Secondary Lymphoid Tissues ›› Lymph Node ›› Neoplastic: Non-Hodgkin Lymphoma
Mantle Cell Lymphoma

›Microscopic Features:
- The lymph node is usually effaced (closed subcapsular sinus and loss of follicle architecture)
- The lymphoid tissue is replaced by usually a diffuse lymphoid proliferation of small to intermediate-sized notched lymphocytes (the abnormal lymphocytes have irregular nuclear membranes)
›Normal % blood-PB, marrow-BM, lymphoid tissue-LN:
- PB: N/A
- BM: N/A
- LN: N/A
›May Resemble:
- Non-neoplastic reactive Lymph node
- Small Lymphocytic Lymphoma
- Follicular Lymphoma (specially the nodular variant of Mantle Cell Lymphoma)
›Differential Diagnoses:
Non-neoplastic reactive lymph node
Small Lymphocytic Lymphoma (SLL: The CLL equavalent in tissue)
Follicular lymphoma (specially the nodular variant of Mantle cell lymphoma)
Burkitt Lymphoma
Diffuse Large B-cell Lymphoma
Small Lymphocytic Lymphoma (SLL: The CLL equavalent in tissue)
Follicular lymphoma (specially the nodular variant of Mantle cell lymphoma)
Burkitt Lymphoma
Diffuse Large B-cell Lymphoma
›Classic Immunophenotype:
- CD19+
- CD20+
- CD5+
- CD23-
- BCL1+ (CyclinD1+)
›Cartoon Image:

›Misc:
BCL1+ (Cyclin D1+). Associated with t(11;14) CyclinD1:IgH genes
Note: Lymphomatoid Polyposis is "Mantle cell lymphoma" involving the colon and may resemble a polyp
Note: As opposed to CLL which is CD5+/CD23+, Mantle cell lymphoma is typically CD5+/CD23-
Note: Lymphomatoid Polyposis is "Mantle cell lymphoma" involving the colon and may resemble a polyp
Note: As opposed to CLL which is CD5+/CD23+, Mantle cell lymphoma is typically CD5+/CD23-