Pathology
Images
Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Marginal zone lymphoma, immunocytoma variant
Introduction

Variant of marginal zone lymphoma, where neoplastic cells show tendency to differentiate into plasma cells.

Histology

Dense, nodular infiltrate reaching into the deep dermis. Epidermis is uninvolved (grenz zone). The cell population consists of small B lymphocytes, lymphoplasmocytoid cells and mature plasma cells arranged in clusters. Histiocytes and eosinophils can be observed.

Intranuclear Dutcher bodies and intracytoplasmatic Russel bodies (PAS+ Ig deposits) within plasmocytoid tumorous cells.

Immunophenotype and genetic features:

  • small lymphocytes: CD20+, CD79a+; but CD5 or CD10 are negative
  • lymphoplasmocytoid cells and plasma cells: no expression of B markers
  • proliferating cells are monotypic and usually express IgM kappa
  • Genotype: clonal rearrangement of Ig heavy and light chain genes

Marginal zone lymphoma with plasmocytoid cells (2514)