Table 13-7.
Common Lymphoma Diagnoses in Domestic Animals Using the WHO Classification System
Lymphoma Subtype | Pattern | Cell Size | Grade | Postulated Normal Cell Counterpart | Defining Histopathologic Features |
---|---|---|---|---|---|
DLBCL | Diffuse | Large | Mid to high | Germinal center or post–germinal center (activated) B lymphocyte | Multiple nucleoli (centroblastic variant) or single central nucleoli (immunoblastic variant) |
PTCL | Diffuse | Large | Mid to high | Activated mature T lymphocyte | Nuclei of variable size and shape; eosinophils may be present |
Burkitt-like lymphoma | Diffuse | Intermediate | High | Either germinal center or post–germinal center (activated) B lymphocyte | Uniform nuclear size with multiple distinct small nucleoli; numerous tingible body macrophages |
T-LBL | Diffuse | Intermediate | High | Naïve T lymphocyte | Dispersed chromatin that obscures nuclear detail |
TZL | Nodular | Small to intermediate | Indolent | Activated mature T lymphocyte; paracortical | Abundant clear cytoplasm, sharp shallow nuclear indentations; expansion of paracortex with peripheralization of “fading” follicles |
MZL | Nodular | Intermediate | Indolent | Post–germinal center marginal zone B lymphocyte | Prominent single central nucleoli; expansion of marginal zone with encircling of “fading” follicles |
TCRLBCL | Nodular/diffuse | Large | Indolent to low | Germinal center B lymphocyte | Large irregularly-shaped nuclei with 1-2 prominent nucleoli; numerous small reactive T lymphocytes |
EATCL | Diffuse | Small to intermediate | Low | Intestinal intraepithelial T lymphocytes | Hyperchromatic nuclei with dispersed chromatin |
DLBCL, Diffuse large B cell lymphoma; EATCL, enteropathy-associated T cell lymphoma; MZL, marginal zone lymphoma; PTCL, peripheral T cell lymphoma; TCRLBCL, T cell–rich large B cell lymphoma; T-LBL, T cell lymphoblastic lymphoma; TZL, T zone lymphoma, WHO, World Health Organization.