Summary:
Our study included 46 cases of B-chronic lymphocytic leukemia/small lymphocytic lymphoma
(B-CLL/SLL), 25 mantle cell lymphomas (MCL), and 40 follicular lymphomas (FL). The lymphomas
were diagnosed according to current morphological, immunohistochemical, and in some cases
molecular-genetic criteria. The patterns of follicular dendritic cells (FDCs) were studied in paraffin
sections using the anti CD21, anti CD23, and CNA.42 antibodies. The differences in staining
patterns of FDCs among the studied lymphomas were statistically significant. The absence or
small number of FDC clusters are typical of B-CLL/SLL, while FDC meshwork limited to peripheral
parts of neoplastic follicles is characteristic for FL. In contrast, MCL is characterized by
irregular FDC meshwork or by FDC clusters present in the centres of residual follicles. Thus, we
have demonstrated that the patterns of FDCs is an independent diagnostic feature for distinguishing
between B-CLL, FL, and MCL.
Key words:
B-cell lymphoma - follicular dendritic cells - diagnosis - immunohistochemistry
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