Table I.
General diagnostic criteria to differentiate FL from RFH.
Morphologic Features | FL | RFH |
---|---|---|
Nodal architecture | Partially/totally effaced | Preserved |
Number of follicles | High number, randomly distributed; uniform | Low; more numerous in the cortex |
Follicles dark and light zone | Polarization lost | Polarization preserved |
Follicles size and shape | Uniform; Regular | Variable; irregular; elliptical |
Cellular composition of follicles | Monotonous | Heterogeneous |
Mantle zone | Scant or absent | Well developed |
Tingible body macrophages | Uncommon or absent | Many |
BCL2 immunostaining of follicles | Positive (not always) | Negative |
t(14;18)/IGH-BCL2 | Present (80%) | Absent |