Histiocyte Society classification of histiocytoses

Changed by Francis Deng, 7 Dec 2018

Updates to Article Attributes

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The 2016 Histiocyte Society classification of histiocytoses and neoplasms of macrophage-dendritic cell lineages is a proposed revision of the organisation's initial classification system from 1987.

Terminology

Histiocytes are mononuclear phagocytes that reside in tissues, including macrophages and dendritic cells. Histiocytoses are disorders characterized by the accumulation of cells derived from macrophages or dendritic cells.

Classification

L (Langerhans) group
C group: cutaneous and mucocutaneous non-Langerhans cell histiocytoses
  • cutaneous non-Langerhans cell histiocytoses
  • cutaneous non-Langerhans cell histiocytoses with a major systemic component
M group: malignant histiocytoses
  • primary malignant histiocytoses
  • secondary malignant histiocytoses (following or associated with another haematologic neoplasia)
  • subtypes
    • histiocytic
    • interdigitating cell
    • Langerhans cell
    • indeterminate cell
    • not specified
R group: Rosai-Dorfman disease and miscellaneous noncutaneous, non-Langerhans cell histiocytoses
  • familial Rosai-Dorfman disease
  • sporadic Rosai-Dorfman disease
    • classical (nodal) Rosai-Dorfman disease
    • extranodal Rosai-Dorfman disease
    • neoplasia-associated Rosai-Dorfman disease
    • immune disease-associated Rosai-Dorfman disease
  • other non-C non-L non-M non-H histiocytoses
H group: haemophagocytic lymphohistiocytosis and macrophage activation syndrome
  • primary haemophagocytic lymphohistiocytosis (Mendelian inherited conditions)
  • secondary haemophagocytic lymphohistiocytosis (apparently non-Mendelian)
  • haemophagocytic lymphohistiocytosis of unknown/uncertain origin
  • -<li>non-xanthogranuloma family<ul><li><a title="Multicentric reticulohistiocytosis" href="/articles/multicentric-reticulohistiocytosis">multicentric reticulohistiocytosis</a></li></ul>
  • +<li>non-xanthogranuloma family<ul><li><a href="/articles/multicentric-reticulohistiocytosis">multicentric reticulohistiocytosis</a></li></ul>
  • -<li>sporadic Rosai-Dorfman disease<ul>
  • +<li>sporadic <a href="/articles/rosai-dorfman-disease">Rosai-Dorfman disease</a><ul>
  • -<li>primary haemophagocytic lymphohistiocytosis (Mendelian inherited conditions)</li>
  • +<li>primary <a title="Haemophagocytic lymphohistiocytosis" href="/articles/haemophagocytic-lymphohistiocytosis">haemophagocytic lymphohistiocytosis</a> (Mendelian inherited conditions)</li>

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