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Table 2 The kidney biopsy pathology and characteristics of the interstitial infiltrating CLL cells

From: The pathological features of leukemic cells infiltrating the renal interstitium in chronic lymphocytic leukemia/small lymphocytic lymphoma from a large single Chinese center

Case

Glomerular

Interstitium

Light microscopy

Immunofluorescence

Electron microscopy

Light microscopy

  

Immunofluo-rescence

Electron microscopy

 

Injury pattern

 

Electron dense deposits

The extent of infiltrate CLL cells

Nodular pattern formation

Granulomatous

  

1

Membranous nephritis

IgG++,C3+, C1q+

Subepithelial deposits

10%

No

No

Negative

No remarkable change

2

Minor change

Negative

No deposits

90%

Yes

No

Negative

Infiltrating neoplastic cells with crystal formation

3

Focal mesangial and endocapillary proliferative glomerulonephritis

C3++

Mesangial and hump-like subepithelial deposits

10%

No

No

Negative

No remarkable change

4

Membranoproliferative glomerulonephritis

IgG++,IgM+++,C3+,C1q+,κ++,IgG1++,IgG2++

Subendothelial deposits with microtubule formation

10%

No

No

Negative

No remarkable change

5

Minor change

Negative

No deposits

90%

Yes

Yes

Negative

No remarkable change

6

Membranoproliferative glomerulonephritis

IgG++,C3++,C1q+,κ++IgG1++

Subendothelial and subepithelial deposits with microtubule formation

70%

Yes

No

κ++IgG1++

Infiltrating neoplastic cells with microtubule formation

7

Focal mesangial and endocapillary proliferative glomerulonephritis

C3++

Mesangial and hump-like subepithelial deposits

50%

Yes

No

Negative

No remarkable change

8

Mesangial proliferative glomerulonephritis and thrombotic microangiopathy

C3++

Mesangial and Subendothelial deposits

50%

Yes

No

Negative

No remarkable change

9

Glomerular hypertrophy

Negative

No deposits

20%

No

No

Negative

No remarkable change

10

Membranoproliferative glomerulonephritis

IgM++,κ++

Subendothelial and mesangial deposits with microtubule formation

50%

Yes

No

IgM++,κ++

No remarkable change