Evidence map›Paper›PMID 34374109›Full record

ArticleJournal of veterinary internal medicine2021

Histopathologic, phenotypic, and molecular criteria to discriminate low-grade intestinal T-cell lymphoma in cats from lymphoplasmacytic enteritis.

Valérie Freiche, Mathieu V Paulin, Nathalie Cordonnier, Hélène Huet, Maria-Elena Turba, Elizabeth Macintyre, Thierry-Jo Molina, Olivier Hermine, Lucile Couronné, Julie Bruneau

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Valérie FreicheEcole Nationale Vétérinaire d'Alfort, CHUVA, Unité de Médecine Interne, Maisons-Alfort F-94700, France.ORCID https://orcid.org/0000-0003-2041-078X
Mathieu V PaulinDepartment of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK, Canada.ORCID https://orcid.org/0000-0001-8358-5101
Nathalie CordonnierPathology Department, Ecole Nationale Vétérinaire d'Alfort, Biopôle, Maisons-Alfort F-94700, France.
Hélène HuetPathology Department, Ecole Nationale Vétérinaire d'Alfort, Biopôle, Maisons-Alfort F-94700, France.
Maria-Elena TurbaLaboratorio Genefast, Forli, Italy.
Elizabeth MacintyreLaboratory of Onco-Hematology, Hôpital Necker-Enfants Malades, Assistance Publique des Hôpitaux de Paris, University of Paris, Paris, France.
Thierry-Jo MolinaCentre National Expert des Lymphomes Associés à la Maladie Cœliaque, University of Paris, Paris, France.
Olivier HermineCentre National Expert des Lymphomes Associés à la Maladie Cœliaque, University of Paris, Paris, France.
Lucile CouronnéLaboratory of Cellular and Molecular Mechanisms of Hematological Disorders and Therapeutical Implications, INSERM U1163, Imagine Institute, University of Paris, Paris, France.
Julie BruneauCentre National Expert des Lymphomes Associés à la Maladie Cœliaque, University of Paris, Paris, France.
Hôpital Necker-Enfants Malades · FRÉcole Nationale Vétérinaire d'Alfort · FRBanasthali University · INUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferentiation of low-grade intestinal T-cell lymphoma (LGITL) from lymphoplasmacytic enteritis (LPE) in cats is a diagnostic challenge for pathologists.

objectiveCharacterize histologic, immunohistochemical, and molecular features of LGITL and LPE. ANIMALS: Forty-four client-owned cats, 22 diagnosed with LGITL and 22 with LPE.

methodsProspective, cohort study. Clinical suspicion of LGITL or LPE was based on persistent gastrointestinal signs, unresponsive to empirical treatments. All cats underwent a standardized diagnostic evaluation, including biopsy (preferentially full-thickness), and were diagnosed with LGITL or LPE after review of clinical, laboratory, sonographic, histologic, immunohistochemical, and clonality results.

resultsA monomorphic lymphocytic population (22/22, 100%) and in-depth mucosal infiltration (15/22, 68%) were hallmarks of LGITL. Epithelial patterns (nests and plaques) were significantly more frequent in LGITL (11/22, 50%) than in LPE (1/22, 5%) cases (P = .001). A CD3+ lymphocytic apical-to-basal gradient was observed in 9/22 (41%) of LGITL vs 1/22 (5%) of LPE cases (P = .004). Most LPE cases (17/18, 94%) featured marked fibrosis in the superficial part of the lamina propria. The Ki-67 20%- and 30%-thresholds discriminated between LGITL and LPE within both the epithelium (specificity >95%) and lamina propria (specificity >95%), respectively. All LGITL cases were CD3+ pSTAT3- and pSTAT5+. T-cell receptor gamma chain gene rearrangements indicated monoclonality in 86% of LGITL cases. Surprisingly, 70% of LPE cases featured monoclonality (40%) or monoclonality on a polyclonal background (30%). CONCLUSIONS AND CLINICAL IMPORTANCE: We identified new histologic, immunohistochemical, and clonality criteria to distinguish LGITL from LPE.

Indexed as

Cat DiseasesEnteritisLymphoma, T-CellAnimalsCatsCohort StudiesIntestinesProspective Studiesalimentary lymphomaCD20CD3clonalityepitheliumfibrosisfull-thickness intestinal biopsiesgradienthistologyimmunohistochemistryinflammatory bowel diseaseJAK-STATKi-67lamina propriamonoclonalnestPARRplaquepolyclonal

Identifiers

PMID34374109
PMCPMC8692189
OpenAlexW3191841822

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.