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Lymphoma, probably high grade follicular with focal loss of BCL2 expression? At first, I was thinking DLBL but there are a lot of small lymphocytes there. Also, marginal zone might be possible but I don't know what to make of the larger cells in some of the images.

----Comment by: kyouens on 3/2/2007 7:41:35 AM

Kyouens - This is a difficult case. I should have mentioned that although flow cytometric analysis did not reveal a clonal B-cell population, PCR for IgH did. So, it is clonal. BCL2 expression is difficult to resolve in this case. If it were positive, I think grade 3 of 3 folicular would be spot on. I think ultimately, the histology fits best with high grade folicular. I'll update now that we have near concensus.

----Comment by: PathDoc15 on 3/2/2007 11:53:13 AM

Yeah...As one of my colleagues pointed out to me, follicular cervicitis would be on the differential, but it would be highly unusual given the relatively normal epithelium.

----Comment by: kyouens on 3/2/2007 12:16:25 PM

     

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