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Cytologically resembles many

other large B cell lymphoma

Large transformed cells

resembling centroblasts

Abundant pale cytoplasm

Diffuse involvement

marked areas of fine

compartmentalising sclerosis

Pathology

Expression of B-cell antigens:CD20 and CD79a positive, but lack sIg

CD30 may be present (>80%) although typically weak CD23: Frequent (73%)

BCL2: variable (50-80%, no t(14;18)

BCL6: variable (45-100%)

CD10: less common (8-30%)

Present: MAL (70%) – normal expression in thymic medullary cells, CD54,

CD95, nuclear REL, TRAF

Evidence of somatic hypermutation