Article ; Online: Ultrasensitive RNA In Situ Hybridization for Kappa and Lambda Light Chains Assists in the Differential Diagnosis of Nodular Lymphocyte-predominant Hodgkin Lymphoma.
The American journal of surgical pathology
2022 Volume 46, Issue 8, Page(s) 1078–1083
Abstract: Establishing a diagnosis of nodular lymphocyte-predominant Hodgkin lymphoma (nLPHL) is often challenging as the differential diagnosis is broad, including classic Hodgkin lymphoma (cHL), progressive transformation of germinal centers (PTGC), and other ... ...
Abstract | Establishing a diagnosis of nodular lymphocyte-predominant Hodgkin lymphoma (nLPHL) is often challenging as the differential diagnosis is broad, including classic Hodgkin lymphoma (cHL), progressive transformation of germinal centers (PTGC), and other lymphoproliferative disorders. In this study, we investigate the utility of a recently described ultrasensitive in situ hybridization assay for kappa and lambda immunoglobulin light chains in distinguishing nLPHL, cHL, and PTGC. A total of 72 cases were examined (21 nLPHL, 33 cHL, and 18 PTGC). In nLPHL, the large neoplastic cells were light chain restricted in 21/21 (100%) cases (16 kappa, 5 lambda). In contrast, Reed-Sternberg cells of cHL were negative for kappa and lambda in all cases (0/33, 0%; P <0.001). In PTGC, polytypic B cells were noted in mantle zones and germinal centers in all cases, with 1 case (5%) also showing focal collections of light chain restricted large B cells. Background monotypic small B cells were identified in 3 cases, including 1 nLPHL and 2 cHL (1 of which arose in chronic lymphocytic leukemia). Ultrasensitive in situ hybridization for kappa and lambda is a useful addition to a standard immunophenotyping panel for the evaluation of suspected nLPHL. |
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MeSH term(s) | B-Lymphocytes/pathology ; Cell Transformation, Neoplastic ; Diagnosis, Differential ; Hodgkin Disease/diagnosis ; Hodgkin Disease/genetics ; Hodgkin Disease/pathology ; Humans ; Immunoglobulin lambda-Chains/genetics ; In Situ Hybridization ; Lymphoma ; RNA |
Chemical Substances | Immunoglobulin lambda-Chains ; RNA (63231-63-0) |
Language | English |
Publishing date | 2022-02-24 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 752964-8 |
ISSN | 1532-0979 ; 0147-5185 |
ISSN (online) | 1532-0979 |
ISSN | 0147-5185 |
DOI | 10.1097/PAS.0000000000001881 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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