Table 2.
Patient | Anatomic Site | H&E | CD20 | CD79a | CD138 or CD38 | MUM-1 | κ/λ | IgG/IgM/IgA | EBER/LMP1 | Ki-67 | MyD88 | Ig PCR Clonality |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Left inguinal LN | Nodular infiltrate of monocytoid cells. | Pos | Pos | Both focally pos | Pos | Kappa | IgG | Pos/Neg | Low | WT | IgH pos |
2 | Subcutaneous masses, arm, abdomen | Lymphocytic/plasmacellular, Biphasic pattern | Pos | Pos | CD38 pos, CD138 neg | Pos | Kappa | IgG | Pos/Neg | Low | WT | Poor DNA |
3 | Skin, flank, abdomen | Lymphocytic/plasmacellular, Polymorphic | Partially pos | Pos | CD138 pos | Pos | Lambda | IgG | Pos/Neg | Moderate | WT | IgH and IgK pos |
4 | Skin, arm | Lymphocytic/plasmacellular, Biphasic pattern | Partially pos | Pos | CD138 partially pos | Pos | Lambda | IgG | Pos/Neg | Moderate | N.D. | IgH and IgK pos |
5 | Periparotid soft tissue | Lymphocytic/plasmacellular, Biphasic pattern | Partially pos | Pos | CD138 variably pos | Pos | Kappa | All neg | Pos/Neg | Low | WT | IgH pos |
6 | Lung | Lymphocytic/plasmacellular, Biphasic pattern | Partially pos | Pos | CD138 pos | Pos | Lambda | IgG | Pos/Pos | Moderate | N.D. | IgH and IgK pos |
Lymph node (2nd Bx) | Classical Hodgkin lymphoma, EBV-positive, LD | IgH and IgK Pos (unrelated) | ||||||||||
7 | Breast | Monocytoid/plasmacellular, BiphasicMott cells and Russell bodies | Partially pos | N.D. | Pos | N.D. | Kappa | IgG | Pos/N.D. | Low | N.D. | N.D. |
8 | Skin, arm | Lymphocytic/plasmacellular, Polymorphic | Partially pos | Pos | N.D. | Pos | Lambda | N.D. | Pos/N.D. | Moderate | N.D. | N.D. |
9 | Parotid gland | Monocytoid/plasmacellular, Biphasic | Pos | N.D. | CD138 partially pos | Pos | Kappa | IgM | Pos/Neg | Moderate | WT | IgH and IgK pos |
10 | Parotid gland | Monocytoid/plasmacellular, Biphasic | Pos | N.D. | CD138 partially pos | Pos | Kappa | IgM | Pos/Pos | Low | WT | IgH and IgK pos |
Abbreviations: LN, lymph node; Pos, positive; N.D., not done; WT, wild type; LD, lymphocyte depleted.