1–6 (1997). https://doi.org/10.1023/A:1005891515468
Issue Date:
DOI: https://doi.org/10.1023/A:1005891515468