Non-Hodgkin lymphoma pathophysiology: Difference between revisions

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__NOTOC__
__NOTOC__
{{Non-Hodgkin lymphoma}}
{{Non-Hodgkin lymphoma}}
{{CMG}}; {{AE}} {{AS}}
==Overview==
==Pathophysiology==


===B cell lymphomas===
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{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
! Name
! Size of cells
! Site
! Histomorphology
! IHC
! [[Translocations]]
|-
| [[Follicular lymphoma]]
| small (centrocytes)
| lymph node, germinal center
| abundant atypical follicles (lack GC polarity, lack polar mantle zone), effaced sinuses, scattered large cells (centroblasts)
| CD10+, bcl-6+<ref name=Ref_Lester95>{{Ref Lester|95}}</ref>
| t(14,18)
|-
| [[Mantle cell lymphoma]]
| small, monomorphic
| lymph node, mantle zone
| monomorphic lymphoid, abundant mitoses. +/-scattered epithelioid histiocytes, sclerosed blood vessels
| CD5+, CD23-, CD43+, cyclin D1+<ref name=Ref_Lester95>{{Ref Lester|95}}</ref>
| t(11;14)(q13;q32)<ref>URL: [http://atlasgeneticsoncology.org/Anomalies/t1114ID2021.html http://atlasgeneticsoncology.org/Anomalies/t1114ID2021.html]. Accessed on: 10 August 2010.</ref>
|-
| Extranodal marginal zone lymphoma (MALT lymphoma)
| small
| mucosa-associated lymphoid tissue, GI tract + elsewhere
| +/- lymphepithelial lesion (cluster of 3+ cells in epithelium)
| CD21+, CD11c+, CD5-, CD23-<ref name=Ref_Lester95>{{Ref Lester|95}}</ref>
| ----------
|-
| Precursor B-cell lymphoblastic lymphoma/ leukemia
| small
| lymph node ???, bone marrow
| nuclei slightly large than resting lymphocytes, scant basophilic cytoplasm, irregular nuclear membrane, no nucleoli, stippled chromatin<ref name=Ref_PCPBoD8_315>{{Ref PCPBoD8|315}}</ref>
| CD10+, CD5-, TdT+, CD99+<ref name=Ref_Lester95>{{Ref Lester|95}}</ref>
| +/-t(12;21)<ref name=Ref_PCPBoD8_317>{{Ref PCPBoD8|317}}</ref>
|-
| [[Hairy cell leukemia]]
| small
| bone marrow, peripheral blood
| perinuclear clearing, clear cytoplasm, central nucleus
| CD25+, CD103+, CD5-<ref>URL: [http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=cmed&part=A34022&rendertype=table&id=A34029 http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=cmed&part=A34022&rendertype=table&id=A34029]. Accessed on: 20 August 2010.</ref>
| ----------
|-
| [[Burkitt's lymphoma]]
| medium, monomorphic
| lymph node, germinal center (???)
| tingible-body macrophages ("starry sky" appearance), round nucleus, small nucleoli, mitoses +++
| CD10+, BCL6+, BCL2-
| t(8;14) (q24;q32)
|-
| [[Diffuse large B cell lymphoma]]
| large cells (>2x RBC, often larger), variable size
| lymph node usually, germinal center
| sheets of large discohesive cells; if only nodular = follicular lymphoma
| MIB1 >40%
| none / like follicular lymphoma t(14,18) / c-MYC (like Burkitt lymphoma)
|-
| [[Primary mediastinal B-cell lymphoma]]
| large (>2x RBC, often larger), variable size
| mediastinum
| ----------
| ----------
| ----------
|-
| B cell small lymphocytic lymphoma /<br>chronic lymphocytic leukemia
| small
| lymph node (???)
| proliferation centres
| CD5+, CD23+, CD43+, cyclin D1-
| trisomy 12; deletions of 11q, 13q, 17p<ref>{{Ref PCPBoD8|318}}</ref>
|- <!--
| Name
| size of cells ?
| site ?
| histomorphology ?
| IHC ?
| translocations ?
| clinical ?
| prevalence ?
| DDx ? -->
|}


==References==
==References==
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{{Hematology}}
{{Hematology}}
{{Hematological malignancy histology}}
{{Hematological malignancy histology}}
[[bn:অ-হজকিনের লসিকার্বুদ]]
[[de:Non-Hodgkin-Lymphom]]
[[es:Linfomas no-Hodgkins]]
[[fr:Lymphome non-hodgkinien]]
[[nl:Non-Hodgkin]]
[[ja:非ホジキンリンパ腫]]
[[pl:Chłoniaki nieziarnicze]]
[[pt:Linfoma não-Hodgkin]]
[[fi:Non-Hodgkinin lymfooma]]
[[sv: Non-Hodgkins lymfom]]


[[Category:Hematology]]
[[Category:Hematology]]

Revision as of 17:54, 1 October 2015

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