A Review of the Flow Cytometric Findings in Classic Hodgkin Lymphoma, Nodular Lymphocyte Predominant Hodgkin Lymphoma and T Cell/Histiocyte-Rich Large B Cell Lymphoma

Clin Lab Med. 2023 Sep;43(3):427-444. doi: 10.1016/j.cll.2023.04.011. Epub 2023 Jun 23.

Abstract

Classic Hodgkin lymphoma, nodular lymphocyte predominant Hodgkin lymphoma, and T cell/histiocyte-rich large B cell lymphoma form a unique set of lymphomas with similar morphologic growth patterns (occasional neoplastic cells within a prominent cellular cell background) that are pathobiologically related. Distinguishing these entities has been historically difficult by flow cytometry; however, our laboratory has developed antibody-fluorochrome combinations capable of immunophenotyping these lymphomas. Additionally, characterization of the background reactive lymphocytes can aid in narrowing the differential diagnosis. This review summarizes the immunophenotypic features and insights of the neoplastic and reactive populations found in this unique group of lymphomas.

Keywords: Antigen expression; Classic Hodgkin lymphoma; Flow cytometric cell sorting; Flow cytometry; Nodular lymphocyte predominant Hodgkin lymphoma; T-cell/histiocyte-rich large B cell lymphoma.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Flow Cytometry
  • Histiocytes / pathology
  • Hodgkin Disease* / diagnosis
  • Hodgkin Disease* / pathology
  • Humans
  • Immunophenotyping
  • Lymphocytes
  • Lymphoma, Follicular* / diagnosis
  • Lymphoma, Follicular* / pathology
  • Lymphoma, Large B-Cell, Diffuse* / diagnosis
  • Lymphoma, Large B-Cell, Diffuse* / pathology
  • T-Lymphocytes