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Nodular lymphocyte predominant Hodgkin lymphoma

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168: 160: 29: 179:. Lymphocyte predominant (LP) ("popcorn") cells are present embedded in nodules consisting of B cells and other reactive cells (mainly reactive T cells). Reed-Sternberg and Hodgkin (RSH) cells are rarely seen, and immunohistochemistry shows a different pattern on the malignant cells; RSH cells typically express CD15 and CD30, whereas LP cells lack expression of these markers, but express B cell markers like CD20, CD22, and CD79a and also express the common leukocyte antigen CD45, which is uncommon on RSH cells. The LP cells have scant cytoplasm and one folded or multilobated nuclei with prominent, mostly basophilic nucleoli. Expert pathology review of multiple morphologic and immunophenotypic features including the use of immunohistochemistry is essential. 257:(radio therapy) may reduce the risk of progression in adults. In one study, stage I-II patients treated with radiation therapy showed 10-year cause-specific survival of 98%, and the rate of developing radiotherapy-related second malignancies was not increased by the treatment (1% after 10 years). A study published in 2013 on large group of patients with early-stage NLPHL indicated support for using limited-field radiation therapy as the sole treatment of early-stage disease. In a study of 1,162 NLPHL patients from the 351:
Prognosis is favourable in comparison with classic HL despite a tendency for disease recurrence requiring long term followup. Relapse can occur at a comparatively late stage in comparison to classic HL. There is limited information regarding the outcome for patients with advanced-stage progression.
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optionally followed by radiation therapy is recommended in newly diagnosed late stage disease, while for early stage disease radio therapy alone (stage IA without risk factors) or a brief ABVD-based chemotherapy followed by radiation therapy (early stages other than stage IA without risk factors) was
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can occur in up to 12% of cases. After transformation, neoplastic cells carry monoclonal immunoglobulin gene rearrangements. Histological transformation may lead to poor prognosis and therefore repeat biopsy is required at relapse. One study found a transformation rate of 7.6%, and suggested that
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has specific use in treatment of NLPHL as it is a chimeric monoclonal antibody against the protein CD20. Studies indicate Rituximab offers potential in relapsed or refractory patients, and also in front-line treatment especially in advanced stages. Because of a tendency for relapse, maintenance
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Surgical lymph node excision may be carried out at the time of diagnosis in certain cases such in children diagnosed at an early stage of progression. One study found sustained complete remission in half of the cases with a watch-and-wait strategy after surgical lymph node excision at the time of
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There are small but clear differences in prognosis between the various forms. Lymphocyte predominant HL is an uncommon subtype composed of vague nodules of numerous reactive lymphocytes admixed with large popcorn-shaped RSC. Unlike classic RSC, the non-classic popcorn-shaped RS cells of NLPHL are
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NLPHL is an uncommon sub-type of Hodgkin lymphoma, making up 5-10% of Hodgkin lymphomas. It is distinguished from classic Hodgkin lymphoma by the presence of CD20 positive lymphocyte predominant cells, also known as popcorn cells due to their polylobated
1621: 1606: 314:/ABV in children suggested positive results with chemotherapy alone are possible without the need for radiation therapy. Optimal chemotherapy is a topic for debate, for example there is evidence of support for treatment with 261:, radiation therapy improved overall survival and disease specific survival. Recent management strategies recommend that Stage IA NLPHL without clinical risk factors should be treated with limited-field radiotherapy alone. 2566: 224:
Guidelines for Patients is available, while the NCCN Clinical Practice Guidelines in Oncology provides a reference for clinicians. Any proposed therapeutic strategy must have minimal acute and long-term toxicities.
2310: 1447:"Impact of Low-Dose Involved-Field Radiation Therapy on Pediatric Patients with Lymphocyte-Predominant Hodgkin Lymphoma Treated with Chemotherapy: A Report from the Children's Oncology Group" 1864: 167: 159: 1981: 1636: 2571: 28: 2380: 1278:"Characteristics and Outcomes of Patients With Nodular Lymphocyte-Predominant Hodgkin Lymphoma Versus Those With Classical Hodgkin Lymphoma: A Population-Based Analysis" 2594: 2336: 382: 1675: 2026: 2539: 258: 2578: 2124: 1869: 2003: 1346:"Rituximab in relapsed lymphocyte-predominant Hodgkin lymphoma: long-term results of a phase 2 trial by the German Hodgkin Lymphoma Study Group (GHSG)" 404:"Molecular Cytogenetic Analyses of Immunoglobulin Loci in Nodular Lymphocyte Predominant Hodgkin's Lymphoma Reveal a Recurrent IGH-BCL6 Juxtaposition" 2104: 1902: 779:"A 20-year population-based study on the epidemiology, clinical features, treatment, and outcome of nodular lymphocyte predominant Hodgkin lymphoma" 286:
treatment such as every 6 months for 2 years is suggested. Rituximab has been shown to improve patient outcomes after histological transformation.
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Hodgkin lymphoma, nodular lymphocyte predominant (high power view). Notice the presence of LP cells, also known as "popcorn cells". (H&E)
2523: 1010:"Advanced-stage nodular lymphocyte predominant Hodgkin lymphoma compared with classical Hodgkin lymphoma: a matched pair outcome analysis" 163:
Hodgkin lymphoma, nodular lymphocyte predominant (low power view). Notice the nodular architecture and the areas of "mottling". (H&E)
2479: 2099: 1897: 1781: 2370: 889:"Early-Stage, Lymphocyte-Predominant Hodgkin's Lymphoma: Patient Outcomes From a Large, Single-Institution Series With Long Follow-Up" 727:"Frequent occurrence of BCL6 rearrangements in nodular lymphocyte predominance Hodgkin lymphoma but not in classical Hodgkin lymphoma" 1668: 453:"The importance of follow-up biopsies of clinically suspicious lymphadenopathy in nodular lymphocyte predominant Hodgkin's lymphoma" 1540:"Race-specific features and outcomes of nodular lymphocyte-predominant Hodgkin lymphoma: Analysis of the National Cancer Data Base" 1319:"Nodular lymphocyte-predominant Hodgkin lymphoma: current management strategies and evolving approaches to individualize treatment" 373:
prior exposure to chemotherapy and a presentation with splenic involvement were associated with increased risks of transformation.
2331: 322:, results showing high rates (40%) of relapse after 10 years since ABVD chemotherapy. BEACOPP has higher reported toxicity risk. 1398:"Large B-cell transformation in nodular lymphocyte-predominant Hodgkin lymphoma: 40-year experience from a single institution" 1125: 2561: 2553: 2412: 2290: 2229: 2215: 2109: 2050: 1887: 1813: 1216:"Long-Term Outcomes in Patients with Early Stage Nodular Lymphocyte-Predominant Hodgkin's Lymphoma Treated with Radiotherapy" 833:"Nodular Lymphocyte Predominant Hodgkin Lymphoma versus T-Cell/Histiocyte-Rich Large B-Cell Lymphoma: A Diagnostic Challenge" 1140: 2609: 2519: 2469: 2365: 2094: 1878: 369: 360:
One study in the United States has suggested improved overall survival in response to chemotherapy for African Americans.
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NCCN Guidelines for Patients : NCCN Quick Guide. Hodgkin Lymphoma (Nodular Lymphocyte-Predominant HL Treatment)
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Strobbe L, Valke LL, Diets IJ, van den Brand M, Aben K, Raemaekers KJ, Hebeda KM, van Krieken JH (2016).
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Saini KS, Azim HA Jr, Cocorocchio E, Vanazzi A, Saini ML, Raviele PR, Pruneri G, Peccatori FA (2011).
599: 2270: 1882: 1793: 1227: 929: 1318: 2070: 1854: 1824: 1625: 1277: 1167:"Nodular lymphocyte predominant Hodgkin lymphoma: a Lymphoma Study Association retrospective study" 339: 315: 311: 307: 236:(watch and wait) is defined as a period of observation of at least 3 months without any treatment. 2534: 1569: 1375: 1107: 1039: 637: 549:"Lymphocyte-Predominant Hodgkin's Disease in Children: A Case Study and Review of the Literature" 485:
Wang, Hao-Wei; Balakrishna, Jayalakshmi P; Pittaluga, Stefania; Jaffe, Elaine S. (January 2019).
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https://www.nccn.org/patients/guidelines/quick_guides/hodgkin/nodular_treatment/index.html#
696:"Heterogeneity of BCL6 rearrangements in nodular lymphocyte predominant Hodgkin's lymphoma" 2157: 2152: 1961: 1845: 1711: 1706: 1144: 1231: 2604: 1641: 1471: 1446: 1422: 1397: 1250: 1215: 1191: 1166: 859: 832: 803: 778: 575: 548: 519: 486: 428: 403: 1630: 419: 2629: 2511: 2210: 2119: 2075: 1892: 1766: 641: 295: 1573: 1111: 2114: 1776: 1379: 134:
has been used in lymphocyte predominant Hodgkin lymphoma with encouraging results.
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Tumors generally located in the peripheral lymph nodes, which can be detected via
51: 1515: 1498: 1413: 1362: 1345: 1294: 1240: 1182: 1137: 1043: 1026: 1009: 930:"Nodular Lymphocyte Predominant Hodgkin Lymphoma: Diagnostic Pearls and Pitfalls" 1788: 743: 726: 672: 1684: 1615: 794: 148: 64: 40: 36: 905: 888: 625: 616: 510: 335: 282: 278: 131: 1565: 1524: 1480: 1431: 1371: 1303: 1259: 1200: 1103: 1035: 953: 945: 914: 868: 812: 752: 711: 680: 633: 584: 528: 468: 437: 849: 565: 2599: 2427: 2138: 1701: 1688: 270: 259:
Surveillance, Epidemiology and End Results (SEER) cancer registry program
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is used to classify tumors and symptoms. Stage IV disease is very rare.
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Appel BE, Chen L, Buxton A, Wolden SL, Hodgson DC, Nachman JB (2012).
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Wlodarska I, Stul M, De Wolf-Peeters C, Hagemeijer A (August 2004).
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Diagnosis usually occurs at an early stage of disease progression.
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variant that has a popcorn-shaped nucleus (left-bottom of image).
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showing nodular lymphocyte predominant Hodgkin lymphoma, with the
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Lazarovici J, Dartigues P, Brice P, et al. (December 2015).
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Renné C, Martín-Subero JI, Hansmann ML, Siebert R (August 2005).
2433: 2327: 2306: 2224: 1966: 1941: 1921: 1917: 1804: 1722: 1717: 319: 299: 137: 127: 123: 119: 95: 1657: 2173: 2168: 2058: 600:"How I treat nodular lymphocyte-predominant Hodgkin lymphoma" 657:"Rituximab in Hodgkin lymphoma: Is the target always a hit?" 2311:
Non-mycosis fungoides CD30− cutaneous large T-cell lymphoma
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Wlodarska I, Nooyen P, Maes B, et al. (January 2003).
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Kenderian SS, Habermann TM, Macon WR, et al. (2016).
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Biasoli I, Stamatoullas A, Meignin V, et al. (2010).
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Schulz H, Rehwald U, Morschhauser F, et al. (2008).
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Achten R, Verhoef G, De Wolf-Peeters C (December 2003).
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Solanki AA, LeMieux MH, Chiu BC, et al. (2013).
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Eichenauer, Dennis A.; Engert, Andreas (2020-12-24).
1588: 2587: 2552: 2510: 2492: 2456: 2426: 2399: 2354: 2299: 2253: 2244: 2184: 2146: 2137: 2085: 1995: 1956: 1912: 1834: 1803: 1765: 1744: 1733: 1700: 1592: 140:gene rearrangements have been frequently observed. 74: 58: 21: 2381:Peripheral T-cell lymphoma not otherwise specified 1276:Gerber NK, Atoria CL, Elkin EB, Yahalom J (2015). 1078:"Nodular, lymphocyte-predominant Hodgkin lymphoma" 2203:Precursor T acute lymphoblastic leukemia/lymphoma 1757:Precursor B acute lymphoblastic leukemia/lymphoma 487:"Diagnosis of Hodgkin Lymphoma in the Modern Era" 204:There is a male predominance of NLPHL diagnosis. 1008:Xing KH, Connors JM, Lai A, et al. (2014). 1947:Nodular lymphocyte predominant Hodgkin lymphoma 1391: 1389: 1271: 1269: 1160: 1158: 1156: 1154: 1152: 934:Archives of Pathology & Laboratory Medicine 882: 880: 878: 85:Nodular lymphocyte predominant Hodgkin lymphoma 22:Nodular lymphocyte predominant Hodgkin lymphoma 1138:http://williams.medicine.wisc.edu/hodgkins.pdf 772: 770: 768: 766: 764: 762: 542: 540: 538: 383:Progressive transformation of germinal centers 126:negative while positive for the B cell marker 2337:Secondary cutaneous CD30+ large-cell lymphoma 1669: 1071: 1069: 1067: 1065: 1063: 1061: 1059: 1057: 1055: 1053: 887:Chen RC, Chin MS, Ng AK, et al. (2010). 826: 824: 822: 8: 2027:Post-transplant lymphoproliferative disorder 1982:immunoproliferative immunoglobulin disorders 480: 478: 2540:Diffuse infiltrative lymphocytosis syndrome 2579:Jessner lymphocytic infiltrate of the skin 2250: 2181: 2143: 2125:Primary cutaneous follicle center lymphoma 1870:Primary cutaneous follicle center lymphoma 1741: 1730: 1697: 1676: 1662: 1654: 1589: 1538:Olszewski AJ, Shrestha R, Cook NM (2015). 27: 18: 1555: 1514: 1499:"R-CHOP in NLPHL: who should receive it?" 1470: 1421: 1361: 1293: 1249: 1239: 1190: 1136:NCCN Guidelines v2.2014 Hodgkin Lymphoma 1093: 1025: 904: 858: 848: 802: 742: 615: 574: 564: 518: 427: 175:The characteristics of NLPHL differ from 2105:Primary cutaneous marginal zone lymphoma 1903:Primary cutaneous marginal zone lymphoma 2567:with bandlike and perivascular patterns 2529:Autoimmune lymphoproliferative syndrome 394: 2376:Enteropathy-associated T-cell lymphoma 370:diffuse large B-cell lymphoma (DLBCL) 7: 2524:X-linked lymphoproliferative disease 1317:Eichenauer, DA; Hartmann, S (2023). 553:Case Reports in Oncological Medicine 130:. The anti-CD20 monoclonal antibody 2480:Large granular lymphocytic leukemia 2100:Intravascular large B-cell lymphoma 102:, a cancer of the immune system's 14: 1497:Eichenauer DA, Engert A (2017). 177:classical Hodgkin lymphoma (cHL) 2332:CD30+ cutaneous T-cell lymphoma 1282:Int J Radiation Oncol Biol Phys 78:0.1-0.2 cases / 100000 per year 2562:Cutaneous lymphoid hyperplasia 2554:Cutaneous lymphoid hyperplasia 2413:Adult T-cell leukemia/lymphoma 2291:Adult T-cell leukemia/lymphoma 2230:Anaplastic large-cell lymphoma 2110:Primary cutaneous immunocytoma 2051:Splenic marginal zone lymphoma 831:Rets AV, Gottesman SR (2014). 491:British Journal of Haematology 220:A treatment guide provided by 1: 2610:Lymphoproliferative disorders 2520:Lymphoproliferative disorders 2470:Extranodal NK-T-cell lymphoma 2342:Lymphomatoid papulosis type A 2321:Lymphomatoid papulosis type B 2235:Lymphomatoid papulosis type A 2095:Diffuse large B-cell lymphoma 1331:10.1080/17474086.2023.2226859 547:Stier JR, Vasquez RJ (2015). 420:10.1016/S1525-1578(10)60564-8 368:Histologic transformation to 334:(radio therapy) and antibody 298:-containing regimens include 2502:Acute biphenotypic leukaemia 2391:Subcutaneous T-cell lymphoma 1516:10.1182/blood-2017-05-786301 1414:10.1182/blood-2015-08-665505 1363:10.1182/blood-2007-03-078725 1295:10.1016/j.ijrobp.2015.02.012 1241:10.1371/journal.pone.0075336 1183:10.3324/haematol.2015.133025 1027:10.1182/blood-2013-12-541078 893:Journal of Clinical Oncology 330:One study reported combined 2443:Aggressive NK-cell leukemia 2316:Pleomorphic T-cell lymphoma 2022:Lymphomatoid granulomatosis 1323:Expert Review of Hematology 364:Histological transformation 310:. Results of a trial with 114:, which look like popcorn. 2652: 744:10.1182/blood-2002-05-1592 673:10.1016/j.ctrv.2010.11.005 1696: 795:10.1007/s00277-015-2578-6 294:Possible options such as 35: 26: 2595:Hematological malignancy 2448:Blastic NK cell lymphoma 2276:Granulomatous slack skin 2032:Classic Hodgkin lymphoma 1931:Classic Hodgkin lymphoma 906:10.1200/JCO.2009.24.0945 617:10.1182/blood.2019004044 946:10.5858/2010-0207-OA.1 253:Studies indicate that 172: 164: 2474:Angiocentric lymphoma 2064:AIDS-related lymphoma 1888:Splenic marginal zone 972:pathologyoutlines.com 170: 162: 2572:with nodular pattern 2271:Pagetoid reticulosis 1883:marginal zone B-cell 1451:Pediatr Blood Cancer 2071:Helicobacter pylori 1898:Nodal marginal zone 1825:Hairy cell leukemia 1691:and related disease 1232:2013PLoSO...875336S 968:"Pathology Outline" 850:10.1155/2014/956217 566:10.1155/2015/351431 48:Reed–Sternberg cell 2615:Lymphoid leukemias 2535:Leukemoid reaction 2371:Angioimmunoblastic 2037:Burkitt's lymphoma 1557:10.1002/cncr.29527 1143:2020-07-09 at the 1095:10.1002/cncr.24819 326:Combined treatment 173: 165: 144:Signs and symptoms 2623: 2622: 2548: 2547: 2488: 2487: 2422: 2421: 2350: 2349: 2266:Mycosis fungoides 2133: 2132: 1991: 1990: 1935:Nodular sclerosis 1850:follicular B cell 1651: 1650: 1463:10.1002/pbc.24258 1408:(16): 1960–1966. 1177:(12): 1579–1586. 1020:(23): 3567–3573. 940:(10): 1434–1439. 928:Smith LB (2010). 610:(26): 2987–2993. 503:10.1111/bjh.15614 332:radiation therapy 255:radiation therapy 249:Radiation therapy 240:Surgical excision 194:Ann Arbor staging 98:positive form of 82: 81: 16:Medical condition 2643: 2636:Hodgkin lymphoma 2385:Lennert lymphoma 2251: 2182: 2144: 2009:Primary effusion 1742: 1731: 1698: 1678: 1671: 1664: 1655: 1590: 1578: 1577: 1559: 1535: 1529: 1528: 1518: 1494: 1485: 1484: 1474: 1457:(7): 1284–1289. 1442: 1436: 1435: 1425: 1393: 1384: 1383: 1365: 1341: 1335: 1334: 1314: 1308: 1307: 1297: 1273: 1264: 1263: 1253: 1243: 1211: 1205: 1204: 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1075: 1074: 1051: 1007: 1006: 985: 976: 974: 966: 965: 961: 927: 926: 922: 886: 885: 876: 843:(956217): 1–5. 837:Case Rep Pathol 830: 829: 820: 776: 775: 760: 724: 723: 719: 693: 692: 688: 654: 653: 649: 597: 596: 592: 546: 545: 536: 484: 483: 476: 450: 449: 445: 401: 400: 396: 391: 379: 366: 358: 349: 328: 292: 267: 251: 242: 231: 218: 210: 208:Early detection 202: 157: 146: 17: 12: 11: 5: 2649: 2647: 2639: 2638: 2628: 2627: 2621: 2620: 2618: 2617: 2612: 2607: 2605:Leukemia cutis 2602: 2597: 2591: 2589: 2585: 2584: 2582: 2581: 2576: 2575: 2574: 2569: 2558: 2556: 2550: 2549: 2546: 2545: 2543: 2542: 2537: 2532: 2526: 2516: 2514: 2508: 2507: 2505: 2504: 2498: 2496: 2490: 2489: 2486: 2485: 2483: 2482: 2477: 2460: 2458: 2454: 2453: 2451: 2450: 2445: 2439: 2437: 2424: 2423: 2420: 2419: 2417: 2416: 2403: 2401: 2397: 2396: 2394: 2393: 2388: 2378: 2373: 2368: 2362: 2360: 2352: 2351: 2348: 2347: 2345: 2344: 2339: 2334: 2324: 2323: 2318: 2313: 2303: 2301: 2297: 2296: 2294: 2293: 2285:Sézary disease 2279: 2278: 2273: 2268: 2259: 2257: 2248: 2242: 2241: 2239: 2238: 2232: 2220: 2219: 2216:Prolymphocytic 2206: 2192: 2190: 2179: 2178: 2177: 2171: 2141: 2135: 2134: 2131: 2130: 2128: 2127: 2122: 2117: 2112: 2107: 2102: 2097: 2091: 2089: 2083: 2082: 2080: 2079: 2067: 2055: 2054: 2053: 2041: 2040: 2039: 2034: 2029: 2024: 2012: 1999: 1997: 1993: 1992: 1989: 1988: 1986: 1985: 1976: 1974: 1954: 1953: 1951: 1950: 1938: 1927: 1925: 1910: 1909: 1907: 1906: 1900: 1895: 1890: 1874: 1873: 1867: 1862: 1857: 1841: 1839: 1832: 1831: 1829: 1828: 1816: 1814:Prolymphocytic 1810: 1808: 1801: 1800: 1798: 1797: 1785: 1772: 1770: 1763: 1762: 1760: 1750: 1748: 1739: 1728: 1727: 1726: 1694: 1693: 1683: 1681: 1680: 1673: 1666: 1658: 1649: 1648: 1645: 1644: 1633: 1618: 1602: 1597: 1596: 1594: 1593:Classification 1586: 1585:External links 1583: 1580: 1579: 1530: 1509:(4): 387–388. 1486: 1437: 1385: 1336: 1309: 1265: 1206: 1148: 1129: 1117: 1088:(3): 631–639. 1049: 983: 959: 920: 899:(1): 136–141. 874: 818: 789:(3): 417–423. 758: 717: 686: 647: 590: 534: 474: 463:(12): 1431–2. 443: 393: 392: 390: 387: 386: 385: 378: 375: 365: 362: 357: 354: 348: 345: 327: 324: 291: 288: 266: 263: 250: 247: 241: 238: 230: 227: 217: 214: 209: 206: 201: 198: 156: 153: 151:are uncommon. 145: 142: 80: 79: 76: 72: 71: 62: 56: 55: 33: 32: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 2648: 2637: 2634: 2633: 2631: 2616: 2613: 2611: 2608: 2606: 2603: 2601: 2598: 2596: 2593: 2592: 2590: 2586: 2580: 2577: 2573: 2570: 2568: 2565: 2564: 2563: 2560: 2559: 2557: 2555: 2551: 2541: 2538: 2536: 2533: 2530: 2527: 2525: 2521: 2518: 2517: 2515: 2513: 2512:Lymphocytosis 2509: 2503: 2500: 2499: 2497: 2491: 2481: 2478: 2475: 2471: 2467: 2466: 2462: 2461: 2459: 2455: 2449: 2446: 2444: 2441: 2440: 2438: 2435: 2429: 2425: 2414: 2410: 2409: 2405: 2404: 2402: 2398: 2392: 2389: 2386: 2382: 2379: 2377: 2374: 2372: 2369: 2367: 2366:Hepatosplenic 2364: 2363: 2361: 2359: 2353: 2343: 2340: 2338: 2335: 2333: 2329: 2326: 2325: 2322: 2319: 2317: 2314: 2312: 2308: 2305: 2304: 2302: 2298: 2292: 2289: 2288: 2287: 2286: 2283: 2277: 2274: 2272: 2269: 2267: 2264: 2261: 2260: 2258: 2256: 2252: 2249: 2247: 2243: 2236: 2233: 2231: 2227: 2226: 2222: 2221: 2217: 2213: 2212: 2211:prolymphocyte 2208: 2207: 2204: 2200: 2196: 2193: 2191: 2183: 2180: 2175: 2172: 2170: 2167: 2166: 2165: 2159: 2154: 2149: 2145: 2142: 2140: 2136: 2126: 2123: 2121: 2120:Plasmacytosis 2118: 2116: 2113: 2111: 2108: 2106: 2103: 2101: 2098: 2096: 2093: 2092: 2090: 2088: 2084: 2077: 2076:MALT lymphoma 2073: 2072: 2068: 2065: 2061: 2060: 2056: 2052: 2049: 2048: 2047: 2046: 2042: 2038: 2035: 2033: 2030: 2028: 2025: 2023: 2020: 2019: 2018: 2017: 2013: 2010: 2006: 2005: 2001: 2000: 1998: 1994: 1984: 1983: 1978: 1977: 1975: 1972: 1968: 1963: 1959: 1955: 1948: 1944: 1943: 1939: 1936: 1932: 1929: 1928: 1926: 1923: 1919: 1915: 1911: 1904: 1901: 1899: 1896: 1894: 1891: 1889: 1885: 1884: 1880: 1879:marginal zone 1876: 1875: 1871: 1868: 1866: 1863: 1861: 1858: 1856: 1852: 1851: 1847: 1843: 1842: 1840: 1837: 1833: 1826: 1822: 1821: 1817: 1815: 1812: 1811: 1809: 1806: 1802: 1795: 1791: 1790: 1786: 1783: 1779: 1778: 1774: 1773: 1771: 1768: 1764: 1758: 1754: 1751: 1749: 1747: 1743: 1740: 1732: 1729: 1724: 1721: 1720: 1719: 1713: 1708: 1703: 1699: 1695: 1690: 1686: 1679: 1674: 1672: 1667: 1665: 1660: 1659: 1656: 1643: 1639: 1638: 1634: 1632: 1628: 1627: 1623: 1619: 1617: 1613: 1612: 1608: 1604: 1603: 1600: 1595: 1591: 1584: 1575: 1571: 1567: 1563: 1558: 1553: 1549: 1545: 1541: 1534: 1531: 1526: 1522: 1517: 1512: 1508: 1504: 1500: 1493: 1491: 1487: 1482: 1478: 1473: 1468: 1464: 1460: 1456: 1452: 1448: 1441: 1438: 1433: 1429: 1424: 1419: 1415: 1411: 1407: 1403: 1399: 1392: 1390: 1386: 1381: 1377: 1373: 1369: 1364: 1359: 1356:(1): 109–11. 1355: 1351: 1347: 1340: 1337: 1332: 1328: 1324: 1320: 1313: 1310: 1305: 1301: 1296: 1291: 1287: 1283: 1279: 1272: 1270: 1266: 1261: 1257: 1252: 1247: 1242: 1237: 1233: 1229: 1226:(9): e75336. 1225: 1221: 1217: 1210: 1207: 1202: 1198: 1193: 1188: 1184: 1180: 1176: 1172: 1171:Haematologica 1168: 1161: 1159: 1157: 1155: 1153: 1149: 1146: 1142: 1139: 1133: 1130: 1127: 1121: 1118: 1113: 1109: 1105: 1101: 1096: 1091: 1087: 1083: 1079: 1072: 1070: 1068: 1066: 1064: 1062: 1060: 1058: 1056: 1054: 1050: 1045: 1041: 1037: 1033: 1028: 1023: 1019: 1015: 1011: 1004: 1002: 1000: 998: 996: 994: 992: 990: 988: 984: 973: 969: 963: 960: 955: 951: 947: 943: 939: 935: 931: 924: 921: 916: 912: 907: 902: 898: 894: 890: 883: 881: 879: 875: 870: 866: 861: 856: 851: 846: 842: 838: 834: 827: 825: 823: 819: 814: 810: 805: 800: 796: 792: 788: 784: 780: 773: 771: 769: 767: 765: 763: 759: 754: 750: 745: 740: 737:(2): 706–10. 736: 732: 728: 721: 718: 713: 709: 706:(8): 965–72. 705: 701: 700:Haematologica 697: 690: 687: 682: 678: 674: 670: 667:(5): 385–90. 666: 662: 658: 651: 648: 643: 639: 635: 631: 627: 623: 618: 613: 609: 605: 601: 594: 591: 586: 582: 577: 572: 567: 562: 558: 554: 550: 543: 541: 539: 535: 530: 526: 521: 516: 512: 508: 504: 500: 496: 492: 488: 481: 479: 475: 470: 466: 462: 458: 457:Haematologica 454: 447: 444: 439: 435: 430: 425: 421: 417: 413: 409: 405: 398: 395: 388: 384: 381: 380: 376: 374: 371: 363: 361: 355: 353: 346: 344: 341: 337: 333: 325: 323: 321: 317: 313: 309: 305: 301: 297: 296:anthracycline 289: 287: 284: 280: 276: 275:immunotherapy 272: 265:Immunotherapy 264: 262: 260: 256: 248: 246: 239: 237: 235: 228: 226: 223: 215: 213: 207: 205: 199: 197: 195: 191: 189: 185: 180: 178: 169: 161: 154: 152: 150: 143: 141: 139: 135: 133: 129: 125: 121: 115: 113: 107: 105: 101: 97: 94: 90: 86: 77: 73: 70: 66: 63: 61: 57: 53: 52:H&E stain 49: 45: 42: 38: 34: 30: 25: 20: 2463: 2406: 2400:By infection 2281: 2280: 2262: 2223: 2209: 2187:development/ 2115:Plasmacytoma 2069: 2057: 2043: 2014: 2002: 1996:By infection 1979: 1946: 1940: 1877: 1844: 1818: 1787: 1777:naive B cell 1775: 1736:development/ 1635: 1620: 1605: 1547: 1543: 1533: 1506: 1502: 1454: 1450: 1440: 1405: 1401: 1353: 1349: 1339: 1322: 1312: 1288:(1): 76–83. 1285: 1281: 1223: 1219: 1209: 1174: 1170: 1132: 1120: 1085: 1081: 1017: 1013: 975:. Retrieved 971: 962: 937: 933: 923: 896: 892: 840: 836: 786: 782: 734: 730: 720: 703: 699: 689: 664: 660: 650: 607: 603: 593: 556: 552: 497:(1): 45–59. 494: 490: 460: 456: 446: 414:(3): 352–6. 411: 407: 397: 367: 359: 350: 329: 293: 290:Chemotherapy 268: 252: 243: 232: 219: 211: 203: 192: 181: 174: 147: 136: 116: 108: 93:slow-growing 88: 84: 83: 2282:aggressive: 2255:MF+variants 1794:Mantle cell 1789:mantle zone 783:Ann Hematol 408:J Mol Diagn 318:instead of 273:for use in 269:An example 245:diagnosis. 2358:peripheral 1855:Follicular 1685:Leukaemias 977:2017-09-02 559:: 351431. 389:References 216:Management 149:B symptoms 65:Hematology 41:lymph node 37:Micrograph 2493:Lymphoid+ 2263:indolent: 2246:Cutaneous 2087:Cutaneous 1865:GCB DLBCL 1860:Burkitt's 1689:lymphomas 642:221476874 626:0006-4971 511:0007-1048 356:Ethnicity 347:Prognosis 343:advised. 336:Rituximab 283:Rituximab 279:Rituximab 155:Diagnosis 132:Rituximab 75:Frequency 60:Specialty 2630:Category 2600:leukemia 2158:leukemia 2153:lymphoma 1712:leukemia 1707:lymphoma 1574:45005554 1566:26149294 1525:28751354 1481:22847767 1432:26837698 1372:17938252 1304:25863756 1260:24058675 1220:PLOS ONE 1201:26430172 1141:Archived 1112:25570848 1104:20029973 1036:24713929 954:20923296 915:19933914 869:25110597 813:26732883 753:12393409 712:15339680 681:21183282 634:32877522 585:25878913 529:30407610 469:14688002 438:16049307 377:See also 271:antibody 184:PET scan 69:oncology 2588:General 2495:myeloid 2457:T or NK 2428:NK cell 1782:CLL/SLL 1642:M9659/3 1472:3468707 1423:4841039 1380:9934281 1251:3776776 1228:Bibcode 1192:4666334 860:4109592 804:4742486 576:4388010 520:6310079 429:1867541 304:BEACOPP 188:CT scan 104:B cells 91:) is a 2432:(most 2408:HTLV-1 2300:Non-MF 2189:marker 2162:(most 2148:T cell 1820:CD11c+ 1738:marker 1716:(most 1702:B cell 1572:  1564:  1544:Cancer 1523:  1479:  1469:  1430:  1420:  1378:  1370:  1302:  1258:  1248:  1199:  1189:  1110:  1102:  1082:Cancer 1042:  1034:  952:  913:  867:  857:  811:  801:  751:  710:  679:  640:  632:  624:  583:  573:  527:  517:  509:  467:  436:  426:  340:R-CHOP 316:R-CHOP 112:nuclei 44:biopsy 2355:Other 2225:CD30+ 1971:CD138 1942:CD20+ 1836:CD79a 1637:ICD-O 1631:201.9 1616:C81.0 1570:S2CID 1503:Blood 1402:Blood 1376:S2CID 1350:Blood 1108:S2CID 1044:25058 1040:S2CID 1014:Blood 895:. 1. 731:Blood 638:S2CID 604:Blood 89:NLPHL 39:of a 2434:CD56 2328:CD30 2307:CD30 2195:TdT+ 2139:T/NK 2004:KSHV 1980:see 1967:CD38 1958:PCDs 1922:CD30 1918:CD15 1893:MALT 1805:CD22 1746:TdT+ 1723:CD20 1718:CD19 1626:9-CM 1562:PMID 1521:PMID 1477:PMID 1428:PMID 1368:PMID 1300:PMID 1256:PMID 1197:PMID 1100:PMID 1032:PMID 950:PMID 911:PMID 865:PMID 841:2014 809:PMID 749:PMID 708:PMID 677:PMID 630:PMID 622:ISSN 581:PMID 557:2015 525:PMID 507:ISSN 465:PMID 434:PMID 320:ABVD 312:COPP 308:CHOP 306:and 300:ABVD 222:NCCN 186:and 138:BCL6 128:CD20 124:CD30 122:and 120:CD15 96:CD20 67:and 2465:EBV 2330:+: 2309:-: 2199:ALL 2174:CD8 2169:CD4 2164:CD3 2059:HIV 2045:HCV 2016:EBV 1920:+, 1767:CD5 1753:ALL 1622:ICD 1607:ICD 1552:doi 1548:121 1511:doi 1507:130 1467:PMC 1459:doi 1418:PMC 1410:doi 1406:127 1358:doi 1354:111 1327:doi 1290:doi 1246:PMC 1236:doi 1187:PMC 1179:doi 1175:100 1090:doi 1086:116 1022:doi 1018:123 942:doi 938:134 901:doi 855:PMC 845:doi 799:PMC 791:doi 739:doi 735:101 669:doi 612:doi 608:136 571:PMC 561:doi 515:PMC 499:doi 495:184 424:PMC 416:doi 338:. 277:is 200:Sex 2632:: 2197:: 2185:By 1973:+) 1969:+/ 1962:PP 1924:+) 1914:RS 1734:By 1687:, 1640:: 1629:: 1614:: 1611:10 1568:. 1560:. 1546:. 1542:. 1519:. 1505:. 1501:. 1489:^ 1475:. 1465:. 1455:59 1453:. 1449:. 1426:. 1416:. 1404:. 1400:. 1388:^ 1374:. 1366:. 1352:. 1348:. 1325:. 1321:. 1298:. 1286:92 1284:. 1280:. 1268:^ 1254:. 1244:. 1234:. 1222:. 1218:. 1195:. 1185:. 1173:. 1169:. 1151:^ 1106:. 1098:. 1084:. 1080:. 1052:^ 1038:. 1030:. 1016:. 1012:. 986:^ 970:. 948:. 936:. 932:. 909:. 897:28 891:. 877:^ 863:. 853:. 839:. 835:. 821:^ 807:. 797:. 787:95 785:. 781:. 761:^ 747:. 733:. 729:. 704:89 702:. 698:. 675:. 665:37 663:. 659:. 636:. 628:. 620:. 606:. 602:. 579:. 569:. 555:. 551:. 537:^ 523:. 513:. 505:. 493:. 489:. 477:^ 461:88 459:. 455:. 432:. 422:. 410:. 406:. 302:, 281:. 190:. 106:. 2531:) 2522:( 2476:) 2472:/ 2468:( 2436:) 2430:/ 2415:) 2411:( 2387:) 2383:( 2237:) 2228:( 2218:) 2214:( 2205:) 2201:( 2176:) 2160:) 2155:, 2151:( 2078:) 2074:( 2066:) 2062:( 2011:) 2007:( 1965:( 1960:/ 1949:) 1945:( 1937:) 1933:( 1916:( 1905:) 1886:( 1881:/ 1872:) 1853:( 1848:/ 1838:+ 1827:) 1823:( 1807:+ 1796:) 1792:( 1784:) 1780:( 1769:+ 1759:) 1755:( 1725:) 1714:) 1709:, 1705:( 1677:e 1670:t 1663:v 1624:- 1609:- 1599:D 1576:. 1554:: 1527:. 1513:: 1483:. 1461:: 1434:. 1412:: 1382:. 1360:: 1333:. 1329:: 1306:. 1292:: 1262:. 1238:: 1230:: 1224:8 1203:. 1181:: 1114:. 1092:: 1046:. 1024:: 980:. 956:. 944:: 917:. 903:: 871:. 847:: 815:. 793:: 755:. 741:: 714:. 683:. 671:: 644:. 614:: 587:. 563:: 531:. 501:: 471:. 440:. 418:: 412:7 87:( 54:.

Index


Micrograph
lymph node
biopsy
Reed–Sternberg cell
H&E stain
Specialty
Hematology
oncology
slow-growing
CD20
Hodgkin lymphoma
B cells
nuclei
CD15
CD30
CD20
Rituximab
BCL6
B symptoms


classical Hodgkin lymphoma (cHL)
PET scan
CT scan
Ann Arbor staging
NCCN
Watchful waiting
radiation therapy
Surveillance, Epidemiology and End Results (SEER) cancer registry program

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