CD Markers
CD20


Topic Completed: 1 February 2014

Minor changes: 16 November 2020

Copyright: 2003-2020, PathologyOutlines.com, Inc.

PubMed Search: CD20[title]

Nat Pernick, M.D.
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Cite this page: Pernick N. CD20. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/cdmarkerscd20.html. Accessed November 26th, 2020.
Definition / general
  • Common B cell marker (also CD19, CD79a, PAX5)
  • Also called L26, membrane spanning 4 domains (MS4A1)
Pathophysiology
  • 33kd phosphoprotein with 3 hydrophobic regions that traverse the cell membrane, creating a structure similar to an ion channel that allows for the influx of calcium required for cell activation
  • Initially expressed on B cells after CD19 / CD10 expression and before CD21 / CD22 and surface immunoglobulin expression; retained on mature B cells until plasma cell development
  • Delivers early signal in B cell activation, allowing resting B cells to respond to later antigens
  • Closely related to FMC7, which recognizes a CD20 epitope (Leukemia 2003;17:1384), particularly if there is strong CD20 expression (not in CLL, Am J Clin Pathol 2003;120:754)
Clinical features
Uses by pathologists
Case reports
Microscopic (histologic) images

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Contributed by Andrey Bychkov, M.D., Ph.D.

MALT lymphoma



Cases of the month, AFIP images

Lymph node: angiomyomatous hamartoma

Skin: halo nevus

Burkitt lymphoma
of ileocecal valve


Hodgkin lymphoma, nodular lymphocyte predominant subtype: small lymphocytes and LP cells are CD20+ but classic RS cells are CD20-


MALT lymphoma of stomach

Myeloid sarcoma of bone (negative)

NK/T cell lymphoma, nasal type (tumor cells are negative)

T cell lymphoma; right: fig A


Thymoma, lymphocyte predominant (CD20-)

Brain

Intravascular



Images hosted on other servers:

Nonneoplastic:
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Bladder: follicular cystitis

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Lymph node: infarction

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MALT lymphoma of liver (left), lung (right)



Diffuse large B cell lymphoma:
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Breast (right)

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Mediastinum

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Brain


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Intravascular

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Prostate



Other leukemia / lymphoma:
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Bone marrow infiltration by
unspecified B cell lymphoma (fig C)

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Follicular lymphoma

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Neoplastic T cells (fig B)


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Mantle cell lymphoma of prostate

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Marginal zone lymphoma of prostate

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T cell lymphoma



Posttransplantation lymphoproliferative disorder:
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Liver; right side fig 3 is CD20



Other neoplasms:
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Thymomas, various

Positive staining - normal
  • Most B cells (considered a pan B cell antigen), also follicular dendritic cells
  • Hematogones can be CD20+ and a panel is useful in distinguishing them from leukemia cells (Am J Clin Pathol 2000;114:66)
Positive staining - disease
Negative staining
  • Non-hematopoietic cells, most T cells, basophils, plasma cells and mastocytosis
  • Note: staining does not work well with Bouin’s fixative
Flow cytometry description
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