PT  - JOURNAL ARTICLE
AU  - W G McCluggage
AU  - H Bharucha
AU  - M el-Agnaf
AU  - P G Toner
TI  - B cell signet-ring cell lymphoma of bone marrow.
AID  - 10.1136/jcp.48.3.275
DP  - 1995 Mar 01
TA  - Journal of Clinical Pathology
PG  - 275--278
VI  - 48
IP  - 3
4099  - http://jcp.bmj.com/content/48/3/275.short
4100  - http://jcp.bmj.com/content/48/3/275.full
SO  - J Clin Pathol1995 Mar 01; 48
AB  - A case of signet-ring cell lymphoma affecting the bone marrow and diagnosed by bone marrow trephine biopsy is reported. Normal marrow was replaced totally by cells with large central vacuoles, many of which displaced the nucleus to the periphery of the cell, imparting a signet-ring appearance. Initially, the favoured morphological diagnosis was metastatic signet-ring adenocarcinoma, but on immunocytochemistry the tumour cells were strongly positive for CD45 (leucocyte common antigen) and the B cell marker CD20 (L26). Electron microscopy revealed electron-lucent vacuoles with no discernable internal structure. The tumour was classified as a high grade centroblastic lymphoma using the upgraded Kiel classification. Despite chemotherapeutic treatment, the patient died during an episode of septicaemic shock within two months of presentation.