Peripheral T-cell lymphomas: an evaluation of reproducibility of the updated Kiel classification

Histopathology. 1991 Feb;18(2):99-105. doi: 10.1111/j.1365-2559.1991.tb01451.x.

Abstract

Haematoxylin and eosin, and Giemsa stained sections from 100 peripheral T-cell lymphomas were examined blind on two occasions by four experienced haematopathologists in order to evaluate the inter- and intra-observer reproducibility of the updated Kiel classification for these malignancies. In all cases, the T-cell phenotype had been established previously in frozen section using a panel of monoclonal antibodies. Analysis by kappa statistics showed poor reproducibility, both overall and for most subtypes, with the exception of large cell anaplastic lymphoma. The distinction between low- and high-grade lymphomas was also unsatisfactory. These results indicate the need for improved precision in the definition of histological categories of peripheral T-cell lymphoma. The reproducibility of the update Kiel classification for peripheral T-cell lymphomas in its present form is inadequate.

MeSH terms

  • Humans
  • Lymphoma, Non-Hodgkin / classification
  • Lymphoma, T-Cell, Peripheral / classification*
  • Lymphoma, T-Cell, Peripheral / pathology*
  • Observer Variation
  • Reproducibility of Results
  • Statistics as Topic