The main advantage of cytometry over immunohistochemical analysis in the initial diagnosis is speed, and may be helpful when the material for immunohistochemical analysis is not available, such as in the case of fine-needle aspiration (9). ALCL is a T-cell lymphoma immunophenotypically characterized by positive CD30 staining in a membranous and Golgi zone pattern. Approximately 60-85% ALCL cases are Inhibitors,research,lifescience,medical positive for ALK protein. The translocation

[2;5] between the ALK gene on chromosome 5 is the most common cytogenetic abnormality that leads to upregulation of ALK protein. The majority of ALC cases will show one or more

T-cell-associated antigens. However, there are cases of ALCL that are negative for all T-cell markers and they are known as null-cell type. The optimal treatment is not yet defined due to the low incidence of this disease. Surgery, radiotherapy and chemotherapy were all reported Inhibitors,research,lifescience,medical as treatment modalities alone or in combination Inhibitors,research,lifescience,medical (11). Only 17 patients, including our case, have been surgically treated. The importance of surgical resection for a cure or for a reduction of tumor burden cannot be assessed by this limited series. Whether or not systemic treatment with chemotherapy will give comparable results Inhibitors,research,lifescience,medical to surgery in resectable cases is also not currently known. Pescovitz et al. (10) noted that the disease-free survival rate for 5 patients

treated with resection and combined chemotherapy was 80%, compared with 54% survival for chemotherapy alone. But Page et al. (7) reported complete remission in 83.3% of 24 cases evaluated with combination chemotherapy. Five year cause specific and failure free survival rates were 87.1% and 70.1% respectively. Outcomes are poorer in patients with AIDS, and in those with coexisting liver disease. Currently, the most common Inhibitors,research,lifescience,medical treatment of PHL involves combination chemotherapy CHOP. Rituximab, an anti CD 20 monoclonal antibody, is added to this chemotherapy regimen if the histology confirms that the lymphoma Amisulpride is CD 20 antigen positive. Massive liver infiltration, high index of proliferation, advanced age, elevated LDH levels, cirrhosis and increased Protein Tyrosine Kinase inhibitor levels of β2-microglobulin are the worst prognosis factors (12). This is, to our knowledge, the first reported case of primary hepatic anaplastic large cell Ki-1 non-hodgkin lymphoma in a setting of adult celiac disease. The only link between both diseases is a markedly increased incidence of gastrointestinal T-cell lymphoma in celiac disease.