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COMMENTARY Evidence and Clinical Implications HE DEVELOPMENT OF vided important clues to the under- eage (B and T cells, natural killer many cancers and he- standing of the pathogenesis of can- cells, a subpopulation of dendritic matologic neoplasms cer. Leukemias (and in certain cases cells) (Figure 1). is driven by neoplas- solid tumors) seem to represent mul- Recent evidence suggests that T tic stem cells. These ticellular systems founded by a trans- many hematologic neoplasms and cells constitute a small proportion formed stem cell that undergoes ab- solid cancers contain a small frac- of the tumor mass and have low mi- errant differentiation into the final tion of stem cells that are capable of 4-6 totic activity but demonstrate abil- phenotype (Figure 1). indefinite proliferation and drive the 5,6 ity of efficient self-renewal. In this review I explore the growth of tumors. These neoplas- available evidence that suggests a tic stem cells (which in the case of See also page 1057 similar scenario for cutaneous lym- lymphoma will be called lymphoma phomas. I will in particular deal with stem cells [LSCs]) resemble func- It has long been recognized that the possibility that certain lympho- tionally normal hematopoietic stem many
JAMA Dermatology – American Medical Association
Published: Sep 1, 2004
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