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{{Diffuse large B cell lymphoma}}
{{Diffuse large B cell lymphoma}}
{{CMG}}; {{AE}} {{AS}}
{{CMG}}; {{AE}} {{AS}} {{AHS}}
==Overview==
 
Laboratory tests of follicular lymphoma include [[cytology]], [[genetic testing]], histologic confirmation, and [[immunophenotyping]].
== Overview ==
==Laboratory Tests==
Diagnostic Work up for Diffuse Large B cell Lymphoma include Laboratory tests including [[Complete Blood count (CBC)]], Comprehensive [[Metabolic Panel]], [[LDH]] and [[Uric acid]] Levels, [[Genetic]] testing, [[molecular]] diagnostic assays and immunophenotyping. Screening tests for [[Hepatitis B]], [[Hepatitis C]] and [[Human Immunodeficiency Virus (HIV)|HIV]] are usually recommended after diagnosis.
Laboratory tests of follicular lymphoma include<ref name=”seer”>National Cancer Institute. Surveillance, Epidemiology, and End Results Program 2015. http://seer.cancer.gov</ref><ref name=”seer”>National Cancer Institute. Surveillance, Epidemiology, and End Results Program 2015. http://seer.cancer.gov</ref>:
 
*[[Cytology]] (for primary CNS lymphoma only)
== Laboratory tests ==
*[[Genetic testing]]
__NOTOC__
:*8q24/''MYC'' [[translocations]]  
{{Diffuse large B cell lymphoma}}
:*Immunoglobulin genes clonally rearranged and hypermutated  
DLBCL require a complete work-up includes immunophenotypic analysis, cytogenetic analysis (conventional methods and FISH), and molecular diagnostic assays.
:*Mutation of ''BCL6'', ''MYC'', ''[[PAX5]]'', ''[[PIM1]]'', ''[[RhoH]]''/''TTFn'', ''[[TP53]]'' genes  
 
:*Translocations involving ''c-MYC'', ''BCL6'', and ''[[IgH]]'' genes
Laboratory tests of diffuse large B cell lymphoma include:<ref name="”seer”">National Cancer Institute. Surveillance, Epidemiology, and End Results Program 2015. http://seer.cancer.gov</ref>
* Histologic confirmation
* [[Complete blood count]] (CBC)
*[[Immunophenotyping]] ''BCL-2+'', ''BCL6+/-'', ''[[CD10]]+'', [[CD15]]+, [[CD20]]+, [[CD22]]+, [[CD30]]+, [[CD79a]]+, EBNA-2+, Fox-P1+, [[IRF4]]/MUM1+, LMP-1+, Surface 4 or cytoplasmic [[immunoglobulin]] (Ig) is absent
* [[Comprehensive metabolic panel]]
* Blood chemistry studies including [[Lactate dehydrogenase|LDH]] and [[Uric acid]]
* [[Immunohistochemistry]](IHC)
** CD20, CD3, CD5, CD45, CD10, BCL-2, BCl-6, MYC, IRF-4/ MUM-1, Ki-67
* [[Flow Cytometry|Flow Cytometry Panel]] (Establishing Reliable Diagnosis require IHC with or without Flow cytometry)
** Kappa/ Lambda, CD3, CD5, CD45, CD10, CD19, CD20
* IHC for DLBCL subtypes:
** Kappa/ Lambda, CD30, CD138, Cyclin/D1, ALK, HHV-8, SOX-11, EBER-ISH
* [[Cytology]] (for primary CNS lymphoma only)
* [[Genetic testing]]
** 8q24/''MYC'' [[translocations]]
** Immunoglobulin genes clonally rearranged and hypermutated
** Mutation of ''BCL6'', ''MYC'', ''[[PAX5]]'', ''[[PIM1]]'', ''[[RhoH]]''/''TTFn'', ''[[TP53]]'' genes
** Translocations involving ''c-MYC'', ''BCL6'', and ''[[IgH]]'' genes
 
* Screening tests for HCV and HBV ( to assess risk of Reactivation following immunotherapy/ chemotherapy) are recommended.
* Screening test for HIV


==References==
==References==
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Latest revision as of 22:39, 23 July 2018

Diffuse large B cell lymphoma Microchapters

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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] Anila Hussain, MD [3]

Overview

Diagnostic Work up for Diffuse Large B cell Lymphoma include Laboratory tests including Complete Blood count (CBC), Comprehensive Metabolic Panel, LDH and Uric acid Levels, Genetic testing, molecular diagnostic assays and immunophenotyping. Screening tests for Hepatitis B, Hepatitis C and HIV are usually recommended after diagnosis.

Laboratory tests

Diffuse large B cell lymphoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diagnosis

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Biopsy

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diffuse large B cell lymphoma laboratory tests On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Diffuse large B cell lymphoma laboratory tests

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Diffuse large B cell lymphoma laboratory tests

CDC on Diffuse large B cell lymphoma laboratory tests

Diffuse large B cell lymphoma laboratory tests in the news

Blogs on Diffuse large B cell lymphoma laboratory tests

Directions to Hospitals Treating Diffuse large B cell lymphoma

Risk calculators and risk factors for Diffuse large B cell lymphoma laboratory tests

DLBCL require a complete work-up includes immunophenotypic analysis, cytogenetic analysis (conventional methods and FISH), and molecular diagnostic assays.

Laboratory tests of diffuse large B cell lymphoma include:[1]

  • Screening tests for HCV and HBV ( to assess risk of Reactivation following immunotherapy/ chemotherapy) are recommended.
  • Screening test for HIV

References

  1. National Cancer Institute. Surveillance, Epidemiology, and End Results Program 2015. http://seer.cancer.gov


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