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Lymph Node
Prof. Dr. Yehia El Alfy
Patterns of reactive hyperplasia
Benign reactive lymph node
Reactive follicular hyperplasia
TUMORS OF LYMPH NODES
1- Primary tumors
   Lymphoma:
    Malignancy of lymphocytes. (within lymph nodes
    or extranodal tissues) , including:
a. Hodgkin’s lymphoma (HL), with important clinical &
    histological distinction
b. Non-Hodgkin’s lymphoma (NHLs), comprising
  all forms besides HL
 Leukemias: usually exhibit widespread involvement of bone
  marrow, accompanied by large numbers of circulating tumor
  cells
2- Secondary tumors or metastasis: More
    frequent than the primary group and occur in the L.N.s
    draining cancer. The nodes become enlarged, firm and fixed.
    The cut surface is grayish-white
Burkitt‘s Lymphoma
Lymphoma, Lymph node
Splenomegaly




               Spleen
(Non-Hodgkin’s Lymphoma (NHL
Malignant neoplasms characterized by proliferation of the cells originating from
lymphoid tissue (lymphocytes, histiocytes and their precursors and
derivatives) .

Classification of NHL
- Based on the clinical behaviour and prognosis:
1- Low-grade NHL:
    Small lymphocytic      * Follicular small cell

2- Intermediate-grade NHL:
   Follicular large cell * Diffuse small cell

3- High-grade NHL:
   Immunoblastic   * Lymphoblastic              * Burkitt’s lymphoma

4- Miscellaneous: Histiocytic lymphoma, Mycosis fungoides ..etc.
Follicular lymphoma
 1- Section of lymph node.
 2- Complete loss of normal lymph node
  architecture and
   Effaced by follicles formed of monotonous
    malignant lymphocytes with deeply staining
    pleomorphic hyperchromatic nuclei and thin rim
    of cytoplasm.
Follicular lymphoma
Follicular lymphoma
Follicular lymphoma
Diffuse Non Hodgkin’s lymphoma
 1- Section of lymph node.
 2- Complete loss of normal lymph node
  architecture and
 Effaced by diffuse monotonous malignant
  lymphocytes with deeply staining
  pleomorphic hyperchromatic nuclei and
  thin rim of cytoplasm.
Diffuse NHL
Diffuse NHL
Diffuse NHL
Diffuse NHL
Lymphoma
Metastasis of lymph node
 1- Section of lymph node.
 2- Lymph node tissue is partially or
  totally replaced by masses or
  sheets or irregular glandular
  structures, of pleomorphic
  hyperchromatic malignant cells
  separated by fibrous tissue stroma
R espect for self,
Respect for others and
 Responsibility for all
    .your actions

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Slides of lymphoma and metastasis

  • 1. Lymph Node Prof. Dr. Yehia El Alfy
  • 2. Patterns of reactive hyperplasia
  • 5. TUMORS OF LYMPH NODES 1- Primary tumors  Lymphoma: Malignancy of lymphocytes. (within lymph nodes or extranodal tissues) , including: a. Hodgkin’s lymphoma (HL), with important clinical & histological distinction b. Non-Hodgkin’s lymphoma (NHLs), comprising all forms besides HL  Leukemias: usually exhibit widespread involvement of bone marrow, accompanied by large numbers of circulating tumor cells 2- Secondary tumors or metastasis: More frequent than the primary group and occur in the L.N.s draining cancer. The nodes become enlarged, firm and fixed. The cut surface is grayish-white
  • 8. Splenomegaly Spleen
  • 9.
  • 10. (Non-Hodgkin’s Lymphoma (NHL Malignant neoplasms characterized by proliferation of the cells originating from lymphoid tissue (lymphocytes, histiocytes and their precursors and derivatives) . Classification of NHL - Based on the clinical behaviour and prognosis: 1- Low-grade NHL: Small lymphocytic * Follicular small cell 2- Intermediate-grade NHL: Follicular large cell * Diffuse small cell 3- High-grade NHL: Immunoblastic * Lymphoblastic * Burkitt’s lymphoma 4- Miscellaneous: Histiocytic lymphoma, Mycosis fungoides ..etc.
  • 11. Follicular lymphoma  1- Section of lymph node.  2- Complete loss of normal lymph node architecture and  Effaced by follicles formed of monotonous malignant lymphocytes with deeply staining pleomorphic hyperchromatic nuclei and thin rim of cytoplasm.
  • 15. Diffuse Non Hodgkin’s lymphoma  1- Section of lymph node.  2- Complete loss of normal lymph node architecture and  Effaced by diffuse monotonous malignant lymphocytes with deeply staining pleomorphic hyperchromatic nuclei and thin rim of cytoplasm.
  • 21. Metastasis of lymph node  1- Section of lymph node.  2- Lymph node tissue is partially or totally replaced by masses or sheets or irregular glandular structures, of pleomorphic hyperchromatic malignant cells separated by fibrous tissue stroma
  • 22.
  • 23. R espect for self, Respect for others and Responsibility for all .your actions