Synonyms
Hodgkin’s disease; Lymphogranulomatosis
Variants
- 1.
Nodular lymphocyte predominant Hodgkin lymphoma (NLPHL)
- 2.
Classical Hodgkin lymphoma (CHL)
Definition
Lymph node disease with few large mono- and binucleated tumor cell mixed with a rich number of non-neoplastic lymphocytes and various inflammatory cells
Clinical Features
Incidence
NLPHL: 0.2/100,000
CHL: 4/100,000
Age
NLPHL: middle aged
CHL: young adults and elderly
Sex
NLPHL: male predominance
CHL: somewhat more common in males than in females.
Site
NLPHL: cervical, axillary, and inguinal nodes.
CHL: cervical, mediastinal, and axillary nodes.
Extranodal dissemination is rare in both subtypes.
Treatment
Chemotherapy, radiation
Outcome
NLPHL: patients with low stage disease have a 10 year survival round 80%.
CHL: Over 80% of patients are cured.
Microscopy
NLPHL: The smears show a large number of predominantly mature lymphoid cells and histiocytes some of which are of epithelioid type. The tumor cells are large with a scant,...
References and Further Reading
Chhieng, D. C., Cangiarella, J. F., Symmans, W. F., & Cohen, J. M. (2001). Fine-needle aspiration cytology of Hodgkin disease: A study of 89 cases with emphasis on false-negative cases. Cancer, 93, 52–59.
Das, D. K., & Gupta, S. K. (1990). Fine needle aspiration cytodiagnosis of Hodgkin’s disease and its subtypes. II. Subtyping by differential cell counts. Acta Cytologica, 34, 337–341.
Fulciniti, F., Vetrani, A., Zeppa, P., Giordano, G., Marino, M., De Rosa, G., & Palombini, L. (1994). Hodgkin’s disease: Diagnostic accuracy of fine needle aspiration; a report based on 62 consecutive cases. Cytopathology, 5, 226–233.
Jimenez-Heffernan, J. A., Vicandi, B., Lopez-Ferrer, P., Hardisson, D., & Viguer, J. M. (2001). Value of fine needle aspiration cytology in the initial diagnosis of Hodgkin’s disease. Analysis of 188 cases with an emphasis on diagnostic pitfalls. Acta Cytologica, 45, 300–306.
Moreland, W. S., & Geisinger, K. R. (2002). Utility and outcomes of fine-needle aspiration biopsy in Hodgkin’s disease. Diagnostic Cytopathology, 26, 278–282.
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Tani, E.M., Skoog, L. (2017). Hodgkin Lymphoma, Cytological Findings. In: Schmitt, F. (eds) Cytopathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-33286-4_896
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DOI: https://doi.org/10.1007/978-3-319-33286-4_896
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