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{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+ '''Revised staging system for primary nodal lymphomas (Lugano classification)'''
! style="background: #4479BA; color:#FFF;" | Type of cell
! style="background: #4479BA; color:#FFF;" | Characteristics
|-
| style="padding: 5px 5px; background: #DCDCDC;" colspan=3 | '''Classic'''
|-
| style="padding: 5px 5px; background: #F5F5F5;" | Reed-Sternberg cells (RSC)
| style="padding: 5px 5px; background: #F5F5F5;" | Large size (20–50 micrometres), abundant, amphophilic, finely granular/homogeneous [[cytoplasm]]; two mirror-image [[nuclei]] (owl eyes) each with an eosinophilic nucleolus and a thick [[nuclear membrane]] ([[chromatin]] is distributed close to the nuclear membrane).
|-
| style="padding: 5px 5px; background: #DCDCDC;" colspan=3 | '''Variants'''
|-
| style="padding: 5px 5px; background: #F5F5F5;" | Hodgkin cell
| style="padding: 5px 5px; background: #F5F5F5;" | (Atypical mononuclear Reed-Sternberg cell)  has the same characteristics as Reed-Sternberg cells (RSC), but is mononucleated.
|-
| style="padding: 5px 5px; background: #F5F5F5;" | Lacunar Reed-Sternberg cells
| style="padding: 5px 5px; background: #F5F5F5;" | Are large, with a single hyperlobulated nucleus, multiple, small nucleoli and eosinophilic cytoplasm which is retracted around the nucleus, creating an empty space ("lacunae").
|-
| style="padding: 5px 5px; background: #F5F5F5;" | Pleomorphic Reed-Sternberg cells
| style="padding: 5px 5px; background: #F5F5F5;" | Has multiple irregular nuclei.
|-
| style="padding: 5px 5px; background: #F5F5F5;" | "Popcorn" Reed-Sternberg cells
| style="padding: 5px 5px; background: #F5F5F5;" | (Lympho-histiocytic variant) is a small cell, with a very lobulated nucleus, small nucleoli.
|-
| style="padding: 5px 5px; background: #F5F5F5;" | "Mummy" Reed-Sternberg cells
| style="padding: 5px 5px; background: #F5F5F5;" | has a compact nucleus with no nucleolus and basophilic cytoplasm.
|}

Revision as of 19:08, 4 September 2015

 
 
 
 
 
 
 
 
 
B-cell neoplasms
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CD5+
 
 
 
 
 
 
 
CD5-
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CCND1+
 
 
 
CCND1-
 
 
 
 
DLBCL
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pleomorphic MCL
 
 
 
DLBCL, NOS CD5+
 
CD10+
 
 
 
 
 
 
 
CD10-
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DLBCL, NOS GCB type
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BCL6+ IRF4/MUM1-
 
BCL6+ IRF4/MUM1+
 
BCL6- IRF4/MUM1+
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DLBCL, NOS GCB type
 
Non-GCB
 
Post-GCB
 
 



Use of Immunophenotyping/Genetic Testing in Differential Diagnosis of Mature B-Cell and NK/T-Cell Neoplasms


 
 
 
 
 
 
 
 
 
B-cell neoplasms
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CD5+
 
 
 
 
 
 
 
CD5-
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CCND1+
 
 
 
CCND1-
 
 
 
 
DLBCL
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pleomorphic MCL
 
 
 
DLBCL, NOS CD5+
 
CD10+
 
 
 
 
 
 
 
CD10-
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DLBCL, NOS GCB type
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BCL6+ IRF4/MUM1-
 
BCL6+ IRF4/MUM1+
 
BCL6- IRF4/MUM1+
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DLBCL, NOS GCB type
 
Non-GCB
 
Post-GCB
 
 
Revised staging system for primary nodal lymphomas (Lugano classification)
Type of cell Characteristics
Classic
Reed-Sternberg cells (RSC) Large size (20–50 micrometres), abundant, amphophilic, finely granular/homogeneous cytoplasm; two mirror-image nuclei (owl eyes) each with an eosinophilic nucleolus and a thick nuclear membrane (chromatin is distributed close to the nuclear membrane).
Variants
Hodgkin cell (Atypical mononuclear Reed-Sternberg cell) has the same characteristics as Reed-Sternberg cells (RSC), but is mononucleated.
Lacunar Reed-Sternberg cells Are large, with a single hyperlobulated nucleus, multiple, small nucleoli and eosinophilic cytoplasm which is retracted around the nucleus, creating an empty space ("lacunae").
Pleomorphic Reed-Sternberg cells Has multiple irregular nuclei.
"Popcorn" Reed-Sternberg cells (Lympho-histiocytic variant) is a small cell, with a very lobulated nucleus, small nucleoli.
"Mummy" Reed-Sternberg cells has a compact nucleus with no nucleolus and basophilic cytoplasm.