Chapter 12-2: Nodular lymphocyte predominant Hodgkin lymphoma Flashcards
Histologic pattern of NLPHL is ___ or ___
nodular or
nodular and diffuse
name of neoplastic cells in NLPHL
LP cells (popcorn cells)
composition of nodules in NLPHL
meshwork fo follicular dendritic cells, non-neoplatic lymphocytes and histiocytes
classic pt for NLPHL
male 30-50yrs
NLPHL cannot be distinguised form __ by immunophenotype
THRLBCL
what benign LN condition may proceed, follow, or be seen concurrent with NLPHL
progressive transformation of germinal centers
staining with ___ shows expanded network of FDCs in NLPHL
CD21
LP cell immunophenotype
+ CD20, CD79a, CD75, BCL6, CD45
- CD15, CD30
J-chain in NLPHL
positive
OCT2, BOB1, and AID (activation induced daminase) in NLPHL
positive in NLPHL and negative in CHL
CD30+ cells in NLPHL are likely
reactive immunoblasts
rarely LP cells can have weak 30+
Cells ringing LP cells are
CD3, CD57+ T cells
markers expressed by T cells in NLPHL
cMAF, PD1, BCL6, IRF4/MUM1, CD134
germinal center T cell markers
staining pattern for EMA in LP cells
membrane and Golgi (ring and dot)
prominence of extra-nodular LP cells is associated with:
development of a diffuse pattern