Adult T-Cell Leukemia/Lymphoma

This is an aggressive lympho-proliferative disorder associated with Human T-Cell Leukemia Virus Type I (HTLV-1).  Most patients present with widespread lymphadenopathy and peripheral blood involvement.
Immunophenotypic Expression Pattern
Marker
Comment
Positive
Positive
Positive
Usually Negative
Usually Positive
Usually negative (there are occasional CD8+/CD4= or CD8+/CD4+ cases)
Strongly expressed in almost all cases.
May stain some large transformed cells.
Negative
TIA-1
Negative
Negative
HTLV-1
Positive.  There is no IHC stain, but this is an important test that can be done on the peripheral blood.
References
Hematopathology. [edited by] Jaffe, ES. 1st. ed. Elsevier, Inc. © 2011.  pp. 281-84.