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Lymphoma
Hodkins vs. nonhodkins etc
28
Medical
Professional
04/23/2013

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Cards

Term
X-linked immunoprolif disease
Definition
inability to clear EBV
Term
lymphoma markers
Definition
1. Burkits 8:14 - myc transcription f.
2. follicular 14:18 - bcl2 - apoptosis
3. mantle cell 11:18 - bcl1 phosphorlation rb
4. 1:14, 14-18 = MALT with NFKB
5. 2:5 = anaplastic large cell - ALK (increased cell surface receptor)
Term
Hodkins vs nonhodkins
Definition
Hodkins: reed sternburg, 20-40 bimodal, mediastinal mass, bm uncommon, decreased cellular immunity
usually B

nonH: 50-70 monoclonal
higher stage
BM involvement
humal loss in CLL
9/10 = B
Term
Lymphocyte predominant hodkins disease
Definition
2% cases, highest survival and best prognosis

POPCORN CELLS +/- Reed sternburg
CD 45/CD20

Cervical involvement common
B cell predominant
Term
Lymphocyte rich classic
Definition
CD 15/30 with reedsternburg and very high survival.
Term
Nodular schlerosis HL
Definition
1. female predominant with good prognosis and decent survival
15/30 +/- 20 CD.

Lacunar cells, bands fibrosis, mediastinal involvment common
Term
Mixxed cellularity classic HL
Definition
15/30 hodkins with RS cells + eosinophilia + plasma cells and focal necrosis.

guarded prognosis
Term
Lymphocyte depleted HL
Definition
Often T cell lymphoma with huge amount of RS cells (found older patient)

poor prognosis
Term
NH lymphoma adult vs. child
Definition
adult: follicular, CLL, Mantle
child: burkitt, ALL, Anaplastic large
Term
Rituximab
Definition
CD 20+ mab for B cell lymphomas
Term
Cell surface markers NHL
Definition
SLL: CD 20/5/23
follicular: 20/10 +/- 23
Mantle = 20/5 only
Malt= 20 only
Term
SLL
Definition
same as cll (older adults with richter transformation to large b cell)
CD 20/5/23
Term
Follicular lymhoma
Definition
t(14:18), BCL 2 in germinal center!
pure B with CD10/20/ +/- 23
Term
Follicular lymhoma
Definition
t(14:18)
Term
Mantle cell lymphoma
Definition
t(11:14) CD 5/20 adult high stage lymphoma that may present with splenic or gi involvement and resemble others

BCL-1 = cyclin D1
Term
MALT
Definition
t(11:18) Indolent adult lymphoma associated with H-pylori
CD 20 only

contains plasma cells
Term
DLBCL
Definition
aggressive B cell lymphoma
CD 19/20 +/- 10

(10 BCL6 = more favorable)
Term
Periphral T cell lymphoma
Definition
Very aggressive, Mature T phenotype
Term
Angioimmunoblastic T lymphoma
Definition
Lymph + Liver + pruitis lymphoma with pruitis/rash and poor prognosis due to gammopathy

increase in HEV w/ EBV B

CD 3/4/10!!!
Term
Extranodal NK cell lymphoma
Definition
Lethal midline granuloma
asia/mid america with ulcerating masses
CD56 vasculitis
Term
Mycosis fungiodis Sezary
Definition
T cell lymphoma of skin
cerebreform nucli
pautri microabcesses

CD4+

Sezry = blood involvment skin
Term
Burkits
Definition
Very Aggressive childhood lymphoma
t*8:14) c myc

lots of mitosis and starry ski
EBV

CD 20/10
Term
Lymphoblastic lymphoma
Definition
related to all
aggressive T/B cell lymphoma children
mediastinal cd3 and Tdt markers
Term
anaplastic large cell lymphoma
Definition
Aggressive T (curable)
extranodal which is CD30+ ALK
t(2;5)
Term
MGUS
Definition
monoclonal gammopathy of undetermined signifigance (plasma)--> no bone involvment
Term
MM
Definition
bone destruction, decreased humoral immunity, INcreased M protein from plasma

may cause renal failure from amlydosis

meausre b2 microglobin for prognosis
Term
Plasma cell myloma
Definition
plasma cell only
CRAB presentation (calcium, renal, anemia,bone)

may be smoldering
no organ impariment and elevated M protien 10% clonal plasma cells
Term
amyloids
Definition
AL - mm
AA - RA/chrones (bad)
B = Alzheimrs
Ab2M = hemo
ATTR = familial cardiac
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