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Chapter 18
Lymphomas
Overview of lymphocyte development
Lymphocytes develop from a common lymphoid progenitor cell. B cells mature primarily in the bone marrow, whereas T cells mature in the thymus. Although the process and signals of maturation differ between the 2 cell types, they rely on similar genetic events to generate specific antibodies or cell surface receptors. These gene rearrangements are critical for the development of a broad immune repertoire and also provide molecular markers of clonality that can be used to diagnose lymphoid malignancies.
B-cell development
B-cell maturation consists of early (antigen-independent) and late (antigen-dependent) stages. Early development is initiated by the rearrangement of genes for the heavy T-cell development Biology of lymphomas Diagnostic testing in lymphoproliferative disorders Morphology Immunophenotyping Molecular genetics/cytogenetics Classification of lymphomas
Non-Hodgkin lymphomas
Classification Epidemiology, pathogenesis, and molecular characterization Gene signatures in lymphoma Staging and prognostic factors Patient follow-up Indolent B-cell NHL Follicular lymphoma Management of patients with localized follicular lymphoma Primary therapy of advanced-stage follicular lymphoma Therapy for relapsed and refractory follicular lymphoma High-dose chemotherapy and ASCT Tumor vaccine approaches Marginal zone lymphomas MALT lymphomas Nodal MZL Splenic MZL Lymphoplasmacytic lymphoma and Waldenström macroglobulinemia Hairy cell leukemia Transformation to aggressive lymphoma in indolent lymphomas Aggressive B-cell lymphomas Diffuse large B-cell lymphoma Treatment of advanced-stage DLBCL Treatment of localized DLBCL Assessment of therapeutic response in DLBCL Relapsed and refractory DLBCL Primary mediastinal (thymic) large B-cell lymphoma Burkitt lymphoma Mantle cell lymphoma Peripheral T-cell lymphomas Indolent PTCLs Aggressive PTCLs PTCL–not otherwise specified Angioimmunoblastic T-cell lymphoma Anaplastic large-cell lymphoma Extranodal NK/T-cell lymphoma, nasal-type Rare PTCL subtypes Primary cutaneous PTCL, rare aggressive subtypes
Immunodeficiency-associated lymphoproliferative disorders
Primary CNS lymphoma NHLs in children
Hodgkin lymphoma
Pathology Classical Hodgkin lymphoma Nodular sclerosis CHL Mixed cellularity CHL Lymphocyte-rich CHL Lymphocyte-depleted CHL Nodular lymphocyte-predominant HL Staging and prognostic factors Treatment of HL Treatment of early-stage HL Treatment of advanced-stage HL Treatment of relapsed/refractory disease Hematopoietic stem cell transplantation HL in children Long-term complications of HL therapy | ||||||||||||||||||||||||||||||||||||||||||||||||||||