Hodgkin lymphoma, lymphocyte depletion, reticular

Name
Hodgkin lymphoma, lymphocyte depletion, reticular
ICD-O-1 Morphology
9655/3
Effective 1978 - 1991
ICD-O-2 Morphology
9655/3
Effective 1992 - 2000
ICD-O-3 Morphology
9655/3
Effective 2001 and later
Reportable
for cases diagnosed 1978 and later
Primary Site(s)
C770-C779
Lymph nodes (C770-C779) are the usual primary sites; however, involvement in other sites is possible. If you have confirmation that the only involved site is something other than the lymph nodes, than code to that primary site. See Module 7.

Help me code for diagnosis year :

Grade
Code grade specified by pathologist. If no grade specified, code 9
Module Rule
None
Alternate Names
Classical Hodgkin lymphoma, lymphocyte depletion, reticular
Definition
Subtype of Hodgkin lymphoma lymphocyte depletion, characterized by extremely large numbers of Hodgkin and Reed-Sternberg cells, some of which appear to be mummified. Diffuse effacement of normal lymph node structure; small lymphocytes, plasma cells, histiocytes, granulocytes are scanty. Foci of necrosis usually encountered.
Abstractor Notes
Hodgkin lymphoma, lymphocyte depletion includes diffuse fibrosis and reticular Hodgkin's disease from the Lukes and Butler classification. This neoplasm is now very rarely diagnosed, and it is recognized that many cases previously diagnosed as HD (lymphocyte-depletion) are in fact examples of non-Hodgkin's lymphoma, commonly of anaplastic large cell type Anaplastic Large Cell Lymphoma. The majority of cases of show morphological features of diffuse fibrosis characterized by a hypocellular background containing bizarre H-RS cells and associated with non-collagenous fibrosis.

This code should be used only for historic cases unless no other diagnosis is available.

Preferred primary sites are listed for this disease in the primary site field; however, involvement in other sites is possible, but rare. If you have confirmation that the only involved site is something other than the preferred primary listed, then code to that primary site.

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.
Definitive Diagnostic Methods
Histologic confirmation
Genetics Data
None
Immunophenotyping
None
Treatments
Chemotherapy
Hormone
Radiation
Transformations to
None
Corresponding ICD-9 Codes
201.7 Hodgkin's disease, lymphocytic depletion
Corresponding ICD-10 Codes
C81.3 Hodgkin's disease, lymphocytic depletion
Corresponding ICD-10-CM Codes (effective October 1, 2015 U.S. only)
C81.3 Lymphocyte depleted classical Hodgkin lymphoma
Signs and Symptoms
Drenching night sweats
Pain the chest, abdomen, or bones (for no known reason)
Painless swelling in the lymph nodes in the neck, underarm, groin, or stomach
Skin rash or itchy skin
Weight loss (for no known reason)
Diagnostic Exams
Progression and Transformation
None
Epidemiology and Mortality
None