Lymph Node Tumors and Disorders
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Questions and Answers

What is the typical age range for patients with Nodular Lymphocyte Predominant Hodgkin Lymphoma?

Median mid 30s (with a wide age range)

What is the typical immunophenotype of LP cells in Nodular Lymphocyte Predominant Hodgkin Lymphoma?

CD45+, CD19, CD20, CD22, CD79a+, PAX5+, CD15-, CD30-, EMA+

What is the characteristic appearance of LP cells in Nodular Lymphocyte Predominant Hodgkin Lymphoma?

Large cells with multilobated vesicular nuclei, delicate chromatin, small nucleoli, and scant wispy cytoplasm

What is the characteristic pattern of involvement in Classic Hodgkin Lymphoma, Nodular Sclerosis?

<p>Nodular pattern with fibrous band separating nodules, +/- diffuse areas, +/- necrosis</p> Signup and view all the answers

What is the prognosis for patients with Classic Hodgkin Lymphoma, Nodular Sclerosis, presenting at stage I and II?

<p>95% of patients are curable</p> Signup and view all the answers

What is the typical composition of the background cells in Nodular Lymphocyte Predominant Hodgkin Lymphoma?

<p>Small B cells with normal mantle zone phenotype, accompanied by histiocytes, and rare plasma cells, eosinophils, or neutrophils</p> Signup and view all the answers

What are the characteristic microscopic features of Toxoplasmosis?

<p>Florid follicular hyperplasia, Monocytoid B-cell hyperplasia expanding and surrounding sinuses, and Paracortical epithelioid histiocyte clusters that encroach on germinal centers.</p> Signup and view all the answers

What is the primary difference between Cytomegalovirus and Toxoplasmosis in terms of microscopic features?

<p>CMV inclusions may sometimes be identified in the expanded sinuses.</p> Signup and view all the answers

What is the differential diagnosis of follicular lymphoma?

<p>Dendritic cell sarcoma, Monocytoid B-cell hyperplasia, Epithelioid histiocyte clusters, and Increased plasma cells and polykaryocytes in interfollicular zones.</p> Signup and view all the answers

What is the characteristic feature of reactive follicular hyperplasia in Rheumatoid Arthritis?

<p>Marked interfollicular plasmacytosis (plasma cells also present within follicles) and Clusters of neutrophils in sinuses.</p> Signup and view all the answers

What are the characteristic features of Castleman Disease: Plasma Cell Variant?

<p>Florid follicular hyperplasia with regressive transformation of germinal centers and Marked interfollicular plasmacytosis that extends to the lymph node capsule.</p> Signup and view all the answers

What are the characteristic microscopic features of Human Immunodeficiency Virus (HIV)?

<p>Florid reactive lymphoid hyperplasia with absent mantle zones and follicle lysis of germinal centers.</p> Signup and view all the answers

What is the primary cause of Toxoplasmosis?

<p>Exposure to oocysts in cat feces or ingestion of poorly cooked meat.</p> Signup and view all the answers

What is the characteristic feature of Syphilis (Luetic Lymphadenitis)?

<p>Thick, fibrotic capsule with perivascular plasma cells and arteritis/phlebitis.</p> Signup and view all the answers

What is the primary difference between Castleman Disease: Hyaline Vascular Type and Castleman Disease: Plasma Cell Variant?

<p>Atrophic germinal centers with expanded mantle zones composed of concentric layers of lymphocytes in Castleman Disease: Hyaline Vascular Type.</p> Signup and view all the answers

What is the characteristic feature of Progressive Transformation of Germinal Centers?

<p>Large follicles with indistinct germinal center/mantle zone borders due to infiltration of germinal centers by mantle zone lymphocytes.</p> Signup and view all the answers

What is the characteristic feature of paracortical expansion in infectious mononucleosis?

<p>Paracortical expansion with EBV+ B cells located in the paracortex</p> Signup and view all the answers

What is the distinguishing feature of atypical immunoblastic reaction?

<p>Similar microscopic features to infectious mononucleosis</p> Signup and view all the answers

How is the diagnosis of infectious mononucleosis confirmed?

<p>By serologic studies and confirming EBV+ immunoblasts by in situ hybridization (EBER) or immunohistochemistry (LMP)</p> Signup and view all the answers

What type of cells are often seen in the sinuses in infectious mononucleosis?

<p>Atypical lymphocytes, monocytoid B cells, and/or immunoblasts</p> Signup and view all the answers

What is the characteristic cytology of infectious mononucleosis?

<p>Polymorphous population of transformed lymphocytes, immunoblasts, RS-like cells, plasma cells, and histiocytes</p> Signup and view all the answers

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