The B-cell transcription factors BSAP, Oct-2, and BOB.1 and the pan-B-cell markers CD20, CD22, and CD79a are useful in the differential diagnosis of classic Hodgkin lymphoma

Am J Clin Pathol. 2003 Nov;120(5):767-77. doi: 10.1309/YCH8-DWUF-FQBK-GPVB.

Abstract

Even with routine immunohistochemical evaluation, distinguishing classic Hodgkin lymphoma (CHL) from diffuse large B-cell lymphoma (DLBCL) or anaplastic large cell lymphoma (ALCL) can be difficult. In these cases, the transcription factors (B cell-specific activator protein [BSAP], octamer-binding transcription factor 2 [Oct-2], and B-cell Oct-binding protein 1 [BOB.1]) and the pan-B-cell markers (CD20, CD22, and CD79a) may aid in clarifying the diagnosis. In 57 cases of CHL, 5 cases of nodular lymphocyte predominant Hodgkin lymphoma (NLPHL), and 33 cases of non-Hodgkin lymphoma (25 DLBCL and 8 ALCL) we found the transcription factor phenotype BSAP+ and either Oct-2- or BOB.1- to be predictive of CHL; BSAP+/Oct-2+/BOB.1+ was predictive of NLPHL or DLBCL, while BSAP- was predictive of ALCL. Expression of all 3 pan-B-cell markers was seen only in NLPHL and DLBCL; positivity for a single B-cell marker was present only in CHL. Thus, together, the transcription factors and pan-B-cell markers might be useful in the differential diagnosis of CHL.

MeSH terms

  • Antigens, CD / analysis*
  • Antigens, CD20 / analysis*
  • Antigens, Differentiation, B-Lymphocyte / analysis*
  • CD79 Antigens
  • Cell Adhesion Molecules*
  • DNA-Binding Proteins / analysis*
  • Diagnosis, Differential
  • Hodgkin Disease / diagnosis*
  • Hodgkin Disease / immunology
  • Humans
  • Immunohistochemistry
  • Lectins / analysis*
  • Lymphoid Tissue / chemistry
  • Lymphoma, B-Cell / diagnosis
  • Lymphoma, Large B-Cell, Diffuse / diagnosis
  • Octamer Transcription Factor-2
  • PAX5 Transcription Factor
  • Receptors, Antigen, B-Cell / analysis*
  • Sialic Acid Binding Ig-like Lectin 2
  • Trans-Activators / analysis*
  • Transcription Factors / analysis*

Substances

  • Antigens, CD
  • Antigens, CD20
  • Antigens, Differentiation, B-Lymphocyte
  • CD22 protein, human
  • CD79 Antigens
  • CD79A protein, human
  • Cell Adhesion Molecules
  • DNA-Binding Proteins
  • Lectins
  • Octamer Transcription Factor-2
  • PAX5 Transcription Factor
  • PAX5 protein, human
  • POU2AF1 protein, human
  • POU2F2 protein, human
  • Receptors, Antigen, B-Cell
  • Sialic Acid Binding Ig-like Lectin 2
  • Trans-Activators
  • Transcription Factors