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Updated: Nov 27, 2025

Flow-sorting and Exome Sequencing of the Reed-Sternberg Cells of Classical Hodgkin Lymphoma
Published on: June 10, 2017
Hodgkin Reed-Sternberg-Like Cells in Non-Hodgkin Lymphoma
Paola Parente1, Magda Zanelli2, Francesca Sanguedolce3
1Pathology Unit, Fondazione IRCCS Ospedale Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Insights
Reed-Sternberg-like cells (RSLCs) can appear in non-Hodgkin lymphomas (NHLs), mimicking classic Hodgkin lymphoma (cHL) cells. Distinguishing RSLCs in NHLs from true Reed-Sternberg cells in cHL is crucial for appropriate treatment.
Area of Science:
- Hematopathology
- Oncology
- Immunophenotyping
Background:
- Reed-Sternberg cells (RSCs) are characteristic of classic Hodgkin lymphoma (cHL).
- Similar cells, termed Reed-Sternberg-like cells (RSLCs), can be found in non-Hodgkin lymphomas (NHLs).
- RSLCs in NHLs often lack the typical cHL microenvironment and appear as scattered cells or small clusters.
Purpose of the Study:
- To describe NHL subtypes where RSLCs are detected.
- To correlate RSLC presence with clinicopathological features in NHLs.
- To provide diagnostic clues for differentiating RSLCs in NHLs from RSCs in cHL.
Main Methods:
- Morphological and immunophenotypic analysis of RSLCs in NHLs.
- Review of clinicopathological data associated with RSLC-positive NHLs.
- Comparative analysis of RSLCs and RSCs.
Main Results:
- RSLCs in NHLs share immunophenotypic similarities with RSCs (CD30+, EBV+, often B-cell markers, CD45-/LCA-).
- RSLCs in NHLs are typically found as isolated or clustered cells, distinct from the cHL background.
- Specific NHL entities harboring RSLCs were identified and characterized.
Conclusions:
- Accurate distinction between cHL and NHLs with RSLCs is essential due to differing therapeutic strategies.
- Understanding the clinicopathological context and immunophenotype aids in differentiating RSLCs in NHLs from RSCs in cHL.
- This review highlights key features for diagnosing NHLs presenting with RSLCs.
Abstract:
Reed-Sternberg cells (RSCs) are hallmarks of classic Hodgkin lymphoma (cHL). However, cells with a similar morphology and immunophenotype, so-called Reed-Sternberg-like cells (RSLCs), are occasionally seen in both B cell and T cell non-Hodgkin Lymphomas (NHLs). In NHLs, RSLCs are usually present as scattered elements or in small clusters, and the typical background microenviroment of cHL is usually absent. Nevertheless, in NHLs, the phenotype of RSLCs is very similar to typical RSCs, staining positive for CD30 and EBV, and often for B cell lineage markers, and negative for CD45/LCA. Due to different therapeutic approaches and prognostication, it is mandatory to distinguish between cHL and NHLs. Herein, NHL types in which RSLCs can be detected along with clinicopathological correlation are described. Moreover, the main helpful clues in the differential diagnosis with cHL are summarized.
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