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onc 8

Terms

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small lymphocytic lymphoma - No germinal centers, no sinuses – just a sheet

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small lymphocytic lymphoma - No germinal centers, no sinuses – just a sheet

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Small lymphocytes

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Intermediate/mantle cell
lymphocytes

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Small Cleaved lymphocytes

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Diffuse Large B-Cell Lymphoma - Intermediate Grade

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Lymphoblastic Lymphoma - High Grade

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Lymphoblastic Lymphoma - High Grade

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Burkitt’s Lymphoma - High Grade - Macrophages with debris form the “starry sky

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Burkitt’s Lymphoma - involving the bone marrow - Characteristic cytoplasmic
vacuoles
small lymphocytic lymphoma (SLL)
- low grade but not curable
- disease of the elderly
- like CLL but in lymph
- Mature B-cell - (CD19-23) co-expressing CD5, & κ or λ
follicular (small cleaved cell) lymphoma
- low grade but incurable
- t(14;18) -> too much Bcl2
- Age and HIV determine - 2nd most common lymphoma
- Mature B-cell (CD19, 20, 22) w/ CD10+ and κ or λ
Large Diffuse Cell Lymphoma
- intermediate grade but curable w/ RCHOP + Rituximab
- Most common type of NHL
- Can have B symptoms
- BCL6 (3q26-27) is common, but is better prognosis
- Transformation of germinal center centroblasts
- 1/3 extranodal - GI, brain
Lymphoblastic Lymphoma
- high grade
- Young, usually female
- Ass. w/ mediastinal mass
- Treated like ALL
- T-cell w/ CD3, 4, 8 and TdT
Burkitt’s lymphoma
- agressive - can get Tumor lysis syndrome -> renal probs
- abdominal mass - no EBV in US, but EBV in africa
- Ass. w/ t(8;14) -> c-myc
- like L3 ALL, w/ Mature B-cell phenotype
chromosomes usually involved w/ lymphoma
- 14 (Ig heavy chain)
- 2 (k light chain)
- 22 (l light chain)

Deck Info

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