2013
DOI: 10.1038/modpathol.2012.182
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Shades of gray between large B-cell lymphomas and Hodgkin lymphomas: differential diagnosis and biological implications

Abstract: Hodgkin lymphomas (HLs) are neoplasms of large B cells. Two types are recognized: nodular lymphocyte predominant HL (NLPHL) and classical HL (CHL). In both types, there may be morphological and possibly biological overlap with large B-cell lymphomas (LBCLs) of non-HL types. These include nodular sclerosis CHL and primary mediastinal large B-cell lymphoma; CHL rich in lymphocytes and NLPHL; and NLPHL and T-cell/ histiocyte-rich LBCL. This review covers the defining features of each of these diseases, the border… Show more

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Cited by 64 publications
(69 citation statements)
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“…There are "gray-zone" lymphomas showing features, including immunophenotype, characteristic of both classical Hodgkin lymphoma, and primary mediastinal large B-cell lymphoma. 55 In addition to the expression of CD30 on some PTCL, NOS and those T-cell lymphomas characteristically positive for the antigen, CD30 may be expressed on adult T-cell leukemia/lymphoma cells, the human T-cell leukemia virusassociated malignancy. Here, CD30 is distinctly present on the large cells and may first appear when the patient relapses with a more aggressive looking lesion.…”
Section: Mature T-and B-cell Lymphomas: a Cd30 Surveymentioning
confidence: 99%
“…There are "gray-zone" lymphomas showing features, including immunophenotype, characteristic of both classical Hodgkin lymphoma, and primary mediastinal large B-cell lymphoma. 55 In addition to the expression of CD30 on some PTCL, NOS and those T-cell lymphomas characteristically positive for the antigen, CD30 may be expressed on adult T-cell leukemia/lymphoma cells, the human T-cell leukemia virusassociated malignancy. Here, CD30 is distinctly present on the large cells and may first appear when the patient relapses with a more aggressive looking lesion.…”
Section: Mature T-and B-cell Lymphomas: a Cd30 Surveymentioning
confidence: 99%
“…These molecular findings further support the previous clinical and pathological observation of a very close relationship between PMBL and particularly mediastinal classical HL (cHL) (reviewed in this issue by Harris). 61,62 Together with more recent genetic and epigenetic studies, they also support the inclusion in the WHO classification of the category large B-cell lymphoma, unclassifiable with features intermediate between DLBCL and HL. [63][64][65][66] …”
Section: Characterization Of Known Entities and Recognition Of New Camentioning
confidence: 65%
“…68 It is seen most frequently in young adults, with a slight female predominance and a rapidly growing mediastinal mass. The lymphoma cells are large, with round to slightly irregular nuclei, occasional pleomorphic multilobated nuclei, with moderate amounts of pale cytoplasm, imparting a clear cell appearance.…”
Section: Other Lymphomas Of Large B Cells Primary Mediastinal Large Bmentioning
confidence: 99%