Moar Cancer stuffs - Non-Hodgkin lymphoma Flashcards
Types of mature lymphoid neoplasms
- Hodgkin lymphoma
- Non-Hodgkin lymphoma
- Plasma cell neoplasm
B Cell specific markers
CD19
CD22
CD20
T Cell specific markers
CD3
CD7
CD5
Germinal center B cell markers:
CD20
BCL6
CD10
Neoplastic follicle marker:
BCL1
- activate genes for cell cycle progression
BCL2
- suppress apoptosis
Types of Non-Hodgkin Lymphoma
- Burkitt lymphoma
- Follicular lymphoma
- Mantle cell lymphoma
- CLL/SLL
Types of Plasma cell neoplasm
- Monoclonal Gammaopathy of Undetermined Significance (MGUS)
- Plasmacytoma
- Plasma Cell myeloma (Multiple myeloma)
Non-Hogkin lymphoma
Malignancy derived from Mature B cells, T cells, NK cells
Translocation/Chromosomal abnormality of Burkitt lymphoma:
t(8;14)
Translocation/Chromosomal abnormality of Follicular lymphoma:
t(14;18)
Translocation/Chromosomal abnormality of Mantle cell lymphoma:
t(11;14)
Translocation/Chromosomal abnormality of CLL/SLL:
Del13q14
Cytogenetic marker of Burkitt lymphoma:
CD19
CD20
MYC
GC: CD10, BCL6
Cytogenetic marker of Follicular lymphoma
CD19
CD20
BCL2
GC:CD10, BCL6
Cytogenetic marker of Mantle cell lymphoma
CD19
CD20
BCL1 (cyclin D1),
CD5
Cytogenetic marker of CLL/SLL:
CD19
CD20 (weak)
CD23
CD5
Which Non-Hogkin lymphoma is associated with EBV?
Burkitts lymphoma
- Sporadic: 30%
- Endemic: 95%
- Immunodeficient: 24-40%
Non-Hodgkin Lymphoma grade:
- Burkitt lymphoma
- Follicular lymphoma
- Mantle cell lymphoma
- CLL/SLL
- Burkitt lymphoma - High (aggressive)
- Follicular lymphoma - Low grade
- Mantle cell lymphoma - Low grade (More aggressive than FL and CLL)
- CLL/SLL: Low grade
Histo findings of Burkitt Lymphoma
Starry sky pattern
basophilic cytoplasm
round nuclei
Histo findings of FL
No tingible body macrophages (homogenous tumor)
Neoplastic follicles in lymph node cortex or medulla (not just cortex)
Histo findings of Mantle cell lymphoma
larger than normal lymphocyte
Histo findings of CLL/SLL:
lymphocytosis (in bm/lymph node) > 3 months
Prolymphocyte
Lymph node effacement
proliferation center replace germinal center
Which Non-hodgkin lymphoma is usually assymptomatic?
Mantle cell lymphoma
CLL/SLL
Which Non-hodgkin lymphoma displays a starry sky pattern?
Burkitt lymphoma