PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature

Classical Hodgkin lymphoma (CHL) is recognized as a B-cell neoplasm arising from germinal center or postgerminal center B-cells. The hallmark of CHL is the presence of CD30 (+) Hodgkin and Reed-Sternberg (HRS) cells with dim expression of PAX5. Nearly all of the HRS cells are positive for PAX5. Howe...

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Main Authors: Elham Vali Betts, Denis M. Dwyre, Huan-You Wang, Hooman H. Rashidi
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2017/7531729
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author Elham Vali Betts
Denis M. Dwyre
Huan-You Wang
Hooman H. Rashidi
author_facet Elham Vali Betts
Denis M. Dwyre
Huan-You Wang
Hooman H. Rashidi
author_sort Elham Vali Betts
collection DOAJ
description Classical Hodgkin lymphoma (CHL) is recognized as a B-cell neoplasm arising from germinal center or postgerminal center B-cells. The hallmark of CHL is the presence of CD30 (+) Hodgkin and Reed-Sternberg (HRS) cells with dim expression of PAX5. Nearly all of the HRS cells are positive for PAX5. However, a small minority of HRS cells may lack PAX5 expression, which can cause a diagnostic dilemma. Herein we describe two cases of PAX5-negative CHL and review of the English literature on this very rare entity. It is crucial to be aware of this phenomenon, which in some cases may lead to misdiagnosis and may ultimately adversely affect patient’s management.
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institution Kabale University
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language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-564b1a645ca34698a74de93f294e9b742025-02-03T01:30:18ZengWileyCase Reports in Hematology2090-65602090-65792017-01-01201710.1155/2017/75317297531729PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the LiteratureElham Vali Betts0Denis M. Dwyre1Huan-You Wang2Hooman H. Rashidi3Department of Pathology and Laboratory Medicine, University of California, Davis, Davis, CA, USADepartment of Pathology and Laboratory Medicine, University of California, Davis, Davis, CA, USADepartment of Pathology, University of California, San Diego, La Jolla, CA, USADepartment of Pathology and Laboratory Medicine, University of California, Davis, Davis, CA, USAClassical Hodgkin lymphoma (CHL) is recognized as a B-cell neoplasm arising from germinal center or postgerminal center B-cells. The hallmark of CHL is the presence of CD30 (+) Hodgkin and Reed-Sternberg (HRS) cells with dim expression of PAX5. Nearly all of the HRS cells are positive for PAX5. However, a small minority of HRS cells may lack PAX5 expression, which can cause a diagnostic dilemma. Herein we describe two cases of PAX5-negative CHL and review of the English literature on this very rare entity. It is crucial to be aware of this phenomenon, which in some cases may lead to misdiagnosis and may ultimately adversely affect patient’s management.http://dx.doi.org/10.1155/2017/7531729
spellingShingle Elham Vali Betts
Denis M. Dwyre
Huan-You Wang
Hooman H. Rashidi
PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature
Case Reports in Hematology
title PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature
title_full PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature
title_fullStr PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature
title_full_unstemmed PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature
title_short PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature
title_sort pax5 negative classical hodgkin lymphoma a case report of a rare entity and review of the literature
url http://dx.doi.org/10.1155/2017/7531729
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