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TABLE 4

BM BIOPSY: LYMPHOID NODULES
MALIGNANCY VERSUS REACTIVE PROCESS

   Nodules in FCL*    Reactive nodules
Size usually large usually small
Number multiple unique or multiple
Localization paratrabecular intertrabecular
Borders not sharp sharp
Germinal centers usually absent possible, unusual
IHC usually B > T usually B < T
FDC** often present unusual

*FCL = Follicular Center Lymphoma
**FDC = Follicular Dendritic Cell.

No absolute criteria !

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