Epstein–Barr virus-positive DLBCL of the elderly

Epstein–Barr virus-positive DLBCL of the elderly is a type of large B-cell lymphoma, recognized in the WHO 2008 classification.[1][2]:369–370[3] It is usually CD20 positive, and has clonal immunoglobulin gene rearrangement.[2]:380

Biology

This type of lymphoma is not associated with immunodeficiency.[2]:369 Although reported almost exclusively in Asians, it is not confined to that population.[2]:369[4] The disease usually has an extranodal presentation, with or without lymph node involvement.[2]:369

Morphologically, areas of necrosis are often seen[2]:370[3] as well as Reed–Sternberg-like cells.[2]:370[3] There are two subtypes: one with monotonous large cells, the other with numerous cell sizes as well as reactive cells, but different clinical behavior is not appreciated between these subtypes.[2]:370 Morphological differential diagnosis is Hodgkin lymphoma.[2]:370

Median survival 2 years, 25% 5-year survival.[2]:369

See also

References

  1. ↑ Swerdlow, Steven H.; International Agency for Research on Cancer; World Health Organization (2008). WHO classification of tumours of haematopoietic and lymphoid tissues. World Health Organization classification of tumours. 2 (4th ed.). International Agency for Research on Cancer. ISBN 9789283224310.
  2. 1 2 3 4 5 6 7 8 9 10 Jaffe ES, Harris NL, Vardiman JW, Campo E, Arber, DA (2011). Hematopathology (1st ed.). Elsevier Saunders. ISBN 9780721600406.
  3. 1 2 3 Adam P, Bonzheim I, Fend F, Quintanilla-Martínez L (2011). "Epstein-Barr virus-positive diffuse large B-cell lymphomas of the elderly". Adv Anat Pathol. 18 (5): 349–55. PMID 21841405. doi:10.1097/PAP.0b013e318229bf08.
  4. ↑ Ok CY, Papathomas TG, Medeiros LJ, Young KH (2013). "EBV-positive diffuse large B-cell lymphoma of the elderly". Blood. 122 (3): 328–40. PMC 3779382 Freely accessible. PMID 23649469. doi:10.1182/blood-2013-03-489708.
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