Protocol for Examination of Hodgkin Lymphoma Specimens



Protocol for Examination of Hodgkin Lymphoma Specimens


L. Jeffrey Medeiros, MD



















































































































































Hodgkin Lymphoma: Biopsy, Resection


Surgical Pathology Cancer Case Summary (Checklist)


Specimen (select all that apply)



____ Lymph node(s)



____ Other (specify): ______________________________



____ Not specified


Procedure



____ Biopsy



____ Resection



____ Other (specify): ______________________________



____ Not specified


Tumor Site (select all that apply)



____ Lymph node(s), site not specified



____ Lymph node(s)




Specify site(s): ______________________________



____ Other tissue(s) or organ(s) (specify): ______________________________



____ Not specified


Histologic Type (based on 2008 WHO classification)



____ Hodgkin lymphoma, histologic subtype cannot be determined



____ Classical Hodgkin lymphoma, histologic subtype cannot be determined



____ Nodular lymphocyte predominant Hodgkin lymphoma



____ Nodular sclerosis classical Hodgkin lymphoma



____ Mixed cellularity classical Hodgkin lymphoma



____ Lymphocyte-rich classical Hodgkin lymphoma



____ Lymphocyte-depleted classical Hodgkin lymphoma


*Pathologic Extent of Tumor (select all that apply)



*____ Involvement of a single lymph node region




*Specify sites: ______________________________



*____ Involvement of ≥ 2 lymph node regions on same side of diaphragm




*Specify sites: ______________________________



*____ Involvement of lymph node regions on both sides of diaphragm




*Specify sites: ______________________________



*____ Spleen involvement



*____ Liver involvement



*____ Bone marrow involvement



*____ Other site involvement




*Specify site(s): ______________________________


*Additional Pathologic Findings



*Specify: ______________________________


Immunophenotyping (immunohistochemistry)



____ Performed, see separate report: ______________________________



____ Performed




Specify method(s) and results: ______________________________



____ Not performed


*Clinical Prognostic Factors and Indices (select all that apply)



*____ International Prognostic Score (IPS) (specify): __________



*____ B symptoms present



*____ Other (specify): ______________________________


Adapted with permission from College of American Pathologists, “Protocol for the Examination of Specimens from Patients with Hodgkin Lymphoma.” Web posting date October 2009, www.cap.org.

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Jul 8, 2016 | Posted by in PATHOLOGY & LABORATORY MEDICINE | Comments Off on Protocol for Examination of Hodgkin Lymphoma Specimens

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