Terminal deoxynucleotidyl transferase–positive cells in human tonsils

JA Strauchen, LK Miller - American journal of clinical pathology, 2001 - academic.oup.com
JA Strauchen, LK Miller
American journal of clinical pathology, 2001academic.oup.com
To study the possible cellular origin of recently recognized indolent terminal
deoxynucleotidyl transferase (TdT)-positive T-lymphoblastic proliferations of the tonsils and
oropharynx, we studied normal human tonsils for the presence of TdT-positive cells. TdT-
positive cells were readily demonstrated in the tonsils from 15 children and adults by
immunohistochemical staining. TdT-positive cells were distributed in discrete foci at the
periphery of lobules of lymphoid tissue and adjacent to fibrous septa and had the …
Abstract
To study the possible cellular origin of recently recognized indolent terminal deoxynucleotidyl transferase (TdT)-positive T-lymphoblastic proliferations of the tonsils and oropharynx, we studied normal human tonsils for the presence of TdT-positive cells. TdT-positive cells were readily demonstrated in the tonsils from 15 children and adults by immunohistochemical staining. TdT-positive cells were distributed in discrete foci at the periphery of lobules of lymphoid tissue and adjacent to fibrous septa and had the morphologic features of small to medium-sized lymphocytes. Double-antibody staining indicated the TdT-positive cells had the phenotype of uncommitted early lymphoid precursors (CD3–, CD79a–, CD10–). Foci of TdT-positive cells were not identified in 6 reactive lymph nodes studied as controls. These studies indicate that tonsils, like bone marrow and thymus, are sites of lymphopoiesis. The presence of TdT-positive precursor cells in human tonsils may be a factor in the pathogenesis of recently described indolent T-lymphoblastic proliferations involving the tonsils and oropharynx. The presence of TdT-positive cells in human tonsils should not be misinterpreted as evidence of lymphoblastic lymphoma or leukemia.
Oxford University Press