Hodgkins Disease:  Lymphocyte Predominant

Description The lymphocyte predominant form of HD is biologically distinct from the "classic" forms of Hodgkins Disease.  Cervical and axillary lymph nodes are common, but mediastinal invovlement and extranodal disease are rare.  LP may transform to diffuse large B-cell lymphoma.  Morphologically, the node may be follicular or diffuse.  LH (Langerhans histiocyte-variant Reed Sternberg) cells are the large "popcorn" cells with vaculoated nuclei, small nucleoli and scant cytoplasm.  Centrocytes are not seen.  Necrosis is rare and fibrosis is absent. 
Frequency More common in males than females; usually presents in the fourth decade of life.
Cytogenetics
Locus Product Description
Markers
Positive J-chains, CD 20, 30, 45, w75
+/- CD 30, EMA
Negative CD 15

 
Lymphomas
Heme-Onc
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Last modification: April 30, 1999