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Lymphoma - B cell neoplasms
Non-Hodgkin Lymphoma
Hemophagocytic syndrome
Reviewer: Nikhil Sangle, M.D., University of Utah and ARUP Laboratories (see Reviewers
page)
Revised: 17 February 2011, last major update February 2011
Copyright: (c) 2001-2011, PathologyOutlines.com, Inc.
Definition
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● May be associated with non-Hodgkin lymphoma (most common: diffuse large B cell, T cell, NK)
● Systemic presentation (fever, splenomegaly, jaundice), survival < 2 years, mild interstitial lymphoid infiltrate of bone marrow at presentation (Am J Surg Pathol 2001;25:865)
Treatment
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● Cytotoxic chemotherapy if EBV related vs. treatment of infection in non-EBV infection
Gross
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● Often no pronounced tumor mass
Micro
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● Hemophagocytosis (phagocytosis by macrophages of white blood cells, red blood cells, platelets and precursors)
● In bone marrow, mild interstitial lymphoid infiltrate at presentation
Positive stains
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● Depends on tumor type
Molecular
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● Occasional HHV6 positivity by PCR
End of Lymphoma - B cell neoplasms > Non-Hodgkin Lymphoma > Hemophagocytic syndrome
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