Skip to main content

Nodal Malignant Lymphoma (with Comments on Extranodal Malignant Lymphoma and Metastatic Cancer)

  • Chapter
  • First Online:
Histopathology Reporting
  • 1465 Accesses

Abstract

Nodal Malignant Lymphoma (with Comments on Extranodal Malignant Lymphoma and Metastatic Cancer): this chapter outlines the incidence, risk factors, clinical presentation, investigations, treatments and prognosis of cancer at this anatomical site. These features are correlated with the core data that are required to make the corresponding histopathology reports of a consistently high quality, available in an appropriate timeframe, and clinically relevant to patient management and prognosis. Summary details of the common cancers given at this site include: gross description, histological types, tumour grade/differentiation, extent of local tumour spread, lymphovascular invasion, lymph node involvement, and the status of excision margins. Current WHO Classifications of Malignant Tumours and TNM7 are referenced. Notes are provided on other associated pathology, contemporary use of immunohistochemistry, updates on the role of evolving molecular tests, and the use of these ancillary techniques as biomarkers in diagnosis, and prediction of prognosis and treatment response. A summary is given of the commoner non-carcinoma malignancies that are encountered at this site in diagnostic practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    1Grade 1/grade 2 British National Lymphoma Investigation (BNLI).

  2. 2.

    2See footnote 1.

Bibliography

  • Alizadeh AA, Eisen MB, Davis RE. Distinct types of large B-cell lymphoma identified by gene expression profiling. Nature. 2000;403:503–11.

    Article  CAS  PubMed  Google Scholar 

  • Banerjee SS, Verma S, Shanks JH. Morphological variants of plasma cell tumours. Histopathology. 2004;44:2–8.

    Article  CAS  PubMed  Google Scholar 

  • Brady G, MacArthur GJ, Farrell PJ. Epstein-Barr virus and Burkitt lymphoma. J Clin Pathol. 2007;60:1397–402.

    CAS  PubMed  Google Scholar 

  • Brown D, Gatter K, Natkunam Y. Bone marrow diagnosis: an illustrated guide. Oxford: Wiley Blackwell; 2006.

    Book  Google Scholar 

  • Brunning RD, Arber DA. Chapter 23. Bone marrow. In: Rosai J, editor. Rosai and Ackerman’s surgical pathology. 10th ed. Edinburgh: Elsevier; 2011.

    Google Scholar 

  • Bryant RJ, Banks PM, O’Malley DP. Ki-67 staining as a diagnostic tool in the evaluation of lymphoproliferative disorders. Histopathology. 2006;48:505–15.

    Article  CAS  PubMed  Google Scholar 

  • Campo E, Chott A, Kinney MC, Leoncini L, Meijer CJLM, Papadimitriou CS, Piris MA, Stein H, Swerdlow SH. Update on extranodal lymphomas. Conclusions of the workshop held by the EAHP and the SH in Thessaloniki, Greece. Histopathology. 2006;48:481–504.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Chan JKC. Tumours of the lymphoreticular system, including spleen and thymus. In: Fletcher CDM, editor. Diagnostic histopathology of tumours, vol. 3. 3rd ed. London: Harcourt; 2007. p. 1139–310.

    Google Scholar 

  • Chan JKC, Banks PM, Cleary ML, Delsol G, de Wolf-Peters C, Falini B, Gatter KC, Grogan TM, Harris NL, Isaacson PG, Jaffe ES, Knowles DM, Mason DY, Müller-Hermelink HK, Pileri SA, Piris MA, Ralfkiaer E, Stein H, Warnke RA. A proposal for classification of lymphoid neoplasms (by the International Lymphoma Study Group). Histopathology. 1994;25:517–36.

    Article  CAS  PubMed  Google Scholar 

  • De Kerviler E, Guermazi A, Zagdanski AM, et al. Image-guided core-needle biopsy in patients with suspected or recurrent lymphoma. Cancer. 2000;89:647–52.

    Article  PubMed  Google Scholar 

  • Delecluse H-J, Feederle R, O’Sullivan B, Taniere P. Epstein-Barr virus-associated tumours: an update for the attention of the working pathologist. J Clin Pathol. 2007;60:1358–64.

    Article  PubMed  Google Scholar 

  • DeLeval L, Harris NL. Variability in immunophenotype in diffuse large B-cell lymphoma and its significance. Histopathology. 2003;43:509–28.

    Article  CAS  Google Scholar 

  • Du M-Q, Bacon CM, Isaacson PG. Kaposi sarcoma-associated herpesvirus/human herpesvirus 8 and lymphoproliferative disorders. J Clin Pathol. 2007;60:1350–7.

    Article  PubMed  Google Scholar 

  • Grogg KL, Miller RF, Dogan A. HIV infection and lymphoma. J Clin Pathol. 2007;60:1365–72.

    Article  CAS  PubMed  Google Scholar 

  • Hall JG. The functional anatomy of lymph nodes. In: Stansfield AG, d’Ardenne AJ, editors. Lymph node biopsy interpretation. 2nd ed. Edinburgh: Churchill Livingstone; 1992. p. 3–28.

    Google Scholar 

  • Hans CP, Weisenburger DD, Greiner TC, Gascoyne RD, Delabie J, Ott G, Műller-Hermelink HK, Campo E, Braziel RM, Jaffe ES, Pan Z, Farinha P, Smith LM, Falini B, Banham AH, Rosenwald A, Staudt LM, Connors JM, Armitage JO, Chan WC. Confirmation of the molecular classification of diffuse large B-cell lymphoma immunohistochemistry using a tissue microarray. Blood. 2004;103:275–82.

    Article  CAS  PubMed  Google Scholar 

  • Harris NL, Jaffe ES, Stein H, et al. A revised European- American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood. 1994;84:1361–92.

    CAS  PubMed  Google Scholar 

  • Harris NL, Jaffe ES, Diebold J, Flandrin G, Műller-Hermelink HK, Vardiman J, Lister TA, Bloomfield CD. The World Health Organization classification of neoplastic diseases of the haemopoietic and lymphoid tissues: report of the clinical advisory committee meeting, Airlie House, Virginia, November 1997. Histopathology. 2000;36:69–87.

    Article  CAS  PubMed  Google Scholar 

  • Hermans J, Krol AD, van Groningen K, et al. International Prognostic Index for aggressive non-Hodgkin’s lymphoma is valid for all malignancy grades. Blood. 1995;86:1460–3.

    CAS  PubMed  Google Scholar 

  • Isaacson PG. Haematopathology practice: the commonest problems encountered in a consultation practice. Histopathology. 2007;50:821–34.

    Article  CAS  PubMed  Google Scholar 

  • Kapatai G, Murray P. Contribution of the Epstein-Barr virus to the molecular pathogenesis of Hodgkin lymphoma. J Clin Pathol. 2007;60:1342–9.

    Article  CAS  PubMed  Google Scholar 

  • Kluin PM, Feller A, Gaulard P, Jaffe ES, Meijer CJ, Műller-Hermelink HK, Pileri S. Peripheral T/NK-cell lymphoma: a report of the IXth workshop of the European Association for haematopathology. Histopathology. 2001;38:250–70.

    Article  CAS  PubMed  Google Scholar 

  • Kocjan C. Cytological and molecular diagnosis of lymphoma. ACP Best Practice No 185. J Clin Pathol. 2005;58:561–7.

    Article  CAS  PubMed  Google Scholar 

  • Leoncini L, Delsol G, Gascoyne RD, Harris NL, Pileri SA, Piris MA, Stein H. Aggressive B-cell lymphomas: a review based on the workshop of the XI meeting of the European Association for Haematopathology. Histopathology. 2005;46:241–55.

    Article  CAS  PubMed  Google Scholar 

  • Maes B, De Wolf-Peeters C. Marginal zone cell lymphoma – an update on recent advances. Histopathology. 2002;40:117–26.

    Article  CAS  PubMed  Google Scholar 

  • Matutes E. Adult T-cell leukaemia/lymphoma. J Clin Pathol. 2007;60:1373–7.

    Article  CAS  PubMed  Google Scholar 

  • Műller-Hermelink HK, Zettl A, Pfeifer W, Ott G. Pathology of lymphoma progression. Histopathology. 2001;38:285–306.

    Article  PubMed  Google Scholar 

  • O’Malley DP, George TI, Orazi A, editors. Benign and reactive conditions of lymph node and spleen. Washington D.C.: ARP Press; 2009.

    Google Scholar 

  • Oudejans JJ, van der Walk P. Diagnostic brief. Immunohistochemical classification of B cell neoplasms. J Clin Pathol. 2003;56:193.

    Article  CAS  PubMed  Google Scholar 

  • Prakash S, Swerdlow SH. Nodal aggressive B-cell lymphomas: a diagnostic approach. J Clin Pathol. 2007;60:1076–85.

    Article  PubMed  Google Scholar 

  • Rosai J. Chapter 22. Lymph nodes, spleen. In: Rosai J, editor. Rosai and Ackerman’s surgical pathology. 10th ed. Edinburgh: Elsevier; 2011.

    Google Scholar 

  • Sagaert X, De Wolf-Peeters C. Anaplastic large cell lymphoma. Curr Diagn Pathol. 2003;9:252–8.

    Article  Google Scholar 

  • Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Vardiman JW. WHO classification of tumours. Pathology and genetics. Tumours of haemopoietic and lymphoid tissues. Lyon: IARC Press; 2008.

    Google Scholar 

  • Tapia G, Lopez R, Munoz-Marmol AM, Mate JL, Sanz C, Marginet R, Navarro J-T, Ribera J-M, Ariza A. Immunohistochemical detection of MYC protein correlates with MYC gene status in aggressive B cell lymphomas. Histopathology. 2011;59:672–8.

    Article  PubMed  Google Scholar 

  • Taylor CR. Hodgkin’s disease is a non-Hodgkin’s lymphoma. Hum Pathol. 2005;36:1–4.

    Article  PubMed  Google Scholar 

  • The National Cancer Action Team and The Royal College of Pathologists. Additional Best Practice Commissioning Guidance for developing Haematology Diagnostic Services. In line with the NICE Improving Outcomes Guidance for Haemato-oncology 2003. Accessed at http://www.ncat.nhs.uk.

  • The Royal College of Pathologists and The British Committee for Standards in Haematology. Best Practice in Lymphoma Diagnosis and Reporting – Specific Disease Appendix. Accessed at http://www.rcpath.org/index.asp?PageID=254.

  • Viswanatha DS, Dogan A. Hepatitis C virus and lymphoma. J Clin Pathol. 2007;60:1378–83.

    Article  CAS  PubMed  Google Scholar 

  • Warnke RA, Weiss LM, Chan JKC, Cleary ML, Dorfman RF. Tumors of the lymph nodes and spleen. Atlas of tumor pathology. 3rd series. Fascicle 14. Washington: AFIP; 1995.

    Google Scholar 

  • Wilkins BS. Pitfalls in lymphoma pathology: avoiding errors in diagnosis of lymphoid tissues. J Clin Pathol. 2011;64:466–76.

    Article  PubMed  Google Scholar 

  • Wilkins BS, Wright DH. Illustrated pathology of the spleen. Cambridge: Cambridge University Press; 2000. p. 1–31.

    Book  Google Scholar 

  • Wittekind CF, Greene FL, Hutter RVP, Klimpfinger M, Sobib LH. TNM atlas: illustrated guide to the TNM/pTNM classification of malignant tumours. 5th ed. Berlin: Springer; 2005.

    Book  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Allen, D.C. (2013). Nodal Malignant Lymphoma (with Comments on Extranodal Malignant Lymphoma and Metastatic Cancer). In: Histopathology Reporting. Springer, London. https://doi.org/10.1007/978-1-4471-5263-7_35

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5263-7_35

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5262-0

  • Online ISBN: 978-1-4471-5263-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics