Science Quiz / MDTI - Dale Frank Lectures

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Can you name the MDTI NHL buzzwords?

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Prompt
EBV positive is sometimes seen (not burkitt's!)
30-50% transform to DLBCL
age>60, LDH levels up, multiple extranodal involvement are all bad prognostic signs
15-30% become prolymphocytic leukemia
renal failure (casting) due to paraprotein
not technically a lymphoma, but does involve mature B cells
starry sky
Toughie: tumor inhibiting miR-15a/MiR-16-1 lost with 13q deletion
pleiomorphic and heterogenous, difficult to predict behavior
rouleaux
diffuse effacement/psuedofollicles
3 cardinal features: small mature lymphos, monocytoid B cells, plasma cells
three main types: endemic, sporadic, everyone has aids
two main types: germinal center or activated b cell
arises from chronic inflammation (h.pylori, campy, burrelia, HepC?)
60% nodal, 40% extranodal in GI (unlike indolent lymphomas)
50% IgG, 25% IgA
morphology (centroblastic/immunoblastic) not important
smudge cells
extranodal involvement uncommon
uncommon, less than 5 percent
most common leukemia in adults
lymphoepithelial lesions
treatment must begin IMMEDIATELY
85% Bone Marrow involvement
1/3 of all NHL's
Prompt
Observation/Rituximab/CHOP as treatment
three separate diseases: nodal, extranodal, splenic
CD5+/BCL2+
most common lymphoid malignancy in childhood
t(14:18)
multifocal, destroys bone
paraprotein production (sometimes)
Ki67 100%
most common lymphoid malignancy in African Americans
BCL2+
male to female ratio is 2:1
huge expansion of marginal zone
spread quickly to other mucosal sites but may be treated with antibiotics early
Does dale frank hate medical students? (T/F)
Most common NHL
lipid vacuoles in cells
fish-flesh appearance
marrow replacement leads to severe anemia
aggressive extranodal with CNS involvement
extreme paraprotein production
really attacks facial bones
13q/14q32
BCL6+, CD10+, BCL2-
mott cells
prolymphocytes/paraimmunoblasts
Ki67 rate is low
Prompt
interstitial aggregates
can evolve or start de novo
10% undergo Richter's transformation
MUM1 (IRF4), BCL6, BCL10 positive
serum hyperviscosity
deletion 13q/11q/trisomy 12/17p
severe immunodeficiency due to paraprotein
hypovolemia due to hypercalcemia
proliferation rate is high, Ki67+ 40-90%
abdominal (ileocecal) masses more common
express CD56 (NCAM)
presents at single site, bring patients in early
grading based on centroblast number/nodular vs. diffuse growth
osteoclast activation leads to hypercalcemia
peripheral blood involvement very common
flame cell
Bence Jones protein
t(11:18) common/ also t(1:14) and t(14:18)
10-15% get AIHA caused by benign cells
Zap 70+ or Zap 70 -
t(8;14) cMYC translocation
plasma cells account for 10% of cellularity
spectrum from monoclonal gammopathy of undetermined significance
diagnosis (immunophenotype) of exclusion; BCL2+, CD10-, BCL6-
paratrabecular aggregates

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