Lymphomas Flashcards
Most common Lymphoma?
B-cell NHL
What are the subtypes of B-cell NHL?
There are 6:
- Follicular
- Small lymphocytic lymphoma
- Marginal zone lymphoma (MALT)
- Mantle cell lymphoma
- Burkitt’s lymphoma
- Diffuse large B-cell lymphoma
Follicular lymphoma
Type of B-cell NHL
Presentation
- Elderly patients
- Indolent
Features
- t(14;18)
- BCL2 +ve
Small lymphocytic leukaemia
CD23 +
CD5 +
Can undergo Richter transformation
Marginal zone lymphoma (MALT)
Due to chronic antigenic stimulation
Mantle cell lymphoma
t(11;14)
Cyclin D1 +ve
CD5 +ve
Middle aged men, poor prognosis
Burkitt’s lymphoma
- Associated with EBV
- STARRY SKY
- BCL6 +ve
- t(8;14) c-Myc translocation
Diffuse large B-cell lymphoma
Sheets of aggressive lymphocytes
Tx with CHOP
What are the types of T-cell lymphoma?
- Anaplastic large cell lymphoma
- Adult T-cell Leukaemia/Lymphoma
- Cutaneous T-cell lymphoma
Anaplastic large cell lymphoma
Aggressive lymphoma in children and young adults
t(2;5)
ALK1 +ve
ATLL
HTLV1
Caribbean/Japanese
Cutaneous T-cell Lymphoma
associated with mycosis fungoides
Classical hodgkin’s Lymphoma
CD15 +ve
CD30 +ve
Nodular sclerosing Hodgkin’s lymphoma
CD15 -ve
CD30 -ve
CD20 +ve
Which is the most common type of Hodgkin’s lymphoma?
Nodular sclerosing