Follicular hyperplasia (FH) is a type of

lymphoid hyperplasia Lymphoid hyperplasia is the rapid cell growth, proliferation of normal lymphocytic cells that resemble lymph tissue which may occur with bacterial or viral infections. The growth is termed hyperplasia which may result in enlargement of various tiss ...

and is classified as a lymphadenopathy, which means a disease of the lymph nodes. It is caused by a stimulation of the B cell compartment and by abnormal cell growth of secondary follicles. This typically occurs in the

cortex Cortex or cortical may refer to: Biology * Cortex (anatomy), the outermost layer of an organ ** Cerebral cortex, the outer layer of the vertebrate cerebrum, part of which is the ''forebrain'' *** Motor cortex, the regions of the cerebral cortex i ...

without disrupting the lymph node capsule. The follicles are pathologically

polymorphous Polymorphism, polymorphic, polymorph, polymorphous, or polymorphy may refer to: Computing * Polymorphism (computer science), the ability in programming to present the same programming interface for differing underlying forms * Ad hoc polymorphis ...

, are often contrasting and varying in size and shape. Follicular hyperplasia is distinguished from

follicular lymphoma Follicular lymphoma (FL) is a cancer that involves certain types of white blood cells known as lymphocytes. The cancer originates from the uncontrolled division of specific types of B-cells known as centrocytes and centroblasts. These cells norma ...

in its polyclonality and lack of

bcl-2 Bcl-2 (B-cell lymphoma 2), encoded in humans by the ''BCL2'' gene, is the founding member of the Bcl-2 family of regulator proteins that regulate cell death (apoptosis), by either inhibiting (anti-apoptotic) or inducing (pro-apoptotic) apoptosi ...

protein expression, whereas follicular lymphoma is

monoclonal Monoclonality refers to the state of a line of cells that have been derived from a single clonal origin. Thus "monoclonal cells" can be said to form a single clone. The term ''monoclonal'' comes from the Ancient Greek ''monos'', meaning "alone" o ...

, and expresses

Signs & Symptoms

Lymphadenopathies such as follicular hyperplasia can show various symptoms such as fever, chills, night sweats, unexplained weight loss and prominent localizing symptoms are non age and non-gender specific. Although human lymph nodes cannot be seen with the naked eye, if you press against the skin you can sometimes feel for swelling and pressure. Swelling of lymph nodes can range from pea sized to golf ball sized depending on the given condition. A person can have reactive lymph nodes throughout multiple areas of the body which can cause swelling, pain, warmth and tenderness.

Causes

The following are examples of potential causes for reactive lymphadenopathies, all of which have predominantly follicular patterns: *

Rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and hands are invol ...

* Sjögren syndrome *

IgG4-related disease IgG4-related disease (IgG4-RD), formerly known as IgG4-related systemic disease, is a chronic inflammatory condition characterized by tissue infiltration with lymphocytes and IgG4-secreting plasma cells, various degrees of fibrosis (scarring) and ...

(IgG4-related lymphadenopathy) * Kimura disease *

Toxoplasmosis Toxoplasmosis is a parasitic disease caused by '' Toxoplasma gondii'', an apicomplexan. Infections with toxoplasmosis are associated with a variety of neuropsychiatric and behavioral conditions. Occasionally, people may have a few weeks or mont ...

* Syphilis *

Castleman disease Castleman disease (CD) describes a group of rare lymphoproliferative disorders that involve enlarged lymph nodes, and a broad range of inflammatory symptoms and laboratory abnormalities. Whether Castleman disease should be considered an autoimmun ...

* Progressive transformation of germinal centers (PTGC)

Microorganism A microorganism, or microbe,, ''mikros'', "small") and ''organism'' from the el, ὀργανισμός, ''organismós'', "organism"). It is usually written as a single word but is sometimes hyphenated (''micro-organism''), especially in olde ...

s can infect lymph nodes by causing pain and inflammation including redness and tenderness. Bacterial, fungal and viral infections including ''

Bartonella ''Bartonella'' is a genus of Gram-negative bacteria. It is the only genus in the family Bartonellaceae. Facultative intracellular parasites, ''Bartonella'' species can infect healthy people, but are considered especially important as opportunis ...

Staphylococcal ''Staphylococcus'' is a genus of Gram-positive bacteria in the family Staphylococcaceae from the order Bacillales. Under the microscope, they appear spherical ( cocci), and form in grape-like clusters. ''Staphylococcus'' species are facultati ...

, Granulomatous, Adenoviral and

Lyme disease Lyme disease, also known as Lyme borreliosis, is a vector-borne disease caused by the ''Borrelia'' bacterium, which is spread by ticks in the genus ''Ixodes''. The most common sign of infection is an expanding red rash, known as erythema migran ...

'' are all associated with follicular hyperplasia. Other

autoimmune In immunology, autoimmunity is the system of immune responses of an organism against its own healthy cells, tissues and other normal body constituents. Any disease resulting from this type of immune response is termed an "autoimmune disease". ...

related diseases that are associated are

rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and hands are invol ...

, systemic lupus,

dermatomyositis Dermatomyositis (DM) is a long-term inflammatory disorder which affects skin and the muscles. Its symptoms are generally a skin rash and worsening muscle weakness over time. These may occur suddenly or develop over months. Other symptoms may inc ...

and Sjögren syndrome. Immunoglobulin G- related diseases are immune-mediated fibroinflammatory conditions that affect many organs in the body. Chronic inflammatory disorders such as Kimura disease are also the outcome of inflamed or enlarged lymph nodes. Bacteria such as ''

Treponema pallidum ''Treponema pallidum'', formerly known as ''Spirochaeta pallida'', is a spirochaete bacterium with various subspecies that cause the diseases syphilis, bejel (also known as endemic syphilis), and yaws. It is transmitted only among humans. It is ...

'', or parasites such as ''

Toxoplasma gondii ''Toxoplasma gondii'' () is an obligate intracellular parasitic protozoan (specifically an apicomplexan) that causes toxoplasmosis. Found worldwide, ''T. gondii'' is capable of infecting virtually all warm-blooded animals, but felids, such as d ...

'', can cause enlargement of the lymph nodes as well. Other related causes such as lymphoproliferative conditions known as

, or progressive transformation of germinal centers cause lymph node enlargement. Environmental conditions that may also play a role are animal or insect exposure, chronic medication usage and

immunization Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent (known as the immunogen). When this system is exposed to molecules that are foreign to the body, called ''non-se ...

status. The patient's occupational history such as metal work or coal mining may expose them to

silicon Silicon is a chemical element with the symbol Si and atomic number 14. It is a hard, brittle crystalline solid with a blue-grey metallic luster, and is a tetravalent metalloid and semiconductor. It is a member of group 14 in the periodic ta ...

beryllium Beryllium is a chemical element with the symbol Be and atomic number 4. It is a steel-gray, strong, lightweight and brittle alkaline earth metal. It is a divalent element that occurs naturally only in combination with other elements to form m ...

. Follicular hyperplasia is common in children and young adults, but is not limited to any age; it is also common among the elderly and is non-sex specific. Children often experience reactive lymph nodes when they are younger due to new exposure of environmental

pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ ...

s, even without development of an infection. Clinically, follicular hyperplasia lymphadenopathy is usually restricted to a single area on the body, but can also be on several parts of the body as well. Follicular hyperplasia is one of the most common types of lymphadenopathies and can be associated with paracortical and sinus hyperplasia.

Mechanism

The specific

pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...

of follicular hyperplasia has not been fully understood yet. It is known, however, that a stimulation of the B cell compartment and by abnormal cell growth of secondary follicles are key factors to the pathology of follicular hyperplasia. This typically occurs in the

without disrupting the lymph node capsule. It has also been described that the condition may stem from primary reactive

lymphoid The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid o ...

proliferations that may be triggered by an unidentified

antigen In immunology, an antigen (Ag) is a molecule or molecular structure or any foreign particulate matter or a pollen grain that can bind to a specific antibody or T-cell receptor. The presence of antigens in the body may trigger an immune respons ...

s or some sort of chronic irritation by ultimately causing lymph node enlargement. Lymph node enlargement can occur for many reasons. First of all, the lymph nodes function to act as a filter for the reticuloendothelial system. They contain multi-layered

sinus Sinus may refer to: Anatomy * Sinus (anatomy), a sac or cavity in any organ or tissue ** Paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: *** Maxillary sinus, is the largest of the paranasal sinuses, ...

by exposing B and

T cell A T cell is a type of lymphocyte. T cells are one of the important white blood cells of the immune system and play a central role in the adaptive immune response. T cells can be distinguished from other lymphocytes by the presence of a T-cell r ...

lymphocyte A lymphocyte is a type of white blood cell (leukocyte) in the immune system of most vertebrates. Lymphocytes include natural killer cells (which function in cell-mediated, cytotoxic innate immunity), T cells (for cell-mediated, cytotoxic ad ...

s and macrophages and are found within the blood. When the immune system recognizes foreign proteins in order to mount an attack, it requires help from these blood cells. During this reaction the responding cell lines become duplicated in response to a foreign attack, and therefore increase in size.

Node In general, a node is a localized swelling (a "knot") or a point of intersection (a vertex). Node may refer to: In mathematics * Vertex (graph theory), a vertex in a mathematical graph *Vertex (geometry), a point where two or more curves, lines ...

size is considered abnormal when it exceeds 1 cm, however this differs from children to adults. Localized or specific

adenopathy Lymphadenopathy or adenopathy is a disease of the lymph nodes, in which they are abnormal in size or consistency. Lymphadenopathy of an inflammatory type (the most common type) is lymphadenitis, producing swollen or enlarged lymph nodes. In cl ...

often occur in clusters or groups of lymph nodes that can migrate to various areas of the body. Lymph nodes are distributed within all areas of the body and when enlarged, reflect the location of

lymphatic drainage The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid o ...

. The

node In general, a node is a localized swelling (a "knot") or a point of intersection (a vertex). Node may refer to: In mathematics * Vertex (graph theory), a vertex in a mathematical graph *Vertex (geometry), a point where two or more curves, lines ...

appearance can range from tender, fixed or mobile and discrete or matted together. It is important to note that reactive lymph nodes are not necessarily a bad thing, in fact they are a good indication that the lymphatic system is working hard. Lymph fluids can build up in lymph nodes as a way to trap harmful bacteria and other harmful pathogens in the body to prevent it from spreading to other areas. Substances that are present within the interstitial fluids such as

microorganism A microorganism, or microbe,, ''mikros'', "small") and ''organism'' from the el, ὀργανισμός, ''organismós'', "organism"). It is usually written as a single word but is sometimes hyphenated (''micro-organism''), especially in olde ...

s or even

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

can enter

lymphatic vessel The lymphatic vessels (or lymph vessels or lymphatics) are thin-walled vessels (tubes), structured like blood vessels, that carry lymph. As part of the lymphatic system, lymph vessels are complementary to the cardiovascular system. Lymph ve ...

s by forming the lymphatic fluids. Lymph nodes help filter these fluids by removing material towards the direction of blood circulation. When antigens are presented, the

s inside of the node trigger a response which can cause proliferation or cell enlargement. This is also referred to as reactive lymphadenopathy.

Diagnosis

Follicular hyperplasia can be distinguished among other diseases by observing the density of a lymph follicle on low magnification. Lymph nodes with reactive follicles contain extensions outside its capsule, follicles present throughout the entire node, obvious

centroblasts A centroblast generally refers to an activated B cell that is enlarged (12–18 micrometer) and is rapidly proliferating in the germinal center of a lymphoid follicle. They are specifically located in the dark zone of the germinal center. Cent ...

and the absence or diminishing

mantle zone The mantle zone (or just mantle) of a lymphatic nodule (or lymphatic follicle) is an outer ring of small lymphocytes surrounding a germinal center. It is also known as the "corona". It contains transient lymphocytes. It is the location of th ...

s. Immunohistochemistry can help distinguish a difference between a patient with follicular lymphoma to follicular hyperplasia. Reactive follicular hyperplasia does not express

BCL2 Bcl-2 (B-cell lymphoma 2), encoded in humans by the ''BCL2'' gene, is the founding member of the Bcl-2 family of regulator proteins that regulate cell death ( apoptosis), by either inhibiting (anti-apoptotic) or inducing (pro-apoptotic) apoptosis ...

proteins in B cell

germinal center Germinal centers or germinal centres (GCs) are transiently formed structures within B cell zone (follicles) in secondary lymphoid organs – lymph nodes, ileal Peyer's patches, and the spleen – where mature B cells are activated, prolifera ...

s and are absent light chain reaction in

immunostaining In biochemistry, immunostaining is any use of an antibody-based method to detect a specific protein in a sample. The term "immunostaining" was originally used to refer to the immunohistochemical staining of tissue sections, as first described by A ...

and flow cytometry as well as absent IG rearrangements. Localized, or specific lymphadenopathies should be evaluated for

etiologies Cause, also known as etiology () and aetiology, is the reason or origination of something. The word ''etiology'' is derived from the Greek , ''aitiologia'', "giving a reason for" (, ''aitia'', "cause"; and , ''-logia''). Description In medicine, ...

that are associated with l ymphatic drainage patterns. During a complete

lymph Lymph (from Latin, , meaning "water") is the fluid that flows through the lymphatic system, a system composed of lymph vessels (channels) and intervening lymph nodes whose function, like the venous system, is to return fluid from the tissues ...

atic physical examination, generalized lymphadenopathy may or may not be ruled out.

protein expression is usually absent in follicular hyperplasia but prominent in follicular lymphomas. A comparison with other stains that include

markers such as BCL-6 or CD10 is useful to compare when determining a proper diagnosis. CD10 positive cells are

metalloproteinase A metalloproteinase, or metalloprotease, is any protease enzyme whose catalytic mechanism involves a metal. An example is ADAM12 which plays a significant role in the fusion of muscle cells during embryo development, in a process known as myo ...

which activate or deactivate peptides through

proteolytic cleavage Proteolysis is the breakdown of proteins into smaller polypeptides or amino acids. Uncatalysed, the hydrolysis of peptide bonds is extremely slow, taking hundreds of years. Proteolysis is typically catalysed by cellular enzymes called proteases, ...

. An official diagnosis of follicular hyperplasia might include imagining such as a

PET scan Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, ...

and a tissue

biopsy A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist. The process involves extraction of sample cells or tissues for examination to determine the presence or extent of a dise ...

, depending on the clinical location and also the location of lymphadenopathy. A common blood panel test may help rule out other possible diagnosis, such as lymphomas based on the number of red, white and platelet cells found in the blood. If the patient has low blood cell counts, this can be an indication of

lymphoma Lymphoma is a group of blood and lymph tumors that develop from lymphocytes (a type of white blood cell). In current usage the name usually refers to just the cancerous versions rather than all such tumours. Signs and symptoms may include enla ...

. Another indication of lymphoma compared to follicular hyperplasia is high levels of

lactic dehydrogenase Lactate dehydrogenase (LDH or LD) is an enzyme found in nearly all living cells. LDH catalyzes the conversion of lactate to pyruvate and back, as it converts NAD+ to NADH and back. A dehydrogenase is an enzyme that transfers a hydride from on ...

(LDH) and

C-reactive protein C-reactive protein (CRP) is an annular (ring-shaped) pentameric protein found in blood plasma, whose circulating concentrations rise in response to inflammation. It is an acute-phase protein of hepatic origin that increases following interleukin- ...

s (CRP). A lymph node

may reveal an official diagnosis for

, by ruling out follicular hyperplasia which can be determined by the rate of proliferation.

Treatment

Factors that identify etiology of the patient include age, duration of lymphadenopathy, external exposures, associated symptoms and location on the body.

Beta blocker Beta blockers, also spelled β-blockers, are a class of medications that are predominantly used to manage abnormal heart rhythms, and to protect the heart from a second heart attack after a first heart attack ( secondary prevention). They are ...

s such as

Atenolol Atenolol is a beta blocker medication primarily used to treat high blood pressure and heart-associated chest pain. Atenolol, however, does not seem to improve mortality in those with high blood pressure. Other uses include the prevention of mi ...

or ACE inhibitors like Captopril, can cause certain lymphadenopathies for some individuals. Captopril is an analog to proline and completely inhibits angiotensin converting enzymes (ACE) and as a result decreases angiostatin II production. It can also inhibit tumor angiogenesis through

MMPs Matrix metalloproteinases (MMPs), also known as matrix metallopeptidases or matrixins, are metalloproteinases that are calcium-dependent zinc-containing endopeptidases; other family members are adamalysins, serralysins, and astacins. The MMPs b ...

and endothelial cell migration, which can ultimately cause lymph node enlargement.

Carbamazepine Carbamazepine (CBZ), sold under the trade name Tegretol among others, is an anticonvulsant medication used primarily in the treatment of epilepsy and neuropathic pain. It is used as an adjunctive treatment in schizophrenia along with other m ...

is an anticonvulsant that works by decreasing nerve impulses that are brought on by

seizure An epileptic seizure, informally known as a seizure, is a period of symptoms due to abnormally excessive or synchronous neuronal activity in the brain. Outward effects vary from uncontrolled shaking movements involving much of the body with l ...

s. Some of the more serious side effects are allergic skin reactions and low blood cell counts. Other anticonvulsant medications,

Phenytoin Phenytoin (PHT), sold under the brand name Dilantin among others, is an anti-seizure medication. It is useful for the prevention of tonic-clonic seizures (also known as grand mal seizures) and focal seizures, but not absence seizures. The in ...

and

Primidone Primidone, sold under various brand names, is a barbiturate medication that is used to treat partial and generalized seizures, as well as essential tremors. It is taken by mouth. Common side effects include sleepiness, poor coordination, nau ...

, can also cause lymph node enlargement due to changes in the blood after drug administration. Other medications such as

Pyrimethamine Pyrimethamine, sold under the brand name Daraprim among others, is a medication used with leucovorin (leucovorin is used to decrease side effects of pyrimethamine; it does not have intrinsic anti-parasitic activity) to treat the parasitic dise ...

Quinidine Quinidine is a class I antiarrhythmic agent, class IA antiarrhythmic agent used to treat heart rhythm disturbances. It is the enantiomer of Antimalarial medication, antimalarial agent quinine, originally derived from the bark of the cinchona tre ...

and Trimethoprim/ sulfamethoxazole antibiotics also change blood chemistry after administration and can cause lymph node enlargement.

Hydralazine Hydralazine, sold under the brand name Apresoline among others, is a medication used to treat high blood pressure and heart failure. This includes high blood pressure in pregnancy and very high blood pressure resulting in symptoms. It has been ...

and

Allopurinol Allopurinol is a medication used to decrease high blood uric acid levels. It is specifically used to prevent gout, prevent specific types of kidney stones and for the high uric acid levels that can occur with chemotherapy. It is taken by mouth ...

are medications that are prescribed to patients to lower their blood pressure and are

vasodilators Vasodilation is the widening of blood vessels. It results from relaxation of smooth muscle cells within the vessel walls, in particular in the large veins, large arteries, and smaller arterioles. The process is the opposite of vasoconstriction ...

causing the blood cells to

dilate Dilation (or dilatation) may refer to: Physiology or medicine * Cervical dilation, the widening of the cervix in childbirth, miscarriage etc. * Coronary dilation, or coronary reflex * Dilation and curettage, the opening of the cervix and surgic ...

. A family history, regional exam and

epidemiological Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...

cues are usually the most useful information to utilize for treatment options because it can help classify the patient's condition as either low risk, or high risk. Low risk, meaning the patient is not exposed to

malignancy Malignancy () is the tendency of a medical condition to become progressively worse. Malignancy is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous ''benign'' tumor in that a malignancy is not s ...

or serious disease and high risk means that they are. If the patient is not at risk for malignancy or serious illness, it is recommended for the physician to observe any changes or symptom resolutions within 3- 4 weeks. If the lymphadenopathy does not resolve the next step would be getting a biopsy. Proceeding a tissue sample, an effective treatment for follicular hyperplasia is surgical removal of the

lesion A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. ''Lesion'' is derived from the Latin "injury". Lesions may occur in plants as well as animals. Types There is no designated classif ...

after an initial conformation of the disease based on the patients biopsy results.

Prognosis

Typically follicular hyperplasia is categorized as a

benign Malignancy () is the tendency of a medical condition to become progressively worse. Malignancy is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous ''benign'' tumor in that a malignancy is not s ...

lymphadenopathy. This is usually almost always treatable, but only until it progresses into

. Therefore, follicular hyperplasia patients tend to live a long life until their condition is either treated or goes away on its own. Follicular hyperplasia becomes problematic when left untreated by increasing the risks for developing various types of cancers.

Epidemiology

Follicular hyperplasia is one of the most common types of

lymphadenopathies. It can be typically found in children and young adults however all ages are subject to follicular hyperplasia, including the elderly. Lymphadenopathies such as follicular hyperplasia, are usually localized but can also be generalized and are non gender specific. Over 75% of all lymphadenopathies are observed as local, usually involving specifically the head and neck regions. It has been estimated that patients who present lymphadenopathy has an estimated 1.1% chance of developing malignancy.{{Cite journal, last1=Bazemore, first1=Andrew, last2=Smucker, first2=Douglas R., date=2002-12-01, title=Lymphadenopathy and Malignancy, url=https://www.aafp.org/afp/2002/1201/p2103.html, journal=American Family Physician, volume=66, issue=11, pages=2103–10, pmid=12484692, issn=0002-838X The rate of childhood

associated with lymphadenopathy is low, however this increases with age. A majority of reported cases in children are usually caused by infections or

. In one study, 628 patients underwent a nodal biopsy and resulted benign or self-limited causes found in nearly 79% in patients younger than 30 years of age. This was also the case for nearly 59% of patients between the ages of 31-59 years old and 39% in patients that were older than 50 years of age. Lymphadenopathies that last more than 2 weeks or over one year and does not develop progression of cancer cells have a low chance of

neoplastic A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...

effects.

Current Research

During a recent 2019 study, a 51 year old woman was examined by medical professionals at the department of Oral and Maxillofacial surgery, Tokyo Medical University Hospital, to treat an existing condition which was an inflamed mass of cells noted in patient's bottom left gum line. A sample

was obtained from the patient's mouth and the indicated results showed

tissues. Further investigation under a microscope revealed lymphocytic tissues composed of scattered

follicles with obvious

s and well differentiated

s surrounded by defiant

s. Immunochemical staining revealed positivity for lymphoid particles

CD20 B-lymphocyte antigen CD20 or CD20 is expressed on the surface of all B-cells beginning at the pro-B phase ( CD45R+, CD117+) and progressively increasing in concentration until maturity. In humans CD20 is encoded by the ''MS4A1'' gene. This gene ...

and

CD79 Introduction CD79 ( Cluster of Differentiation 79) is a transmembrane protein that forms a complex with the B-cell receptor (BCR) and generates a signal following recognition of antigen by the BCR. CD79 is composed of two distinct chains call ...

. This study was significant because they were able to diagnose a very rare case of follicular lymphoid hyperplasia derived from an unusual origin site of the mouth, however they were unable to determine the onset of her condition. It is important to note that after the mass was removed there was no signs of recurrence after the first year of removal.

References

Lymphocytic disorders