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96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...

96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...

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DO-062<br />

Tumor-associated macrophages in pediatric classical Hodgkin<br />

lymphoma: associations with Epstein-Barr virus, lymphocyte<br />

subsets and prognostic impact<br />

M . Barros 1 , R . Hassan 2 , G . Niedobitek 1<br />

1 Unfallkrankenhaus Berlin, Institut <strong>für</strong> <strong>Pathologie</strong>, Berlin, 2 Brazilian National<br />

Cancer Institute, Bone Marrow Transplantation Center, Rio de Janeiro, Brazil<br />

Aims. The number and type of tumor-associated macrophages are implicated<br />

in the biology of classical Hodgkin lymphoma (cHL) in adults.<br />

Due to the immunological differences between children and adults, and<br />

to the cross-talk between innate and adaptive immune system, it is hypothesized<br />

that number, function and prognostic impact of macrophages<br />

in pediatric cHL may be different from adult cases.<br />

Methods. We analyzed the number of macrophages and dendritic cells<br />

(DCs) in the tumor microenvironment of pediatric cHL by immunohistochemistry<br />

(IHC) and image analysis system. Epstein-Barr virus (EBV)<br />

status was determined by EBER-specific in situ hybridization and IHC.<br />

Results were analyzed in the context of age group, histological characteristics<br />

and clinical follow-up.<br />

Results. The younger ages were characterized by a more intense CD14+<br />

and CD163+ cell infiltrate (p=0.01 and p=0.025, respectively). In relation<br />

to nodular sclerosis, mixed cellularity subtype was characterized by high<br />

number of CD14+, (p=0.003) and CD163+ cells (p=0.027). EBV+ cases<br />

exhibited higher numbers of CD14+ (p

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