Clinical features |
Immunodeficient state often unknown |
Immunodeficient state known |
Often immunocompetent, but immune senescence plays a role |
Extranodal involvement frequent, most commonly lung, CNS, and skin |
Extranodal involvement frequent, most commonly gastrointestinal, lung, CNS, kidney, heart and liver, including the allograft |
Extranodal involvement less common and involving diverse sites |
Lymph node and/or bone marrow involvement extremely rare |
Lymph node involvement uncommon and bone marrow disease rare |
Lymph node involvement common and bone marrow disease uncommon |
Pathologic features |
EBV+ atypical B cells in a T-cell rich background |
EBV+ atypical B cells predominate |
EBV+ atypical B cells predominate |
Angiocentric and angioinvasive polymorphous infiltrate present |
Polymorphous plasma cell-rich infiltrate present but typically not angiocentric or angioinvasive |
EBV+ large B cells predominate |
Various degrees of coagulative necrosis |
Coagulative necrosis may be present |
Various degrees coagulative necrosis |
EBV viral load |
Often low to negative |
Often significantly elevated |
Often significantly elevated |