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Hodgkin Lymphoma, Cytological Findings

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Cytopathology

Part of the book series: Encyclopedia of Pathology ((EP))

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Synonyms

Hodgkin’s disease; Lymphogranulomatosis

Variants

  1. 1.

    Nodular lymphocyte predominant Hodgkin lymphoma (NLPHL)

  2. 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,...

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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.

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  • 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.

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  • 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.

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  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Moreland, W. S., & Geisinger, K. R. (2002). Utility and outcomes of fine-needle aspiration biopsy in Hodgkin’s disease. Diagnostic Cytopathology, 26, 278–282.

    Article  PubMed  Google Scholar 

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Correspondence to Edneia Miyki Tani .

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33285-7

  • Online ISBN: 978-3-319-33286-4

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