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ASH Image Bank (2004); doi:10.1182/ashimagebank-2004-101190
Copyright © 2004 by the American Society of Hematology.
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Atlas Image Set

Marrow Germinal Center

John Lazarchick



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Figure 1. A discrete germinal center is present (left-center of image) in this otherwise normal marrow biopsy. The patient is a 63-year-old male who was being evaluated for anemia. (H&E 10x)

 


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Figure 2. At a higher magnification, the darker-staining small mantle cell lymphocytes surround the paler-staining follicular center cells.

 


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Figure 3. The follicular center cells are larger than the surrounding mantle cells. There are intermediate-sized cells with cleaved nuclear borders (centrocytes), larger blast-like cells (centroblasts) and pale staining macrophages with abundant cytoplasm containing debris.

 


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Figure 4. The cellular composition of the mantle and follicular center regions are more readily seen in this higher power image.

 


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Figure 5. Immunohistochemical staining with anti-CD 20 highlights the B-cell lymphocytes of the germinal center (mantle zone and follicular center). In addition scattered B-cells can be seen throughout the remainder of the specimen.

 


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Figure 6. The CD 20 staining cells of the mantle zone and follicular center are better defined in this higher magnification of the previous image.

 


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Figure 7. Immunohistochemical staining with anti-CD5 highlights the B cells of the mantle zone (dark staining cells). Note that the follicular center B-cells are CD5 negative.

 

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Related ASH-SAP Chapter:space logo
Chapter 12: Lymphoproliferative disorders

This Article
Right arrow Figures Only
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Right arrow Articles by Lazarchick, J.
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PubMed
Right arrow Articles by Lazarchick, J.
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Right arrow Lymphoid hyperplasia
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Copyright © 2004 by the American Society of Hematology.