Classical markers for Hodgkin’s disease is –
The question is asking for the classical markers, so the correct answer should include both CD15 and CD30. Now, looking at the options (even though the user didn't list them), common distractors might include other markers like CD20 (which is for B-cells, more common in NHL), CD25 (which can be seen in some lymphomas but not specific), CD45 (a leukocyte common antigen, not specific), or maybe CD10 (seen in follicular lymphoma).
So the correct answer is CD15 and CD30. The explanation should highlight that Reed-Sternberg cells express these two markers. The other options are incorrect because they are associated with different lymphomas or not specific to Hodgkin's. The clinical pearl would be to remember that CD15 and CD30 are the key markers for Hodgkin's, distinguishing it from other lymphomas. Also, mentioning that CD20 is negative in classical Hodgkin's helps in differentiation from B-cell lymphomas. The high-yield fact is to associate CD15 and CD30 with Reed-Sternberg cells and classical Hodgkin's disease.
**Core Concept**
Hodgkin's lymphoma is characterized by the presence of Reed-Sternberg cells, which express specific cell surface markers critical for diagnosis. Classical markers include **CD15** and **CD30**, distinguishing it from non-Hodgkin lymphomas.
**Why the Correct Answer is Right**
Reed-Sternberg cells in classical Hodgkin's lymphoma (cHL) overexpress **CD30 (Ki-1 antigen)** and **CD15 (Leu-M1 antigen)**. These markers are detected via immunohistochemistry and confirm the diagnosis. CD30 is a tumor necrosis factor receptor, while CD15 is a carbohydrate antigen. Their co-expression is pathognomonic for cHL.
**Why Each Wrong Option is Incorrect**
**Option A:** CD20 is a B-cell marker absent in Reed-Sternberg cells; its absence helps differentiate cHL from B-cell lymphomas.
**Option B:** CD25 (interleukin-2 receptor) is seen in some T-cell lymphomas but not cHL.
**Option C:** CD45 (leukocyte common antigen) is typically absent in Reed-Sternberg cells, termed "null phenotype."
**Option D:** CD10 is a marker of follicular lymphoma and some Hodgkin variants but not classical cHL.
**Clinical Pearl / High-Yield Fact**
Never forget: **CD15 + CD30 = Reed-Sternberg cells**. This combination is diagnostic for classical Hodgkin's lymphoma. CD20 negativity further aids in excluding B-cell lymphomas.
**Correct Answer: C. CD15 and CD30**