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Table 20 Immunological recognition of lymphoma cells in CSF

From: S1 guidelines “lumbar puncture and cerebrospinal fluid analysis” (abridged and translated version)

B-NHL

T-NHL

Predominance of B cells

Strong deviation of CD4/CD8-ratio,

High percentage of CD4+CD8+ cells

Light chain restriction (Monoclonality)

Lack of light chains

Isolated IgM production

Loss of normally expressed antigens (e.g., CD7, CD5)

Co-expression of immature or aberrant antigens on or in B cells (e.g. CD 34, CD 10, CD 30, TdT, CD5)

Co-expression of immature or aberrant antigens on or in T cells (e.g.CD34, CD 10, CD 30, TdT, CD1a)