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Image Based Question-65410

Question

 Typical appearance of Tumour cells and Macrophages on Histological section indicate

A. ALCL.

B. CLL.

C. Diffuse large B cell lymphoma.

D. Burkitts’lymphoma.

 

Show Answer

Correct Answer » D

Explanation

Ans: D. Burkitts’ lymphoma 

Starry Sky appearance composed of Tumor cells and macrophages is seen in the image,which is seen in Burkitt’s Lymphoma.

  • Burkitt lymphoma is a cancer of the lymphatic system, particularly B lymphocytes found in the germinal center.

Starry Sky appearance:

  • The tumor cells (medium-sized lymphoid cells ), which are large with minimal cytoplasm, are closely apposed to each other, forming a dark blue background (the “sky”).
  • These cells have a very high turnover rate, so the macrophages that happen to be hanging around get stuffed with cellular debris..
  •  The “starry sky” appearance seen under low power is due to scattered tingible body-laden macrophages (macrophages containing dead apoptotic tumor cells).
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