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Large-cell lymphoma


FieldValue
nameLarge-cell lymphoma
imagePrimary mediastinal large B-cell lymphoma - high mag.jpg
captionMicrograph of a primary mediastinal large B-cell lymphoma, a type of large-cell lymphoma. H&E stain.
fieldOncology

The large-cell lymphomas have large cells. One classification system for lymphomas divides the diseases according to the size of the white blood cells that have turned cancerous. A large cell, in this context, has a diameter of 17 to 20 μm. Other groups of lymphomas in this system are the small-cell lymphomas and mixed-cell lymphomas.

Types

B cell

Diffuse large B-cell lymphoma is the most common of the large-cell lymphomas. MeSH now classifies the phrase "large-cell lymphoma" under "Diffuse large B cell lymphoma".

Many other B-cell lymphomas feature large cells:

  • Angiocentric lymphoma
  • Burkitt's lymphoma
  • Follicular large-cell lymphoma
  • Immunoblastic lymphoma
  • Intravascular large-cell lymphoma
  • Primary mediastinal B-cell lymphoma
  • T-cell–rich B-cell lymphoma
  • Primary splenic lymphoma (rare)
  • Primary central nervous system lymphomas, which are often diffuse large-B-cell lymphomas
  • Richter's transformation: Diffuse Large B-cell Variant
    1. ABC subtype (common)
    1. GCB subtype (rare)

Activated B-Cell Diffuse Large B-Cell Lymphoma, or ABC-DLBCL, is believed to be caused by aberrant activation of a critical intracellular pathway. This intracellular signaling pathway involved in B-cell activation and proliferation stays constantly activated, driving lymphocytes to proliferate continuously. The inhibition of this pathway can be induced by a drug known as NEMO Binding Domain, or NBD, a peptide causing increased cell death of malignant lymphocytes.

T cell

Less commonly, a large-cell lymphoma may feature T cells. Anaplastic large-cell lymphoma is an example of a large-cell lymphoma that involves T cells. Of the large-cell T-cell lymphomas, it has the best prognosis.

References

References

  1. Turgeon, Mary Louise. (2005). "Clinical hematology: theory and procedures". Lippincott Williams & Wilkins.
  2. {{MeshName. Large+cell+lymphoma
Info: Wikipedia Source

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