T and B cell markers in classical Hodgkin's disease

The Reed-Sternberg cells of classical Hodgkin's disease is commonly thought to be negative for T and B cell markers. However, immunoreactivity is not uncommon and does not exclude the diagnosis.

On frozen section1:

 

nodular sclerosing

mixed cellularity

overall

 

CD3 (UCHT1)

>50% RS cells: 0/14

>50% RS cells: 0/6

 

25% showed immunoreactivity

10-50% RS cells: 2/14

10-50% RS cells: 0/6

<10% RS cells: 2/14

<10% RS cells: 1/6

no staining: 10/14

no staining: 5/6

 

bF1

>50% RS cells: 0/14

>50% RS cells: 0/6

 

15% showed immunoreactivity

10-50% RS cells: 1/14

10-50% RS cells: 0/6

<10% RS cells: 2/14

<10% RS cells: 0/6

no staining: 11/14

no staining: 6/6

 

CD19

>50% RS cells: 0/14

>50% RS cells: 2/6

 

75% showed immunoreactivity

10-50% RS cells: 6/14

10-50% RS cells: 3/6

<10% RS cells: 4/14

<10% RS cells: 0/6

no staining: 4/14

no staining: 1/6

 

CD20

>50% RS cells: 1/14

>50% RS cells: 1/6

 

80% showed immunoreactivity

10-50% RS cells: 5/14

10-50% RS cells: 3/6

<10% RS cells: 6/14

<10% RS cells: 2/6

no staining: 4/14

no staining: 0/6

 

CD22

>50% RS cells: 2/14

>50% RS cells: 0/6

 

60% showed immunoreactivity

10-50% RS cells: 3/14

10-50% RS cells: 3/6

<10% RS cells: 3/14

<10% RS cells: 1/6

no staining: 6/14

no staining: 2/6

 

On paraffin section1:

 

nodular sclerosing

mixed cellularity

overall

 

CD3 (UCHT1)

>50% RS cells: 0/45

>50% RS cells: 0/10

 

9% showed immunoreactivity

10-50% RS cells: 1/45

10-50% RS cells: 0/10

<10% RS cells: 4/45

<10% RS cells: 0/10

no staining: 40/45

no staining: 10/10

 

bF1

>50% RS cells: 0/45

>50% RS cells: 0/10

 

0% showed immunoreactivity

10-50% RS cells: 0/45

10-50% RS cells: 0/10

<10% RS cells: 0/45

<10% RS cells: 0/10

no staining: 45/45

no staining: 10/10

 

CD20

>50% RS cells: 11/45

>50% RS cells: 0/10

 

58% showed immunoreactivity

10-50% RS cells: 4/45

10-50% RS cells: 5/10

<10% RS cells: 10/45

<10% RS cells: 2/10

no staining: 20/45

no staining: 3/10

 

CDw75

>50% RS cells: 5/45

>50% RS cells: 1/10

 

55% showed immunoreactivity

10-50% RS cells: 8/45

10-50% RS cells: 3/10

<10% RS cells: 9/45

<10% RS cells: 4/10

no staining: 23/45

no staining: 2/10

CD138

 

 

23/312

 

MB2

>50% RS cells: 1/45

>50% RS cells: 0/10

 

33% showed immunoreactivity

10-50% RS cells: 4/45

10-50% RS cells: 5/10

<10% RS cells: 7/45

<10% RS cells: 1/10

no staining: 33/45

no staining: 4/10

References

1Schmid, C., Pan, L., Diss, T., Isaacson, P. G. Expression of B-cell antigens by Hodgkin's and Reed-Sternberg cells. Am J Pathol 1991;139:701-7.

2Costes V, Magen V, Legouffe E et al. The Mi15 monoclonal antibody (anti-syndecan-1) is a reliable marker for quantifying plasma cells in paraffin-embedded bone marrow biopsy specimens. Human Pathology 1999;30:1405-11.