Table 2.
Subtype | Salient histopathologic features |
---|---|
NLPHL | LP cells Background of small lymphocytes in a nodular or nodular and diffuse pattern (nodular pattern must be present at least focally). Background small B-cells with mantle cell phenotype (IgD+, IgM−). Expanded meshworks of FDCs, as seen by CD21 immunostain Epithelioid histiocytes are present in varying numbers |
LRCHL | Classical HRS cells few in number. Most often nodular. HRS cells found in marginal/mantle zone around regressed GCs with dense FDC networks). May show aggregates of epithelioid histiocytes, but eosinophils and neutrophils are rare. |
MCCHL | Diffuse lymph node effacement with numerous HRS cells; mixed inflammatory background with lymphocytes, eosinophils, plasma cells, histiocytes. Granulomas may be present. |
LDCHL | Diffuse fibrosis variant - Hypocellular background and abundant disordered non-birefringent fibrosis, abundant histiocytes but fewer lymphocytes. Reticular variant - Numerous HRS cells with bizarre cytological features. |
NSCHL | Capsular fibrosis and broad collagen bands, often perivascular Lacunar cells and mummified cells Grades I and II differ in number of HRS cells and presence of necrosis in latter. |