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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Differential diagnosis of diffuse large B-cell lymphoma

Differential diagnosis of diffuse large B-cell lymphoma
Entity Histology Immunophenotype Genetic features/other
Diffuse large B-cell lymphoma Large, transformed B-cells with prominent nucleoli and basophilic cytoplasm, a diffuse growth pattern and a high proliferation (Ki-67+) fraction. Generally express pan B-cell antigens (CD19, CD20, CD22, CD79a). The majority has genetic abnormalities, but there is no single cytogenetic change that is typical or diagnostic.
Burkitt lymphoma Monomorphic, medium-sized cells with round nuclei, multiple nucleoli, basophilic cytoplasm, prominent cytoplasmic lipid vacuoles, and a "starry-sky" pattern. Ki-67+ fraction approaching 100 percent. Express surface IgM and B-cell-associated antigens (CD19, CD20, CD22, CD79a), as well as CD10, HLA-DR, and CD43. They lack CD5, bcl-2, and typically lack CD23. Strongly (but not uniformly) associated with a translocation between the long arm of chromosome 8, the site of the c-MYC oncogene (8q24), and one of three locations on Ig genes: t(8;14), t(2;8), or t(8;22).
Anaplastic large cell lymphoma Large cells with horseshoe-shaped or embryoid nuclei, prominent nucleoli, and abundant cytoplasm. Often shows a cohesive growth pattern. Homogeneous and strong expression of CD30 in a membrane and golgi pattern. Usually express one or more T-cell antigens (ie, CD2, CD3, CD5, CD7). Do not express B-cell antigens. Two distinct subtypes: ALK positive (detected by immunostains or molecular genetics) and ALK negative.
Hodgkin lymphoma Lymphocyte predominant or lymphocyte rich classical Hodgkin lymphoma (HL) can morphologically resemble T-cell histiocyte rich large B-cell lymphoma. The HL tumor contains a minority of neoplastic cells (Reed-Sternberg cells and their variants) in an inflammatory background. The neoplastic cells typically express CD15 and CD30, variably express CD20, and do not express CD3 or CD45. There is no single cytogenetic change that is typical or diagnostic.
Graphic 56467 Version 1.0

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