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LYMPHOMA
Roland L. Zara, MD, FPCP
Non- Hodgkin’s Lymphoma
Lymphocytes
Tumor
Reed Sternberg cell
Hodgkin’s Lymphoma
Non- Hodgkin’s Lymphoma
Lymphocytes
Tumor
Reed Sternberg cell
Hodgkin’s Lymphoma
T Cell develops
from bone marrow
Primary lymphoid
organ
Precursor B
cells
Naïve B
cells
Circulate
in blood
Lymph
nodes
Secondary
lymphoid organs
B cells grouped
together into cortex
in
cortex
Differentiates into
plasma cells
particularly in the
medulla
Release antibodies
Clusters of
differentiation
CD 4 CD19
Activated B cell
gets into the
primary LN
Differentiates into
centroblast Proliferate in the
germinal center
Rearrangement of Ig
genes
Goes to the medulla
Memory B cells goes into
blood, spleen, LN,
mucosa associated
lymphoid tissues
Circulate
in the
blood
Genetic mutations in
T cells or Bcells
It this happens
cells should
undergo
APOPTOSIS
Instead the cells divide continuously and
uncontrollably
Neoplastic cell in
Lymph nodes known
as
NODAL LYMPHOMAS
Lymphomas also goes
outside the lymph noses
EXTRA NODAL
LYMPHOMAS
GIT
Intestinal
obstruction
BONE
MARROW
SPINAL CORD
NON HODGKINS B CELL LYMPHOMA
NON HODGKINS B CELL LYMPHOMA
MORE COOMON
Expresses CD20
Can be indolent
Aggressive
Highly aggressive
NON HODGKINS B CELL LYMPHOMA
Most common
aggressive
NON HODGKINS B CELL LYMPHOMA
Indolent
Chromosomal Translocation
between 14 and 18
They swap large pieces of
chromosome
Most common indolent NHL
NON HODGKINS B CELL
LYMPHOMA
Highly aggressive
Chromosomal
translocation between 8
and 14
Involves the
jaw
Infects lymphocytes and
incorporates DNA into host DNA
NON HODGKINS B CELL LYMPHOMA
Starry sky appearance
TINGIBLE BODY
Macrophage that has eaten
neoplastic cells
Neoplastic lymphocytes
NON HODGKINS B CELL LYMPHOMA
Aggressive
Chromosomal translocation
between 14 and 11
Overexpression of bcl1
Overexpression of growth
NON HODGKINS B CELL LYMPHOMA
Indolent
Most common type: MALT
Extranodal
Linig of the stomach H.
pylori infections
NON HODGKINS B CELL LYMPHOMA
Involves BM, spleen, LN
Ig M proteins blood gets
thick and viscous
WALDENSTORM
MACROGLOBULINEMIA
NON HODGKINS B CELL LYMPHOMA
Caused by Human T-Lymphocytic
Virus spreads through body fluids
and infects T cell to incorporate on
it’s DNA on its T cell DNA
mutations
NON HODGKINS B CELL LYMPHOMA
CD4 + Helper T cells
Has distinctive cerebriform nucleus
Circulate in the blood SEZARY
SYNDROME—Res Rash, pruritic skin
lesions
HODGKINS LYMPHOMA
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx
LYMPHOMA.pptx

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LYMPHOMA.pptx

  • 2. Non- Hodgkin’s Lymphoma Lymphocytes Tumor Reed Sternberg cell Hodgkin’s Lymphoma
  • 3. Non- Hodgkin’s Lymphoma Lymphocytes Tumor Reed Sternberg cell Hodgkin’s Lymphoma
  • 4. T Cell develops from bone marrow Primary lymphoid organ Precursor B cells Naïve B cells Circulate in blood Lymph nodes Secondary lymphoid organs
  • 5. B cells grouped together into cortex in cortex Differentiates into plasma cells particularly in the medulla Release antibodies
  • 6. Clusters of differentiation CD 4 CD19 Activated B cell gets into the primary LN Differentiates into centroblast Proliferate in the germinal center Rearrangement of Ig genes
  • 7. Goes to the medulla Memory B cells goes into blood, spleen, LN, mucosa associated lymphoid tissues
  • 8.
  • 10. Genetic mutations in T cells or Bcells It this happens cells should undergo APOPTOSIS Instead the cells divide continuously and uncontrollably
  • 11. Neoplastic cell in Lymph nodes known as NODAL LYMPHOMAS
  • 12. Lymphomas also goes outside the lymph noses EXTRA NODAL LYMPHOMAS GIT Intestinal obstruction BONE MARROW SPINAL CORD
  • 13. NON HODGKINS B CELL LYMPHOMA
  • 14. NON HODGKINS B CELL LYMPHOMA MORE COOMON Expresses CD20 Can be indolent Aggressive Highly aggressive
  • 15. NON HODGKINS B CELL LYMPHOMA Most common aggressive
  • 16. NON HODGKINS B CELL LYMPHOMA Indolent Chromosomal Translocation between 14 and 18 They swap large pieces of chromosome Most common indolent NHL
  • 17. NON HODGKINS B CELL LYMPHOMA Highly aggressive Chromosomal translocation between 8 and 14 Involves the jaw Infects lymphocytes and incorporates DNA into host DNA
  • 18. NON HODGKINS B CELL LYMPHOMA Starry sky appearance TINGIBLE BODY Macrophage that has eaten neoplastic cells Neoplastic lymphocytes
  • 19. NON HODGKINS B CELL LYMPHOMA Aggressive Chromosomal translocation between 14 and 11 Overexpression of bcl1 Overexpression of growth
  • 20. NON HODGKINS B CELL LYMPHOMA Indolent Most common type: MALT Extranodal Linig of the stomach H. pylori infections
  • 21. NON HODGKINS B CELL LYMPHOMA Involves BM, spleen, LN Ig M proteins blood gets thick and viscous WALDENSTORM MACROGLOBULINEMIA
  • 22. NON HODGKINS B CELL LYMPHOMA Caused by Human T-Lymphocytic Virus spreads through body fluids and infects T cell to incorporate on it’s DNA on its T cell DNA mutations
  • 23. NON HODGKINS B CELL LYMPHOMA CD4 + Helper T cells Has distinctive cerebriform nucleus Circulate in the blood SEZARY SYNDROME—Res Rash, pruritic skin lesions
  • 24.
  • 25.
  • 26.
  • 27.