Abstract/Scope of Chapter
The lymph node and other secondary lymphoid tissues, such as the tonsil/Waldeyer’s ring and Peyer’s patches, are the sites in the immune system, where B cells encounter antigen and expand to produce effector and memory B cells and plasma cells, with the assistance of T cells. B-cell expansion and maturation then occurs mainly in the germinal center and T-cell expansion and activation occurs both in the germinal center and the interfollicular or paracortical regions. Reactive lymphadenitis has many causes, with some histologic patterns that may resemble lymphoma. Depending on the inciting cause, one or several lymph node compartments may be expanded with distinctive follicular, paracortical, sinusoidal or medullary, and mixed patterns. For example, expansion of the follicles with prominent germinal centers is due to factors that promote B-cell expansion, whereas progressive transformation of germinal centers and follicular lysis represent follicular expansions associated with dissolution and termination of the germinal center reaction.
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References
Delves P, Martin S, Burton D, Roitt IM. Roitt’s essential immunology. 11th ed. Massachusetts: Blackwell, 2006.
van der Valk PMC. Reactive lymph nodes. In: Sternberg SS, ed. Histology for pathologists. Philadelphia: Lippincott-Raven, 1997.
Gretz JE, Norbury CC, Anderson AO, Proudfoot AE, Shaw S. Lymph-borne chemokines and other low molecular weight molecules reach high endothelial venules via specialized conduits while a functional barrier limits access to the lymphocyte microenvironments in lymph node cortex. J Exp Med 2000;192:1425-40.
Ottaviani G, Bueso-Ramos CE, Seilstad K, Medeiros LJ, Manning JT, Jones D. The role of the perifollicular sinus in determining the complex immunoarchitecture of angioimmunoblastic T-cell lymphoma. Am J Surg Pathol 2004;28:1632-40.
Thomazy VA, Vega F, Medeiros LJ, Davies PJ, Jones D. Phenotypic modulation of the stromal reticular network in normal and neoplastic lymph nodes: tissue transglutaminase reveals coordinate regulation of multiple cell types. Am J Pathol 2003;163:165-74.
Jones D. Dismantling the germinal center: comparing the processes of transformation, regression, and fragmentation of the lymphoid follicle. Adv Anat Pathol 2002;9:129-38.
Hur DY, Kim DJ, Kim S, et al. Role of follicular dendritic cells in the apoptosis of germinal center B cells. Immunol Lett 2000;72:107-11.
Dupuis J, Boye K, Martin N, et al. Expression of CXCL13 by neoplastic cells in angioimmunoblastic T-cell lymphoma (AITL): a new diagnostic marker providing evidence that AITL derives from follicular helper T cells. Am J Surg Pathol 2006;30:490-4.
Grogg KL, Attygalle AD, Macon WR, Remstein ED, Kurtin PJ, Dogan A. Expression of CXCL13, a chemokine highly upregulated in germinal center T-helper cells, distinguishes angioimmunoblastic T-cell lymphoma from peripheral T-cell lymphoma, unspecified. Mod Pathol 2006;19:1101-7.
Amin HM, Medeiros LJ, Manning JT, Jones D. Dissolution of the lymphoid follicle is a feature of the HHV8+ variant of plasma cell Castleman’s disease. Am J Surg Pathol 2003;27:91-100.
Lin P, Medeiros LJ, Wilder RB, Abruzzo LV, Manning JT, Jones D. The activation profile of tumour-associated reactive T-cells differs in the nodular and diffuse patterns of lymphocyte predominant Hodgkin’s disease. Histopathology 2004;44:561-9.
Ferry JA, Zukerberg LR, Harris NL. Florid progressive transformation of germinal centers. A syndrome affecting young men, without early progression to nodular lymphocyte predominance Hodgkin’s disease. Am J Surg Pathol 1992;16:252-8.
Ioachim HM, Medeiros LJ. Ioachim’s lymph node pathology. 4th ed. Philadelphia: Wolters Kluwer/Lippincott Williams&Wilkins, 2009.
Gould E, Porto R, Albores-Saavedra J, Ibe MJ. Dermatopathic lymphadenitis. The spectrum and significance of its morphologic features. Arch Pathol Lab Med 1988;112:1145-50.
Zinzani PL, Ferreri AJ, Cerroni L. Mycosis fungoides. Crit Rev Oncol Hematol 2008;65:172-82.
Hoppe RT, Wood GS, Abel EA. Mycosis fungoides and the Sezary syndrome: pathology, staging, and treatment. Curr Prob Cancer 1990;14:293-371.
Jaffe ES, Harris NL, Stein H, Isaacson PG. Classification of lymphoid neoplasms: the microscope as a tool for disease discovery. Blood 2008;112:4384-99.
Lukes RJ, Collins RD. Immunologic characterization of human malignant lymphomas. Cancer 1974;34(Suppl):1488-503.
Mann RB, Jaffe ES, Berard CW. Malignant lymphomas - a conceptual understanding of morphologic diversity. A review. Am J Pathol 1979;94:105-92.
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Miranda, R.N. (2010). Lymph Node Biology and Lymphadenitis. In: Jones, D. (eds) Neoplastic Hematopathology. Contemporary Hematology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-384-8_12
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DOI: https://doi.org/10.1007/978-1-60761-384-8_12
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