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| ==B cell small lymphocytic lymphoma/chronic lymphocytic leukemia== | | ==B cell small lymphocytic lymphoma/chronic lymphocytic leukemia== |
| *Abbreviated ''CLL'' and ''SLL''.
| | {{Main|B cell small lymphocytic lymphoma/chronic lymphocytic leukemia}} |
| ===General===
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| *Very common.
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| *Good prognosis.
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| ====Richter's transformation====
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| *CLL/SLL may under go a ''Richter's transformation'' into a high-grade non-Hodgkin's lymphoma (NHL), e.g. [[DLBCL]]:<ref name=pmid16616072>{{cite journal |author=Tsimberidou AM, Keating MJ |title=Richter's transformation in chronic lymphocytic leukemia |journal=Semin. Oncol. |volume=33 |issue=2 |pages=250–6 |year=2006 |month=April |pmid=16616072 |doi=10.1053/j.seminoncol.2006.01.016 |url=}}</ref>
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| **Incidence of transformation <5%.
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| **Prognosis < 1 year.
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| ===Microscopic===
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| Features in a lymph node:<ref>DG. 17 August 2010.</ref>
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| *Mixed population of lymphoid cells with "proliferation centers" - '''key feature''':
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| *#Larger cells (~ 1.5x the size of resting lymphocyte ~ 12-15 micrometers):
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| *#*Nucleoli.
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| *#*Form (nodular) collections.
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| *#Small dark cells (~ size of resting lymphocyte ~ 8-10 micrometers):
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| *#*Predominant population.
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| *#*Lack nucleolus.
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| ====Images====
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| <gallery>
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| Image:Chronic lymphocytic leukemia - low mag.jpg | CLL - low mag. (WC)
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| Image:Chronic lymphocytic leukemia - intermed mag.jpg | CLL - intermed. mag. (WC)
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| Image:Chronic lymphocytic leukemia - high mag.jpg | CLL - high mag. (WC)
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| Image:Chronic lymphocytic leukemia - very high mag.jpg | CLL - very high mag. (WC)
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| </gallery>
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| www:
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| *[http://www.pathologyatlas.ro/chronic-lymphoid-leukemia-liver.php CLL in the liver (pathologyatlas.ro)].
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| *[http://path.upmc.edu/cases/case296.html SLL in the parotid - several images (upmc.edu)].
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| *[http://path.upmc.edu/cases/case446.html CLL with Richter transformation - several images (upmc.edu)].
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| ===IHC===
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| *CD20 +ve.
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| *CD5 +ve.
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| *[[CD23]] +ve -- occasionally negative.<ref>URL: [http://path.upmc.edu/cases/case296/dx.html http://path.upmc.edu/cases/case296/dx.html]. Accessed on: 14 January 2012.</ref>
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| *CD43 +ve.
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| Others:
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| *Cyclin D1 -ve.
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| ===Molecular===
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| *Lacks t(11;14) seen in [[mantle cell lymphoma]].
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| ==Precursor B-cell lymphoblastic lymphoma/leukemia == | | ==Precursor B-cell lymphoblastic lymphoma/leukemia == |