How would you treat a patient with hemophagocytic lymphohistiocytosis and conflicting pathology reports one of which suggests PTCL-NOS and the other LGL?   

Hypercellular bone marrow with a CD8+ T cell infiltrate (TCR rearrangement equivocal). Numerous path reviews and conflicting results - LGL and PTCL-NOS both reported.   No other secondary reason for HLH, no lymphadenopathy. Would you treat for LGL? PTCL? HLH-94 or 2004? Presenting symptoms (cytopenias and fevers) very responsive to steroids.