Table 3.
Neoplasm | Peripheral Blood | Bone Marrow | Spleen |
---|---|---|---|
SRDPL | Mature lymphocytes with villous projections | Intrasinusoidal pattern of involvement. No plasmacytic differentiation | Cord and sinusoidal expansion +/− blood lakes |
HCL | Lymphocytes (less chromatin clumping than normal lymphocytes) with villous projections | Subtle to extensive interstitial infiltrates of lymphocytes. Often extensive reticulin fibrosis | Red pulp cord expansion; atrophic white pulp; blood lakes common. |
HCL-v | Small lymphocytes with visible nucleoli and villous projections | Intrasinusoidal pattern of involvement; atrophic white pulp | Fill dilated sinusoids +/− blood lakes; atrophic white pulp |
LPL/WM | Spectrum of lymphocytes, plasmacytoid lymphocytes, and true plasma cells. | Diffuse, interstitial, and nodular involvement by a spectrum of lymphocytes, plasmacytoid lymphocytes, and true plasma cells | Red pulp cord and sinus expansion; atrophic white pulp. |
Abbreviations: HCL-v = hairy cell leukemia variant, LPL/WM = lymphoplasmacytic lymphoma/Waldenström macroglobulinemia, SRDPL = splenic diffuse red pulp small B- cell lymphoma.