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Mature Lymphoid Neoplasms
Hematology - HTEC80A
12
Biology
Graduate
12/11/2011

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Term
Lymph Nodes Roles
Definition
Ag recognition, Ag processing, filter/remove foreign particles, & lymphopoiesis
Term
T-lymphocytes
type of immunity?
% in PB?
2 populations
Definition
Cell-mediated immunity
60-80% in PB
populations in CD4 (helper) & CD8 suppressor/cytoxic
Term
B-lymphocytes
Definition
Fx in humoral immunity production of Ab, Ig on MB, shorter lived of the lymphocytes
Term
B-Cell Lymphomas
Clinical Features (4)
Definition
1. lymphadenopathy
2. Night sweats, weight loss
3. May involve BM and PB
4. Variable course
Term
Chronic Lymphocytic Leukemia/SLL
Definition
Small lymphs in blood, BM, and lymphoid organs.
Term
CLL vs SLL
Definition
one is the predominance of lymphs in BM & PB, while the other is primarily lymphocytosis in the lymph nodes and lyphoid organs
Term
Chronic Lymphocytic Leukemia, CLL/SLL
Definition
CS:
Lymphadenopathy, and splenomegaly observed. Transformed to large-cell lymphoma DLBCL aka richter syndrome. >100,000 x 10^9/L WBCs.
Small appearing lymphs.
Susceptibility to infections and ITP
Term
**Diagnostic features of CLL**
Definition
Absolute and Consistent mature lymphocytosis: >5x10^9/L for 3 mos.
Monoclonal B Cell w/ CD5, CD20, CD23*
Typically missing CD10 and FMC7
Term
Prolymphocytic Leukemia
Definition
More agressive that CLL.
>55% of leukemic prolymphs with high WBCs
no CD5 and CD23 like CLL but FMC7, CD20, CD22 present
Term
Hairy Cell Leukemia
Definition
insiduous, BM fibrosis "dry tap" (fibrogenic cytokines), monocytopenia w/ recurrent infections, Strong present of CD22, CD25, CD11c, CD103, but negative for CD5, CD10, CD23 which is in CLL only
RED PULP
Term
SMZL Splenic Marginal Zone Lymphoma
Definition
Small Lymphs replace splenic white pulp. Villous lymphs, Rare, leukocytosis, average about 35 x 10^9/ul. CD20, CD79a, but missing CD5, CD10, CD23 and CD103 as in HCL
Term
MALT mucosa-associated lymphoid tissue
Definition
lacks CD5 and CD10 (only in CLL!) but has CD20, CD79a, CD21, CD35 and have t(11;18)
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