Intravascular large B-cell lymphoma: Difference between revisions
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== Overview == | |||
==Classification== | |||
Intravascular large B-cell lymphoma may be classified into either | |||
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== Pathophysiology== | |||
===Microscopic Pathology=== | |||
==Causes== | |||
There are no established causes for intravascular large B-cell lymphoma. | |||
==Differentiating type page name here from other Diseases== | |||
Intravascular large B-cell lymphoma must be differentiated from other diseases such as: | |||
== Epidemiology and Demographics == | |||
===Age=== | |||
===Gender=== | |||
== Risk Factors == | |||
There are no established risk factors for intravascular large B-cell lymphoma. | |||
== Screening == | |||
According to the the U.S. Preventive Service Task Force (USPSTF), there is insufficient evidence to recommend routine screening for intravascular large B-cell lymphoma.<ref name=uspreventive> Recommendations. U.S Preventive Services Task Force. Accessed on March 9, 2016</ref> | |||
== Natural History, Complications and Prognosis== | |||
* People with this type of lymphoma can also develop a very serious condition where certain parts of the immune system are activated (hemophagocytic syndrome).<ref name=seer.cancer.gov>Intravascular large B-cell lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd54a7/. Accessed on March 09, 2016 </ref> | |||
* Hemophagocytic syndrome causes: | |||
:* [[Fever]] | |||
:* Enlarged liver and spleen ([[hepatosplenomegaly]]) | |||
:* A lower number of red blood cells, white blood cells and platelets in the blood ([[pancytopenia]]) | |||
== Diagnosis == | |||
=== Symptoms === | |||
Symptoms of the intravascular large B-cell lymphoma include:<ref name=seer.cancer.gov>Intravascular large B-cell lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd54a7/. Accessed on March 09, 2016 </ref> | |||
* [[Fever]] | |||
* [[Weight loss]] | |||
* [[Night sweats]] | |||
* Painless swellings in the neck, axilla, groin, thorax, and abdomen | |||
* Pain in the chest, abdomen, or bones | |||
=== Physical Examination === | |||
====Vitals==== | |||
* [[Fever]] is often present | |||
====Skin==== | |||
* Skin rash | |||
====HEENT==== | |||
* [[Lymphadenopathy|Cervical lymphadenopathy]] | |||
====Thorax==== | |||
* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]] | |||
====Abdomen==== | |||
* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]] | |||
* [[Hepatosplenomegaly]] | |||
====Extremities==== | |||
* [[Lymphadenopathy|Peripheral lymphadenopathy]] | |||
===Laboratory Findings === | |||
Laboratory tests for intravascular large B-cell lymphoma include:<ref name=seer.cancer.gov>Intravascular large B-cell lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd54a7/. Accessed on March 09, 2016 </ref> | |||
* [[Complete blood count]] (CBC): [[pancytopenia]] | |||
* Blood chemistry studies: | |||
* Cytogenetic analysis | |||
* [[Flow cytometry]] | |||
* [[Immunohistochemistry]] | |||
* [[Immunophenotyping]] | |||
====Biopsy==== | |||
Lymph node biopsy is diagnostic of intravascular large B-cell lymphoma. | |||
==== Other Imaging Findings ==== | |||
[[CT]], [[MRI]], and [[PET]] scan may be helpful in the diagnosis of intravascular large B-cell lymphoma. | |||
==Treatment== | |||
===Medical Therapy=== | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Disease]] | |||
[[Category:Oncology]] | |||
==Related Chapters== | ==Related Chapters== | ||
* [[Richter's transformation]] | * [[Richter's transformation]] |
Revision as of 16:54, 9 March 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]
Synonyms and keywords:
Overview
Classification
Intravascular large B-cell lymphoma may be classified into either
Name | Description |
---|---|
Pathophysiology
Microscopic Pathology
Causes
There are no established causes for intravascular large B-cell lymphoma.
Differentiating type page name here from other Diseases
Intravascular large B-cell lymphoma must be differentiated from other diseases such as:
Epidemiology and Demographics
Age
Gender
Risk Factors
There are no established risk factors for intravascular large B-cell lymphoma.
Screening
According to the the U.S. Preventive Service Task Force (USPSTF), there is insufficient evidence to recommend routine screening for intravascular large B-cell lymphoma.[1]
Natural History, Complications and Prognosis
- People with this type of lymphoma can also develop a very serious condition where certain parts of the immune system are activated (hemophagocytic syndrome).[2]
- Hemophagocytic syndrome causes:
- Fever
- Enlarged liver and spleen (hepatosplenomegaly)
- A lower number of red blood cells, white blood cells and platelets in the blood (pancytopenia)
Diagnosis
Symptoms
Symptoms of the intravascular large B-cell lymphoma include:[2]
- Fever
- Weight loss
- Night sweats
- Painless swellings in the neck, axilla, groin, thorax, and abdomen
- Pain in the chest, abdomen, or bones
Physical Examination
Vitals
- Fever is often present
Skin
- Skin rash
HEENT
Thorax
- Thoracic masses suggestive of central lymphadenopathy
Abdomen
- Abdominal masses suggestive of central lymphadenopathy
- Hepatosplenomegaly
Extremities
Laboratory Findings
Laboratory tests for intravascular large B-cell lymphoma include:[2]
- Complete blood count (CBC): pancytopenia
- Blood chemistry studies:
- Cytogenetic analysis
- Flow cytometry
- Immunohistochemistry
- Immunophenotyping
Biopsy
Lymph node biopsy is diagnostic of intravascular large B-cell lymphoma.
Other Imaging Findings
CT, MRI, and PET scan may be helpful in the diagnosis of intravascular large B-cell lymphoma.
Treatment
Medical Therapy
References
- ↑ Recommendations. U.S Preventive Services Task Force. Accessed on March 9, 2016
- ↑ 2.0 2.1 2.2 Intravascular large B-cell lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd54a7/. Accessed on March 09, 2016
Related Chapters