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Reed–Sternberg cells are CD30 and CD15 positive except in the lymphocyte predominance type where they are negative, but are usually positive for CD20 and CD45. The presence of these cells is necessary in the diagnosis of Hodgkin lymphoma – the absence of Reed–Sternberg cells has very high negative predictive value.
For the other forms, although the traditional B-cell markers (such as CD20) are not expressed on all cells, [29] Reed–Sternberg cells are usually of B cell origin. [ 30 ] [ 31 ] Although Hodgkin's is now frequently grouped with other B-cell malignancies, some T-cell markers (such as CD2 and CD4 ) are occasionally expressed. [ 32 ]
Lymphocyte predominant (LP) ("popcorn") cells are present embedded in nodules consisting of B cells [10] and other reactive cells (mainly reactive T cells). [9] Reed-Sternberg and Hodgkin (RSH) cells are rarely seen, and immunohistochemistry shows a different pattern on the malignant cells; RSH cells typically express CD15 and CD30, whereas LP ...
Reed–Sternberg cell variants and inflammation, usually broad sclerotic bands that consist of collagen CD15, CD30 Most common in young adults, often arises in the mediastinum or cervical lymph nodes. Mixed cellularity Hodgkin lymphoma; Second-most common form of Hodgkin lymphoma Many classic Reed–Sternberg cells and inflammation CD15, CD30
Reed–Sternberg cells display a characteristic pattern of sialyl-Lewis X positivity, with membranous staining combined with staining of the Golgi apparatus. Immunohistochemical panels for the diagnosis of Hodgkin's disease typically employ CD15 along with CD30 and CD45 ; the latter does not stain Reed–Sternberg cells, but does stain almost ...
It is composed of large tumor nodules with lacunar Reed–Sternberg cell (RS cells) surrounded by fibrotic collagen bands. [ citation needed ] The British National Lymphoma Investigation further categorized NSHL based upon Reed–Sternberg cells into "nodular sclerosis type I" (NS I) and "nodular sclerosis type II" (NS II), with the first ...
CD30 is associated with anaplastic large cell lymphoma. It is expressed in embryonal carcinoma but not in seminoma and is thus a useful marker in distinguishing between these germ cell tumors. [8] CD30 and CD15 are also expressed on Reed-Sternberg cells typical for Hodgkin's lymphoma. [9]
Type II PEL also tends to involve malignant plasmablasts, anaplastic cells, and/or Reed-Sternberg-like cells that have somewhat different expression patters of protein markers (e.g. the malignant cells in Type II PEL frequently express CD20 but often do not express CD30) and gene abnormalities (e.g. the malignant cells in Type II PEL more ...