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Common immunohistochemical markers for cutaneous lymphoproliferative disorders

Common immunohistochemical markers for cutaneous lymphoproliferative disorders
Common antigens in lymphoproliferative disorders Cell type Comments/use
CD2 T cells Loss marker (ie, loss of expression is suggestive of malignancy)
CD3 T cells Pan T cell marker. Expression rarely lost.
CD4 T cells T-helper and T-regulatory cells. The majority of mycosis fungoides/Sézary syndrome is CD4+.
CD5 Primarily T cells Loss marker. Expression in B cells suggestive of B-cell lymphoma/leukemia (B-CLL).
CD7 T cells Loss marker
CD8 T cells T-cytotoxic cells. Rare variants of mycosis fungoides and cytotoxic T cell lymphomas.
CD10 B cells Germinal center-derived B cells
CD20 B cells B cell marker. Does not highlight plasma cells. Target of rituximab therapy.
CD21 Follicular dendritic cells Highlights germinal centers
CD23 B cells and follicular dendritic cells Highlights germinal centers. Can be expressed in reactive B cells and B-CLL.
CD25 T cells Activated T cells and adult T cell leukemia/lymphoma (ATLL). Target of denileukin diftitox therapy.
CD30 T and B cells Activated T and B cells. CD30+ lymphoproliferative disorders.
CD45 All leukocytes Broad leukocyte marker
CD79a B cells Broader range of B cell developmental stages than CD20 (pre-B cells and most plasma cells)
CD138 Plasma cells  
Ig light chain (lambda [λ]/kappa [Κ]) B cells Exclusive expression of either lambda or kappa light chain is suggestive of malignancy. Normal ratio is 3:1 kappa to lambda.
BCL-2 B and T cells Expressed by marginal zone B cells, T cells, and follicular lymphomas
BCL-6 B cells Germinal center-derived B cells
PAX-5 B cells Highlights B cells at all stages of development. Nuclear staining.
LMO2 B cells Germinal center-derived B cells
MUM-1 B cells Activated B cells. Large B cell lymphoma.
Data from:
  1. Cerroni L, Kerl H. Diagnostic immunohistology: Cutaneous lymphomas and pseudolymphomas. Semin Cutan Med Surg 1999; 18:64.
  2. Martin AW. Immunohistology of non-Hodgkin lymphoma. In: Diagnostic immunohistochemistry: Theranostic and genomic applications, 3rd ed, Dabbs DJ (ED), Elsevier, Philadelphia 2010.
Graphic 90116 Version 2.0

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