Lymphocyte-rich classical Hodgkin lymphoma
Help me code for diagnosis year :
Lymphocyte-rich classical Hodgkin lymphoma is a subtype of classical Hodgkin lymphoma with scattered Hodgkin and Reed-Sternberg cells with a nodular or less often diffuse cellular background consisting of small lymphocytes and an absence of neutrophils and eosinophils.
Clinical features are similar to those of NLPHL with the exception that multiple relapses seem to occur less frequently. With modern risk-adjusted treatment, survival and relapse free survival are slightly better than the other subtypes of CHL.
Per WHO, Hodgkin lymphomas are primarily B-cell lymphomas. If the medical record states B-cell, code 6. Since there are Hodgkin lymphomas that are not B-cell, the default grade is 9 (unknown) where the documentation does not specifically state B-cell.
For more information on this neoplasm, see the NCI website: http://www.cancer.gov/types/lymphoma/hp/adult-hodgkin-treatment-pdq or http://www.cancer.gov/types/lymphoma/patient/adult-hodgkin-treatment-pdq