Hemepath Flashcards
Follicular lymphoma molecular
T(14;18) bcl2-IgH
Primary cutaneous follicle center lymphoma (PCFCL) vs nodal follicular lymphoma
Most cases PCFCL lack t(14;18) are Bcl6 pos, but Bcl2 and CD10 neg Vs in lymph node FL has t(14;18) and is pos for BCL6, BCL2 and CD10
APL flow
CD33+/CD177+/CD34-/HLA-DR-
immunophenotype CLL/SLL
B-cell markers: CD19, CD20 (*dim), CD22
CD5+ CD23+
Neg for CD10 Bcl6- FMC-7
*CD38 pos and ZAP-70+=bad prognosis
Immunophenotype mantle cell lymphoma
B-cell markers: CD19, CD20 (bright), CD22, FMC-7
CD5+ CD23- Cyclin D1+ CD43+
CD10/Bcl6- Bcl2+
Immunophenotype of follicular lymphoma
CD10+ Bcl6+ Bcl2+ (90%)
CD5- CD23-
t(14;18): IgH-Bcl2
Immunophenotype of marginal zone lymphoma
B-cell markers; nothing specific
Which two lymphomas express CD25
Hairy cell leukemia (also CD20, CD22, TRAP)
Adult T cell leukemia/lymphoma
What lymphoma shows T-cell rosettes?
NLP hodgkin lymphoma CD3+ CD57+ T cells surround LP cells forming rosettes
Burkitt lymphoma translocation
t(8;14) MYC-IGH
Which 3 lymphomas express CD30?
- RS cells in HL
- ALCL
- mediastinal B-cell lymphoma
What distinguishes plasmablastic lymphoma from other plasma cell neoplasms?
EBER+
Flow findings in PNH
- RBCs show loss of CD55 and CD59
- Granulocytes show loss of CD16 and CD24
Which BCR-ABL isoform is associated with CML?
p210 isoform of t(9;22) BCR-ABL
Which BCR-ABL isoform is associated with B-ALL?
p190 isofrom of t(9;22) BCR-ABL
What subtype of AML is associated with thrombocytosis and giant agranular platelets?
AML with inv3
Translocation in acute monocytic leukemia
t(8;16) blasts with characteristic cytoplasmic vacuoles

Blasts w/ characteristic vacuoles
acute monocytic leukemia t(8;16)
Diagnosis?

toxoplasmosis
Favorable prognostic factors B-ALL
hyperdiploidy
t(12;21) TEL1-AML
Poor prognostic factors B-ALL
Hypodiploidy
t(9;22) BCR-ABL
del17p
t(11q23) MLL rearrangement
What B-cell neoplasm shows clumpy “soccer ball” chromatin on peripheral smear and cytology?
CLL/SLL
What translocation is found in mantle cell lymphoma
t(11;14) CCND1-IgH
results in cyclin D1 amplification
FISH is best assay
Diagnosis?

Marginal zone lymphoma
“monocytoid” lymps w/ abundant clear cytoplasm
Immunophenotype of hairy cell leukemia
B-cell markers: CD19, CD20, CD22
CD11c (bright) and CD25 (bright)
cyclin D1 (dim nuclear)
most common lymphomas in HIV infection
Burkitt
DLBCL (esp CNS)
Primary effusion lymphoma
, plasmablastic lymphoma
hodgkin lymphoma
Subtype of B-ALL/LBL with peripheral blood eosinophilia
t(5;14) IL3-IGH
What type of lymphoma typically presents as an anterior mediastinal mass often with hypercalcemia?
T-LBL
Good prognosis in CLL/SLL
normal karyotype or del13q only
mutated status of Ig heavy chain
Bad prognosis in CLL/SLL
-del11q or 17p
ZAP70 and/or CD38 expression
trisomy 12
lack of somatic hypermutation
Langerhans cell histiocytosis is a neoplastic proliferation of which cells?
Dendritic cells
Diagnosis and immunophenotype

follicular dendritic cell sarcoma
CD21(+), CD23(+), CD35(+), often HLA-DR+ and EMA+
10-20% associated with hyaline vascular type castleman disease
Wha type of cell is this? What disease is it found in?

Hallmark cell
anaplastic large cell lymphoma
What cytokine is associated with Castleman disease?
IL-6
Diagnosis

Kimura disease
what is the precursor lesion of nodular lymphocyte predominant hodgkin lymphoma?
progressive transformation of germinal centers

What cell type is angioimmunoblastic T-cell lymphoma derived from?
CD4+ follicular helper T cells
What are the most common T/NK-cell PTLDs?
hepatosplenic T-cell lymphoma (**Not EBV associated**)
What is diagnosis and immunophenotype?

Flower cells
Adult T cell leukemia/lymphoma
CD4+, CD8-,
Also Pos for CD3, CD7, CD25
What cell type has birbeck granules?
Langerhans cells
What causes ATLL (adult T cell leukemia/lymphoma)?
HTLV1
What is most commons ite for extraosseus plasmacytoma?
Upper respiratory tract (80%)
What causes lymphomatous polyposis
Mantle cell lymphoma
Topoisomerase II therapy related AML is associated with what genetic alteration?
11q23 MLL gene abnormalities
what translocation is found in gastric and pulmonary MALT lymphomas?
t(11;18) API2 and MALT1 genes
What condition causes reactive LAD without necrosis and prominent interfollicular plasmacytosis
Rheumatoid arthritis
Sjogren syndrome
Still disease
Condition causing reactive LAD without necrosis and large germinal centers with dumbbell or serpiginous appearance and thin/absent mantle zone
early HIV
LAD showing paracortical areas expanded by melanin containing histiocytes adn hyperplasia of dendritic and langerhans cells
dermatopathic LAD
What variant of Castleman disease is associated with systemic disease?
plasma cell variant
Waldenstrom macroglobulinemia and hyperviscosity syndrome are associated with which type of lymphoma?
Lymphoplasmacytic lymphoma
What B cell lymphoma shows “monocytoid” B cells
marginal zone lymphoma
What lymphoma often arises in the oral mucosa of HIV+ patients and consists of immunoblasts expressing MUM1, CD138, EBV but not CD45 or CD20?
Plasmablastic subtype of DLBCL
Is cutaneous T cell lymphoma and mycosis fungoides a CD4+ or CD8+ lymphoma?
CD4+
What type of RBC is this?
What conditions can cause this?

Acanthocytes
Liver disease, abetalipoproteinemia, McLeod phenotype (Kell neg RBCs)
What is the first iron index to become abnormal in IDA?
Ferritin (decreased)
Which subtype of AML with recurrent genetic abnormalities shows marrow basophilia and multilineage dyspoiesis?
t(6;9) DEK-NUP24
both children and adults, poor prognosis
What is the immunophenotype of LGL?
CD2+, CD3+, CD8+
What are translocations seen in Burkitt lymphoma?
most common t(8;14)
Can be t(2;8)
Amplication of C-MYC on chr8
Which marker differentiates adult T-cell leukemia/lymphoma (ATLL) from peripheral T-cell lymphoma (PTCL)?
Both are CD4+
ATLL is CD25+ while PTCL is CD25-
Favorable cytogenetics in MDS
normal karyotype
isolated loss of Y, 5q-, or 20q-
Unfavorable cytogenetics in MDS
complex karyotype (3+ abnormalities)
abnormalities chromosome 7 (monosomy 7 or 7q-)
AML with recurrent genetic abnormalities good prognosis
t(8;21) RUNX1
inv16 or t(16;16) MYH11
t(15;17) PML-RARA
AML with recurrent genetic abnormalities poor prognosis
t(6;9) DEK1-NUP24
inv3 or t(3;3) RPN1-EVI1
Therapy related AML (specifically topo II MLL)