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Major Types of Lymphoid Neoplasms

AB
Precursor B-cell acute lymphoblastic leukemia/lymphomaDiverse chromosomal translocations; t(12;21) involving CBFαand ETV6 most common rearrangement
Precursor B-cell acute lymphoblastic leukemia/lymphomaBone marrow precursor B-cell expressing TdT and lacking surface Ig
Precursor B-cell acute lymphoblastic leukemia/lymphomaPredominantly children with symptoms relating to pancytopenia secondary to marrow involvement; aggressiv
Precursor T-cell acute lymphoblastic leukemia/lymphomaPrecursor T-cell (often of thymic origin) expressing TdT
Precursor T-cell acute lymphoblastic leukemia/lymphomaDiverse chromosomal translocations, many involving T-cell receptor loci; rearrangements of TAL1 most common
Precursor T-cell acute lymphoblastic leukemia/lymphomaPredominantly adolescent males with thymic masses; variable splenic, hepatic, and bone marrow involvement; aggressive
Burkitt lymphomaGerminal center B-cell; CD10 expression usually seen
Burkitt lymphomaTranslocations involving c-myc and Ig loci; usually t(8;14), but also t(2;8) or t(8;22). African (endemic) cases latently infected with EBV
Burkitt lymphomaAdolescents or young adults with jaw or extranodal abdominal masses; uncommonly presents as a "leukemia"; aggressive
Diffuse large B-cell lymphomaGerminal center or postgerminal center B-cell
Diffuse large B-cell lymphoma∼30% BCL6; ∼10% t(14;18); subsetw/cREL amplification
Diffuse large B-cell lymphomaAll ages, but most common in adults; often appears as a single rapidly growing mass; 30% extranodal; aggressive
Extranodal marginal zone lymphomaPostgerminal center memory B-cell
Extranodal marginal zone lymphomaTrisomy 18, t(11;18), t(1;14); latter create MALT1-IAP2 and BCL10-IgH fusion genes, respectively
Extranodal marginal zone lymphomaArises at extranodal sites in adults with chronic inflammatory diseases; may remain localized; indolent
Follicular lymphomaGerminal center B-cell; typically expresses CD10, BCL2, and BCL6
Follicular lymphomat(14;18) involving the BCL2 gene
Follicular lymphomaOlder adults with generalized lymphadenopathy and marrow involvement; indolent
Hairy cell leukemiaOlder males with pancytopenia and splenomegaly; indolent
Hairy cell leukemiaNo specific chromosomal abnormality
Postgerminal center memory B-cellHairy cell leukemia
Mantle cell lymphomaNaïve B-cell; expresses cyclin D1 and (usually) CD5
Mantle cell lymphomat(11;14) involving BCL1 (cyclin D1) and IgH
Mantle cell lymphomaOlder males with disseminated disease; moderately aggressive
Multiple myeloma/ solitary plasmacytomaPlasma cell derived from a postgerminal center B-cell
Multiple myeloma/ solitary plasmacytomaDiverse rearrangements involving IgH
Multiple myeloma/ solitary plasmacytomaMyeloma: older adults with lytic bone lesions, pathologic fractures, hypercalcemia, renal failure, and primary amyloidosis. Plasmacytoma: isolated plasma cell masses in bone or soft tissue (e.g., oropharynx)
Small lymphocytic lymphoma/chronic lymphocytic leukemiaNaïve B-cell or postgerminal center memory B-cell; expresses CD5
Small lymphocytic lymphoma/chronic lymphocytic leukemiaTrisomy 12, deletions of 11q, 13q, and 17p
Small lymphocytic lymphoma/chronic lymphocytic leukemiaOlder adults with bone marrow, lymph node, spleen and liver disease; most have peripheral blood involvement; autoimmune hemolysis and thrombocytopenia in a minority; indolent
Adult T-cell leukemia/ lymphomaHelper T-cell expressing CD25 (IL-2 receptor)
Adult T-cell leukemia/ lymphomaHTLV-1 provirus present in tumor cells
Adult T-cell leukemia/ lymphomaAdults with cutaneous lesions, marrow involvement, and hypercalcemia; Japan, West Africa, and the Caribbean; aggressive
Anaplastic large cell lymphomaCytotoxic T-cell
Anaplastic large cell lymphomaRearrangements of ALK
Anaplastic large cell lymphomaChildren and young adults, usually with lymph node and soft tissue disease; aggressive
Extranodal NK/T cell lymphomaNatural killer cell (common) or cytotoxic T-cell (rare)
Extranodal NK/T cell lymphomauniformly EBV associated
Extranodal NK/T cell lymphomaAdults with destructive extranodal masses, most commonly sinonasal; often accompanied by hemophagocytic syndrome; aggressive
Mycosis fungoides/ Sézary syndromeHelper T-cell
Mycosis fungoides/ Sézary syndromeAdult patients with cutaneous patches, plaques, nodules, or generalized erythema; indolent
T-cell granular lymphocytic leukemiaTwo types: (1) CD8+T-cell, (2) NK-cell
T-cell granular lymphocytic leukemiaAdult patients with splenomegaly, neutropenia, and anemia, sometimes, accompanied by autoimmune disease
Hodgkins, lymphocyte-depletion subtypeGerminal center or postgerminal center B-cell
Hodgkins, lymphocyte-depletion subtypeelderly and in HIV+individuals; moderately aggressive
Hodgkins, lymphocyte-depletion subtype>70% EBV associated
Hodgkins, lymphocyte-predominance subtypeGerminal center B-cell
Hodgkins, lymphocyte-predominance subtypeYoung to middle-aged males with cervical or axillary lymphadenophathy; indolent
Hodgkins, lymphocyte-rich subtypeGerminal center or postgerminal center B-cell
Hodgkins, lymphocyte-rich subtype40% EBV associated
Hodgkins, lymphocyte-rich subtypeMore common in males, usually presents with lymphadenopathy; moderately aggressive
Hodgkins, mixed cellularity subtypePostgerminal center memory B-cell
Hodgkins, mixed cellularity subtype70% EBV associated
Hodgkins, mixed cellularity subtypeMore common in males, usually presents with lymphadenopathy; moderately aggressive
Hodgkins, nodular sclerosing subtypeGerminal center or postgerminal center B-cell
Hodgkins, nodular sclerosing subtyperarely EBV associated
Hodgkins, nodular sclerosing subtypeCommonly presents as a mediastinal mass in young females; moderately aggressive



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