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2. Apoptosis in a reactive lymph node (follicular hyperplasia): Difference between revisions

2. Apoptosis in a reactive lymph node (follicular hyperplasia) (view source)

Revision as of 12:06, 5 July 2024

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'''Staining:''' HE
[[File:Apoptosis in a reactive lymph node (follicular hyperplasia) overview.jpg|thumb|Overview. Those rings are germinal centres.]]'''Staining:''' HE


'''Organ:''' Lymph node
'''Organ:''' Lymph node


'''Description:'''
'''Description:''' We can see a normal-looking lymph node with several germinal centres. Inside the germinal centres we can see a “starry-sky” pattern. Apoptotic bodies, seen as small round eosinophilic masses with fragments of dense chromatin are also present. The “stars” in the starry-sky pattern are formed by large cells with pale cytoplasm, the tingible body macrophages.
 
We can see a normal-looking lymph node with several germinal centres. Inside the germinal centres we can see a “starry-sky” pattern. Apoptotic bodies, seen as small round eosinophilic masses with fragments of dense chromatin are also present. The “stars” in the starry-sky pattern are formed by large cells with pale cytoplasm, the tingible body macrophages.


'''Diagnosis:''' Follicular hyperplasia in response to antigen stimulation
'''Diagnosis:''' Follicular hyperplasia in response to antigen stimulation
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This slide shows a lymph node with active germinal centres. Recall from immunology that germinal centres are formed when a B-cell has been activated by an antigen. The B-cell divides into centroblasts that undergo affinity maturation inside the germinal centre. Every centroblast that doesn’t produce higher affinity antibodies will die by apoptosis. The apoptotic bodies are phagocytosed by a special type of macrophage called the tingible body macrophages. Some of the centroblasts will eventually become centrocytes.
This slide shows a lymph node with active germinal centres. Recall from immunology that germinal centres are formed when a B-cell has been activated by an antigen. The B-cell divides into centroblasts that undergo affinity maturation inside the germinal centre. Every centroblast that doesn’t produce higher affinity antibodies will die by apoptosis. The apoptotic bodies are phagocytosed by a special type of macrophage called the tingible body macrophages. Some of the centroblasts will eventually become centrocytes.
[[File:Apoptosis in a reactive lymph node (follicular hyperplasia) overview.jpg|center|thumb|Overview. Those rings are germinal centres.]]
[[File:Starry-sky pattern in germinal centre of lymph node.jpg|thumb|Shown here is the starry-sky pattern inside the germinal centre. The mantle around the germinal centre is also shown.|left]]
[[File:Starry-sky pattern in germinal centre of lymph node.jpg|center|thumb|Shown here is the starry-sky pattern inside the germinal centre. The mantle around the germinal centre is also shown.]]
[[File:Tingible body macrophage in lymph node.jpg|center|thumb|Shown here is a tingible body macrophage, with an apoptotic body in its cytoplasm.]]
[[File:Tingible body macrophage in lymph node.jpg|center|thumb|Shown here is a tingible body macrophage, with an apoptotic body in its cytoplasm.]]
[[Category:Pathology 1 - Histopathology slides]]
[[Category:Pathology 1 - Histopathology slides]]