Lymphoma Flashcards

(31 cards)

1
Q

What are the two types of lymphoma

A

Hodgkin and Non Hodgkin

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2
Q

What is the main presentation of either type of lymphoma

A

B sings

Low grade fever, night sweats, weight loss

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3
Q

What is the spread of Hodgkins lympoma

A

Localized, single group of nodes with contiguous spread overall prognosis is better than non hodgkin

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4
Q

What is the strongest predictor of hodgkin prognosis

A

STAGE

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5
Q

What are the primary characteristics of hodgkins lympoma

A

Reed Sternberg Cells

are CD15 and CD30 + Bcells

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6
Q

What is the Distribution in age groups among Hodgkin lymphoma

A

Bimodal; young adult and >55

More common in men (except nodular sclerosing type)

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7
Q

What condition is Hodgkin lympoma associated with

A

EBV

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8
Q

What is the spread of Non Hodgkins lympoma

A

Multiple lymph nodes involved; extranodal involvement is common with noncontiguous spread

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9
Q

What are the primary characteristics of Non hodgkins lympoma

A

most invovle b cells

few are of t cell lineage

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10
Q

What is the Distribution in age groups among Non Hodgkin lymphoma

A

Can occur in children or adults

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11
Q

What condition is Non Hodgkin lympoma associated with

A

May be associated with HIV and autoimmune

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12
Q

What is the most common type of hodgkin lymphoma

A

Nodular sclerosing type

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13
Q

What Hodgkin lympoma has the best prognosis

A

lymphocyte rick

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14
Q

Which hodgkin lympoma is associated with eosinophilia

A

Mixed cellularity

seen in immunocompromised pts

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15
Q

Which hodgkin lymphoma is only seen in immunocompromised pts

A

lymphocyte depleted

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16
Q

What are the genetic alterations associated with:

Burkitt lymphoma

A

T( 8 ; 14 )

tranlslocation of c-myc (8) and Heavy chain Ig (14)

17
Q

What are the genetic alterations associated with:

Diffuse large b cell lymphoma

A

alterations in BCL2, BCL6

18
Q

What are the genetic alterations associated with:

Follicular lymphoma

A

T( 14 ; 18 )

translocation of Heavy chain Ig (14) and BCL2 (18)

19
Q

What are the genetic alterations associated with:

Mantle cell lymphoma

A

T( 11 ; 14 )
Translocation of cyclin D1 (11) and Heavy chain Ig (14)
CD 5+

20
Q

What are the genetic alterations associated with:

Marginal zone lymphoma

21
Q

What are the genetic alterations associated with:

Primary central nervous system lymphoma

A

most commonly associated with HIV/AIDS

involves EBV infection

22
Q

What are the genetic alterations associated with:

Adult T Cell lymphoma

A

Caused by HTLV; associated with IV drug abuse

common in Japan West Africa and caribean

23
Q

What are the genetic alterations associated with:

Mycosis fungoides/sezary syndrome

A

Cutaneous T cell Lymphoma (may progress to Sezary syndrome T cell leukemia)

24
Q

What Non hodgkin lymphoma presents as stary sky of sheets of lymphocytes with tingible body macrophages

A

Burkitt lymphoma

25
What is the most common type of Non hodgkin lymphoma in adults
Diffuse large B cell lymphoma
26
What are the characteristics of follicular lymphoma
Indolent course presenting with painless waxing and waning lymphadenopathy
27
What are the characteristics of mantle cell lymphoma
Very agressive typically see at a late stage
28
What Non hodgkin lymphoma is associated with chronic inflamation like sjogren or chronic gastritis
Marginal zone lymphoma
29
How does primary central nervous system lymphoma present
Aids defining illness variable with confusion memory loss or seizures lesions may be ring enchancing and needs to be distinguished from toxo via csf analysis
30
What characterizes the cells of mycosis fungoides
Atypical CD4+ cells with cerebriform nuclei and intraepidermal neoplastic cell aggregates Pautrier microabscesses
31
What is the endemic form and sporadic form of burkitt lymphoma
Endemic: jaw lesion in africa Sporadic: pelvis or abdomen