Lymphomas Flashcards

1
Q

leukemia vs lymphoma: leukemia

A

lymphoid or myeloid neoplasm with widespread involvement of bone marrow. Tumor cells are usually found in peripheral blood

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2
Q

leukemia vs lymphoma: lymphoma

A

Discrete tumor mass arising from lymph nodes.

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3
Q

Leukemoid reaction

A

Acute inflammatory response to infection. Increased WBC cound with increased neutrophils and neutrophil precursors such as band cells (left shift)

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4
Q

Hodgkin - strongly associated with

A

EBV

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5
Q

non-Hodgkin - may be associated with

A
  1. HIV

2. autoimmune diseases

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6
Q

lymphoma - Constitutionals Β signs/symptoms

A
  1. low grade fever
  2. night sweats
  3. weight loss
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7
Q

Hodgkin vs non-Hodgkin lymphoma - Constitutionals Β signs/symptoms

A

common in Hodgkin

not common in Non-Hodgkin

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8
Q

Hodgkin - age

A

bimodal distribution - young adulthood and >55 years

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9
Q

non-Hodgkin lymphoma - age

A

Peak incidence for certain subtypes at 20-40 years old

CAN OCCUR IN CHILDREN AND ADULTS

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10
Q

Hodgkin lymphoma - men or women

A

more common in men except for nodular sclerosing type

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11
Q

Hodgkin lymphoma - cells

A

Reed-Sternberg cells

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12
Q

non-Hodgkin lymphoma - cells

A
B cells
T cells (fewer)
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13
Q

non-Hodgkin lymphoma - location

A

Multiple, peripheral nodes, extranodal involvement common, noncontaguous spread

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14
Q

Hodgkin lymphoma - location

A

Localized, single group of nodes. Extranodal rare. Contiguous spread.

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15
Q

Hodgkin vs non-Hodgkin lymphoma - prognosis

A

prognosis is much better in Hodgkin

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16
Q

Hodgkin vs non-Hodgkin lymphoma - stage is stronger predictor of prognosis

A

Hodgkin lymphoma

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17
Q

Reed-Sternberg cells - seen in

A

Hodgkin lymphoma

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18
Q

Reed-Sternberg cells - definition

A

distinctive tumor giant cell seen in Hodgkin lymphoma

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19
Q

Reed-Sternberg cells - histology

A

binucleate or bilobed with the 2 halves as mirror image (owl eyes)
CD15+ CD30+

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20
Q

Reed-Sternberg cells - positive CD

A

CD15+ CD30+

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21
Q

Reed-Sternberg cells - origin

A

B cells

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22
Q

Reed-Sternberg cells for hodgkin diagnosis

A

necessary but not sufficient

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23
Q

Hodgkin lymphoma - mechanims for better prognosis

A

strong stromal or lympocytic reaction against Reed-Sternberg cells

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24
Q

MC Hodgkin lymphoma

A

Nodular sclerosing

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25
Hodgkin lymphoma with best prognosis
lymphocyte-rich
26
Hodgkin lymphoma with best prognosis with the worse prognosis
1. lymphocyte mixed | 2. depleted forms
27
Non-Hodgkin lymphoma - divided to
1. Lymphomas of mature B cells | 2. Lymphomas of mature T cells
28
Non-Hodgkin lymphoma B cells - types
1. Burkitt lymphoma 2. Diffuse large B-cell lymphoma 3. Follicular lymphoma 4. Mantle cell lymphoma 5. Primary central nervous system lymphoma 6. Marginal zone lymphoma
29
Burkitt lymphoma - occurs in (age)
adolescents or young adults
30
Burkitt lymphoma - genetics
t(8;14) - translocation of c-myc (8) and heavy - chain Ig (14)
31
Burkitt lymphoma - histology
starry sky appearance, sheets of lymphocytes with interspersed "tingible body" macrophages
32
Burkitt lymphoma - associated with
EBV
33
Burkitt lymphoma - forms
``` endemic form (africa) sporadic form ```
34
Burkitt lymphoma - endemic form
jaw lesion
35
Burkitt lymphoma - sporadic form
pelvis or abdomen lesion
36
MC type of Non-Hodgkin lymphoma
Diffuse large B-cell lymphoma
37
Diffuse large B-cell lymphoma - occurs in (age)
usually older adults but 20% in chidren
38
Diffuse large B-cell lymphoma - adults or children
usually older adults but 20% in chidren
39
Follicular lymphoma - occurs in (age)
adults
40
Follicular lymphoma - genetics
t(14;18) - translocation of heavy-chain Ig (14) and BCL-2 (18)
41
BCL-2 action
inhibits apoptosis
42
Follicular lymphoma presents with
painless waxing and waning lymphadenopathy (indolent course)
43
Follicular lymphoma - histology
follicular architecture: small cleaved cells (grade 1) large cells (grade 3) mixture (grade 2)
44
Mantle cells lymphoma - occurs in
older males
45
Mantle cells lymphoma - marker/presentation
CD5+ | patiens typically present with late stage disease (very aggressive)
46
Mantle cells lymphoma - genetics
t(11:14) - translocation of cycle D1 (11) and heavy-chain Ig (14)
47
Non-Hodgkin lymphoma T cells - types
1. Adults T-cells lymphoma | 2. Mycosis fungoides/Sezary syndrome
48
Adults T-cells lymphoma - occurs in
adults
49
Adults T-cells lymphoma is caused by
HTLV (associated with IV drug abuse)
50
HTLV - transmission (associated with)
IV drug abuse
51
Adults T-cells lymphoma - symptoms
1. cutaneous lesions 2, Lytic bone lesions 3. Hypercalcemia
52
Adults T-cells lymphoma - population
1. Japan 2. West Africa 3. Caribbean
53
Mycosis fungoides/Sezary syndrome - occurs in
adults
54
Mycosis fungoides present with
skin patches/plaques (cutaneous T-cell lymphoma)
55
Mycosis fungoides - histology
atypical CD4+ cells with cerebriform nuclei
56
Mycosis fungoides may progress to
Sezary syndrome (T-cell leukemia)
57
Primary central nervous system lymphoma - T or B cells
B
58
Primary central nervous system lymphoma is associated with
HIV/AIDS (nmz me EBV) B
59
Primary central nervous system lymphoma is considered as
AIDS-defining illness
60
Primary central nervous system lymphoma - presentation
variable: confusion, memory loss, seizures
61
Primary central nervous system lymphoma - appearance (relevance)
Mass lesion(s) on MRI --> needs to be distinguished from toxoplasmosis via CSF analysis or other lab tsts
62
Marginal zone lymphoma - definition
neoplastic proliferation of small B cells (cd20) that expands the marginal zone
63
Marginal zone lymphoma - associated with
chronic inflammatory states such as Hashimoto, Sjogren, H. Pylori MALTOMA is marginal zone of mucosal sites