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J Clin Pathol 56:821-825 doi:10.1136/jcp.56.11.821
  • Original article

Fine needle aspiration cytology in the diagnosis of uncommon types of lymphoma

Table 1

Details of the uncommon forms of B cell lymphoma encountered in our study

Case Site Method Initial diagnosis Percentage of cells positive (numbers indicate CD numbers) Cell block Biopsy Final diagnosis
2 3 4 5 8 10 19 20 23 IgM FMC77 77 19+κ 19+λ 5+19 4+8
BL, Burkitt lymphoma; BLBCL, Burkitt-like large B cell lymphoma; CLL, chronic lymphocytic leukaemia; FNA, fine needle aspiration; I, image guided FNA; M, manually guided FNA; MCL, mantle cell lymphoma; MLBCL, mediastinal (thymic) large B cell lymphoma; NLPHL, nodular lymphocyte predominant Hodgkin lymphoma; PTCL, peripheral T cell lymphoma; TCRBCL, T cell rich B cell lymphoma.
1 Para-aortic I Large cell lymphoma 17 5 6 10 79 91 79 3 2 73 94 86 6 0 1 Yes No BLBCL
2 Mesenteric I Lymphoma 1 8 1 1 99 99 99 2 24 99 44 99 10 0 0 Yes No BL; partially necrotic
3 Right neck M Lymphoma 1 4 3 1 1 96 90 98 3 98 96 42 95 8 8 0 No Yes BLBCL
4 Left axilla M ?HL 30 23 99 6 0 68 71 54 71 28 65 1 67 0 No Yes HL and CLL (on biopsy)
5 Left supraclavicular M Reactive Inadequate for flow cytometry No Yes HL (on biopsy histology)
6 Left neck M Reactive Inadequate for flow cytometry No Yes HL (on biopsy histology)
7 Left neck M ?Lymphoma Inadequate for flow cytometry No Yes HL (on biopsy histology)
8 Mediastinum I Reactive 90 77 87 20 2 11 9 23 9 9 6 5 3 <1 No Yes HL (on biopsy histology)
9 Left neck M Reactive 69 31 15 20 No Yes HL (on biopsy histology)
10 Left inguinal M ?HL 90 81 93 14 0 13 13 6 9 7 11 10 8 5 No Yes HL (on biopsy histology)
11 Left neck M Inadequate cells Inadequate for flow cytometry No Yes HL (on biopsy histology)
12 Mediastinal I ?Lymphoma 90 77 20 2 11 9 8 9 9 6 5 3 0 No Yes HL (on biopsy histology)
13 Mediastinal I ?Lymphoma Inadequate for flow cytometry No Yes HL (on biopsy histology)
14 Mediastinal I ?Lymphoma Inadequate for flow cytometry No Yes HL (on biopsy histology)
15 Left cervical M ?HL 28 51 8 1 49 47 4 48 34 23 4 0 Yes Yes HL (on biopsy histology)
16 Left neck M ?HL Inadequate for flow cytometry Yes Yes HL (on biopsy histology)
17 Left inguinal M ?Lymphoma 95 95 18 92 80 0 1 2 2 12 2 1 1 0 1 No Yes HL (on biopsy histology)
18 Right axilla M ?HL 82 96 16 2 4 5 3 0 0 No No HL (on cytology only)
19 Left neck M Reactive 88 88 71 87 18 2 12 16 2 31 12 19 16 2 2 No Yes NLPHL (on biopsy histology)
20 Mesenteric I ?HL 99 91 88 13 0 3 3 3 2 5 No Yes NLPHL (on biopsy histology)
21 Left submental M Lymphoma 6 6 3 99 3 1 93 90 4 93 90 4 93 93 0 No Yes MCL (on biopsy histology)
22 Right neck M Lymphoma 6 11 2 92 5 2 87 95 5 94 59 89 2 80 0 No Yes MCL (on biopsy histology)
23 Right breast M Lymphoma 2 5 5 100 6 1 99 99 14 99 99 2 97 99 Yes No MCL (recurrent)
24 Left parotid M Lymphoma 4 2 100 1 1 97 99 12 98 5 95 97 1 No Yes MCL (on biopsy histology)
25 Mediastinal I ?Lymphoma Inadequate for flow cytometry or cell block No Yes MLBCL
26 Mediastinal I ?Lymphoma Inadequate for flow cytometry or cell block No Yes MLBCL
27 Perihepatic mass I Lymphoma/carcinoma 80 62 78 10 <1 7 12 5 5 <1 <1 Yes Yes PTCL (on biopsy histology)
28 Left neck M Malignant 76 42 78 31 1 2 1 1 1 1 1 0 0 No Yes PTCL (on biopsy histology)
29 Left cervical M Lymphoma 68 63 49 60 11 0 18 14 14 11 15 11 8 0 0 No Yes PTCL (on biopsy histology) ALK-1+
30 Right neck M Malignant 93 43 83 41 0 6 1 6 No Yes PTCL (on biopsy histology) Lennert’s
31 Right neck M Lymphoma 94 78 89 1 92 0 0 1 1 0 84 Yes No PTCL (on cell block histology)
32 Left neck M Malignant 70 0 16 10 13 Yes No PTCL (on cell block histology)
33 Right calf M Lymphoma 98 5 96 95 11 1 15 1 1 <1 <1 Yes No PTCL (on cell block histology)
34 Left neck M Malignant 68 17 51 60 40 <1 7 37 No Yes PTCL (on cell block histology)
35 Left inguinal M Lymphoma/carcinoma 70 42 26 3 30 30 5 5 Yes Yes PTCL (on cell block histology)
36 Left inguinal M Lymphoma 85 61 83 24 1 12 12 9 <1 6 6 <1 <1 Yes No PTCL (on cell block histology)
37 Left leg M Lymphoma 100 7 91 60 6 2 12 10 21 13 No Yes PTCL (recurrent)
38 Right inguinal M Lymphoma/carcinoma 94 58 86 22 1 14 13 5 17 2 7 5 1 0 Yes Yes TCRBCL (on biopsy histology)
39 Left neck M Probable carcinoma 98 41 90 48 1 17 12 Yes Yes TCRBCL (on biopsy histology)
40 Left neck M ?Lymphoma 87 9 6 6 No Yes TCRBCL (on biopsy histology)
41 Right neck M ?Lymphoma 89 75 48 83 26 27 14 11 5 25 17 3 6 2 1 No Yes TCRBCL (on biopsy histology)
42 Left neck M ?Lymphoma 79 55 76 18 6 28 30 6 30 35 26 20 8 0 No Yes TCRBCL (on biopsy histology)

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