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Nodular lymphocyte predominant Hodgkin lymphoma (NLPHL) and classic Hodgkin lymphoma (HL): Morphologic and immunophenotypic features

Nodular lymphocyte predominant Hodgkin lymphoma (NLPHL) and classic Hodgkin lymphoma (HL): Morphologic and immunophenotypic features
  Classic HL NLPHL
Pattern Diffuse, interfollicular, nodular Nodular, at least in part
Tumor cells Diagnostic RS cells; mononuclear or lacunar cells "L&H" or "popcorn" cells
Background Lymphocytes, histiocytes, eosinophils, plasma cells Lymphocytes, histiocytes
Fibrosis Common Rare
CD15 + -
CD30 + -
CD20 -/+ +
CD45 - +
EMA - +
EBV (in RS cells) + (∼50%) -
Oct2 -/+ +
BOB.1 -/+ +
Background lymphocytes T cells > B cells B cells > T cells
CD57+ Tcells - +
Ig genes (single-cell PCR) Rearranged, clonal, mutated, "crippled", no ongoing somatic hypermutation Rearranged, clonal, mutated, productive, ongoing somatic hypermutation
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