Table 5

Histopathologic staging of lymph nodes in mycosis fungoides and Sézary syndrome

Updated ISCL/EORTC classificationDutch system58 NCI-VA classification13,57,59 
N1 Grade 1: dermatopathic lymphadenopathy (DL) LN0: no atypical lymphocytes 
  LN1: occasional and isolated atypical lymphocytes (not arranged in clusters) 
  LN2: many atypical lymphocytes or in 3-6 cell clusters 
N2 Grade 2: DL; early involvement by MF (presence of cerebriform nuclei > 7.5 μm) LN3: aggregates of atypical lymphocytes; nodal architecture preserved 
N3 Grade 3: partial effacement of LN architecture; many atypical cerebriform mononuclear cells (CMCs) Grade 4: complete effacement LN4: partial/complete effacement of nodal architecture by atypical lymphocytes or frankly neoplastic cells 
Updated ISCL/EORTC classificationDutch system58 NCI-VA classification13,57,59 
N1 Grade 1: dermatopathic lymphadenopathy (DL) LN0: no atypical lymphocytes 
  LN1: occasional and isolated atypical lymphocytes (not arranged in clusters) 
  LN2: many atypical lymphocytes or in 3-6 cell clusters 
N2 Grade 2: DL; early involvement by MF (presence of cerebriform nuclei > 7.5 μm) LN3: aggregates of atypical lymphocytes; nodal architecture preserved 
N3 Grade 3: partial effacement of LN architecture; many atypical cerebriform mononuclear cells (CMCs) Grade 4: complete effacement LN4: partial/complete effacement of nodal architecture by atypical lymphocytes or frankly neoplastic cells 

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