Follicular lymphoma classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]

Overview

According to the World Health Organization (WHO), follicular lymphoma may be classified into 3 subtypes: low-grade follicular lymphoma, high-grade follicular lymphoma, and diffuse large B cell lymphoma. Three variants of follicular lymphoma include pediatric follicular lymphoma, primary intestinal follicular lymphoma, and other extranodal follicular lymphoma.

Classification

1- Morphological Classification

The World Health Organization (WHO) classifies follicular lymphoma as follows:[1][2]

  • Grades 1 and 2 also known as low-grade follicular lymphoma
  • Grade 3A as high-grade follicular lymphoma
  • Grade 3B as diffuse large B cell lymphoma

2- Variants of Follicular Lymphoma

Follicular lymphoma has 3 variants that include the following:[3][4]

A. Pediatric follicular lymphoma

B. Primary intestinal follicular lymphoma

  • Found in the second portion of the duodenum
  • Present as multiple polyps
  • Diagnosis is most often an incidental finding
  • Most patients have localized disease
  • Prognosis is excellent even without treatment

C. Other extranodal follicular lymphomas

  • Usually have localized extranodal disease.
  • Systemic relapses are rare.
  • Testicular follicular lymphoma are reported with increased frequency in children, but also are reported in adults.

References

  1. "Follicular Lymphomas". Retrieved 2008-07-26.
  2. Anderson T, Chabner BA, Young RC, Berard CW, Garvin AJ, Simon RM; et al. (1982). "Malignant lymphoma. 1. The histology and staging of 473 patients at the National Cancer Institute". Cancer. 50 (12): 2699–707. PMID 7139563.
  3. National Cancer Institute. Surveillance, Epidemiology, and End Results Program 2015. http://seer.cancer.gov
  4. Kojima M, Yamanaka S, Yoshida T, Shimizu K, Murayama K, Ohno Y; et al. (2006). "Histological variety of floral variant of follicular lymphoma". APMIS. 114 (9): 626–32. doi:10.1111/j.1600-0463.2006.apm_424.x. PMID 16948815.