リンパ性白血病
WordNet
- of or relating to or produced by lymph
- malignant neoplasm of blood-forming tissues; characterized by abnormal proliferation of leukocytes; one of the four major types of cancer (同)leukaemia, leucaemia, cancer of the blood
PrepTutorEJDIC
- リンパ[液]の / (人が)不活発な,鈍重な
- 白血病
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/10/11 02:14:12」(JST)
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Lymphoid leukemia |
Classification and external resources |
ICD-10 |
C91 |
ICD-9 |
204 |
MeSH |
D007945 |
Lymphoid leukemia or lymphocytic leukemia is a type of leukemia affecting circulating lymphocyte cells. This is in contrast to lymphoma, which is a solid tumor of the same type of cells.[1]
Lymphocytes are a subtype of white blood cells. Most lymphoid leukemias involve a particular subtype of lymphocytes, the B cell.
Contents
- 1 Classification
- 1.1 B-cell leukemias
- 1.2 T-cell leukemias
- 2 References
Classification
Historically, they have been most commonly divided by the stage of maturation at which the clonal (neoplastic) lymphoid population stopped maturing:
- Acute lymphoblastic leukemia
- Chronic lymphocytic leukemia
However, the influential WHO Classification (published in 2001) emphasized a greater emphasis on cell lineage. To this end, lymphoid leukemias can also be divided by the type of cells affected:
- B-cell leukemia
- T-cell leukemia
- NK-cell leukemia
The most common type of lymphoid leukemia is B-cell chronic lymphocytic leukemia.
B-cell leukemias
Lymphoid leukemia |
Classification and external resources |
MeSH |
D015448 |
B-cell leukemia describes several different types of lymphoid leukemia which affect B cells.
Comparison of most common B-cell leukemias |
Incidence |
Histopathology |
Cell markers |
Comments |
B-cell chronic lymphocytic leukemia
(ICD-O: 9823/3) |
30% of all leukemias. Also 3 to 4% of lymphomas in adults[2] |
Small resting lymphocytes mixed with variable number of large activated cells. Lymph nodes are diffusely effaced[2] |
CD5, surface immunoglobulin[2] |
Occurs in older adults. Usually involves lymph nodes, bone marrow and spleen. Most patients have peripheral blood involvement. Indolent.[2] |
Precursor B-cell lymphoblastic leukemia
(ICD-O: 9835/3-9836/3) |
85% of acute leukemias in childhood,[2] Less common in adults[2] |
Lymphoblasts with irregular nuclear contours, condensed chromatin, small nucleoli and scant cytoplasm without granules.[2] |
TdT, CD19[2] |
Usually presents as acute leukemia[2] |
Other types include (with ICD-O code):
- 9826/3 - Acute lymphoblastic leukemia, mature B-cell type
- 9833/3 - B-cell prolymphocytic leukemia
- 9940/3 - Hairy cell leukemia
T-cell leukemias
T-cell leukemia |
Classification and external resources |
MeSH |
D015458 |
T-cell leukemia describes several different types of lymphoid leukemias which affect T cells.
The most common T-cell leukemia is precursor T-cell lymphoblastic leukemia.[2] It causes 15% of acute leukemias in childhood, and also 40% of lymphomas in childhood.[2] It is most common in adolescent males.[2] Its morphology is identical to that of precursor B-cell lymphoblastic leukemia.[2] Cell markers include TdT, CD2, CD7.[2] It often presents as a mediastinal mass because of involvement of the thymus.[2] It is highly associated with NOTCH1 mutations.[2]
Other types include:
- Large granular lymphocytic leukemia
- Adult T-cell leukemia/lymphoma
- T-cell prolymphocytic leukemia
In practice, it can be hard to distinguish T-cell leukemia from T-cell lymphoma, and they are often grouped together.
References
- ^ Parham, Peter (2005). The immune system. New York: Garland Science. p. 414. ISBN 0-8153-4093-1.
- ^ a b c d e f g h i j k l m n o p Table 12-8 in: Mitchell, Richard Sheppard; Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson. Robbins Basic Pathology. Philadelphia: Saunders. ISBN 1-4160-2973-7. 8th edition.
Hematological malignancy/leukemia histology (ICD-O 9590–9989, C81–C96, 200–208)
Lymphoid/Lymphoproliferative, Lymphomas/Lymphoid leukemias (9590–9739, 9800–9839)
|
|
B cell
(lymphoma,
leukemia)
(most CD19
|
By development/
marker
|
TdT+
|
- ALL (Precursor B acute lymphoblastic leukemia/lymphoma)
|
|
CD5+
|
mantle zone (Mantle cell)
|
|
CD22+
|
- Prolymphocytic
- CD11c+ (Hairy cell leukemia)
|
|
CD79a+
|
- germinal center/follicular B cell (Follicular
- Burkitt's
- GCB DLBCL
- Primary cutaneous follicular lymphoma)
marginal zone/marginal-zone B cell (Splenic marginal zone
- MALT
- Nodal marginal zone
- Primary cutaneous marginal zone lymphoma)
|
|
RS (CD15+, CD30+)
|
- Classic Hodgkin's lymphoma (Nodular sclerosis)
- CD20+ (Nodular lymphocyte predominant Hodgkin's lymphoma)
|
|
PCDs/PP
(CD38+/CD138+)
|
- see immunoproliferative immunoglobulin disorders
|
|
|
By infection
|
- KSHV (Primary effusion)
- EBV (Lymphomatoid granulomatosis
- Post-transplant lymphoproliferative disorder)
- HIV (AIDS-related lymphoma)
- Helicobacter pylori (MALT lymphoma)
|
|
Cutaneous
|
- Diffuse large B-cell lymphoma
- Intravascular large B-cell lymphoma
- Primary cutaneous marginal zone lymphoma
- Primary cutaneous immunocytoma
- Plasmacytoma
- Plasmacytosis
- Primary cutaneous follicular lymphoma
|
|
|
T/NK
|
T cell
(lymphoma,
leukemia)
(most CD3
|
By development/
marker
|
- TdT+: ALL (Precursor T acute lymphoblastic leukemia/lymphoma)
- prolymphocyte (Prolymphocytic)
- CD30+ (Anaplastic large-cell lymphoma
- Lymphomatoid papulosis type A)
|
|
Cutaneous
|
MF+variants
|
- indolent: Mycosis fungoides
- Pagetoid reticulosis
- Granulomatous slack skin
aggressive: Sézary's disease
- Adult T-cell leukemia/lymphoma
|
|
Non-MF
|
- CD30-: Non-mycosis fungoides CD30− cutaneous large T-cell lymphoma
- Pleomorphic T-cell lymphoma
- Lymphomatoid papulosis type B
CD30+: CD30+ cutaneous T-cell lymphoma
- Secondary cutaneous CD30+ large cell lymphoma
- Lymphomatoid papulosis type A
|
|
|
Other peripheral
|
- Hepatosplenic
- Angioimmunoblastic
- Enteropathy-associated T-cell lymphoma
- Peripheral T-cell lymphoma-Not-Otherwise-Specified (Lennert lymphoma)
- Subcutaneous T-cell lymphoma
|
|
By infection
|
- HTLV-1 (Adult T-cell leukemia/lymphoma)
|
|
|
NK cell/
(most CD56)
|
- Aggressive NK-cell leukemia
- Blastic NK cell lymphoma
|
|
T or NK
|
- EBV (Extranodal NK-T-cell lymphoma/Angiocentric lymphoma)
- Large granular lymphocytic leukemia
|
|
|
Lymphoid+myeloid
|
- Acute biphenotypic leukaemia
|
|
Lymphocytosis
|
- Lymphoproliferative disorders (X-linked lymphoproliferative disease
- Autoimmune lymphoproliferative syndrome)
- Leukemoid reaction
- Diffuse infiltrative lymphocytosis syndrome
|
|
|
Cutaneous lymphoid hyperplasia |
- Cutaneous lymphoid hyperplasia
- with bandlike and perivascular patterns
- with nodular pattern
- Jessner lymphocytic infiltrate of the skin
|
|
|
cell/phys/auag/auab/comp, igrc
|
|
|
|
|
|
UpToDate Contents
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English Journal
- ZGDHu-1 promotes apoptosis of chronic lymphocytic leukemia cells.
- Qiu LN, Zhou YL, Wang ZN, Huang Q, Hu WX.SourceCentre of Laboratory Medicine, Zhejiang Provincial People's Hospital, Hangzhou 310014, P.R. China.
- International journal of oncology.Int J Oncol.2012 Aug;41(2):533-40. doi: 10.3892/ijo.2012.1467. Epub 2012 May 8.
- Chronic lymphocytic leukemia (CLL) is a low-grade lymphoid malignancy incurable with conventional modalities of chemotherapy. We aimed to examine the proapoptotic effects of a novel proteasome inhibitor, N,N'-di-(m-methylphenyi)-3,6- dimethyl-1,4-dihydro-1,2,4,5-tetrazine-1,4
- PMID 22581170
- Cytogenetic profile of 1,863 Ph/BCR-ABL-positive chronic myelogenous leukemia patients from the Chinese population.
- Mu Q, Ma Q, Wang Y, Chen Z, Tong X, Chen FF, Lu Y, Jin J.SourceDepartment of Hematology & Institute of Hematology, The First Affiliated Hospital, Zhejiang University School of Medicine, No.79 Qingchun Road, Hangzhou, 310003, Zhejiang, People's Republic of China.
- Annals of hematology.Ann Hematol.2012 Jul;91(7):1065-72. Epub 2012 Feb 15.
- Cytogenetic analyses of chronic myelogenous leukemia (CML) have been performed previously in a large number of reports, but systematical research based on large sample sizes from the Chinese population is seldom available. In this study, we analyzed the cytogenetic profiles of 1,863 Philadelphia (Ph
- PMID 22349721
Japanese Journal
- Successful Extracorporeal Life Support for Life-threatening Hypercapnia with Bronchiolitis Obliterans after Allogeneic Hematopoietic Stem Cell Transplantation
- Waseda Koichi,Tanimoto Yasushi,Ichiba Shingo,Miyahara Nobuaki,Murakami Toshi,Ochi Nobuaki,Terado Michihisa,Nagano Osamu,Maeda Yoshinobu,Kanehiro Arihiko,Ujike Yoshihito,Tanimoto Mitsune
- Acta Medica Okayama 65(6), 403-406, 2011-12
- … We here report a case of a 31-year woman with acute lymphatic leukemia, which was treated by chemotherapy and HSCT, and consequently developed BO 2 years after HSCT. …
- NAID 80022180813
- Lack of non-hematological cross intolerance of dasatinib to imatinib in imatinib-intolerant patients with Philadelphia chromosome positive chronic myeloid leukemia or acute lymphatic leukemia : a retrospective safety analysis
- KOBAYASHI Yukio,SAKAMAKI Hisashi,FUJISAWA Shin,ANDO Kiyoshi,YAMAMOTO Kazuhito,OKADA Masaya,ISHIZAWA Kenichi,NAGAI Tadashi,MIYAWAKI Syuichi,MOTOJI Toshiko,USUI Noriko,IIDA Shinsuke,TANIWAKI Masafumi,UOSHIMA Nobuhiko,SERIU Taku,OHNO Ryuzo
- International journal of hematology 93(6), 745-749, 2011-06-01
- NAID 10029535516
Related Links
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★リンクテーブル★
[★]
- 英
- lymphatic leukemia, lymphacytic leukemia
- 関
- 白血病、白血病ウイルス、急性骨髄性白血病、慢性骨髄性白血病
[★]
- 関
- lymph、lymph duct、lymphatic vessel、lymphocytic