Splenic lymphoma with villous lymphocytes

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Splenic lymphoma with villous lymphocytes is a rare type of lymphoma that involves mature B cells. Older names include lymphoma simulating hairy cell leukemia and lymphoplasmacytic lymphoma with circulating villous lymphocytes. The characteristic villous lymphocytes will appear in a blood smear of the peripheral blood of patients with this type of lymphoma. These lymphocytes will have an oval nucleus with the “cobblestone” pattern of nuclear chromatin typical of more mature lymphoid cells. The cytoplasmic projections, or villi, are found in a polar distribution. [1] [2] Whether this condition is identical to splenic marginal zone lymphoma, or only highly similar, is a matter of debate.

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A lymphocyte is a type of white blood cell in the immune system of jawed vertebrates. Lymphocytes include natural killer cells, T cells, and B cells. They are the main type of cell found in lymph, which prompted the name "lymphocyte".

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Marginal zone

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Hematologic diseases are disorders which primarily affect the blood & blood-forming organs. Hematologic diseases include rare genetic disorders, anemia, HIV, sickle cell disease & complications from chemotherapy or transfusions.

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Monoclonal B-cell lymphocytosis (MBL) is an asymptomatic condition in which individuals have increased blood levels of particular subtypes of monoclonal lymphocytes. This increase must persist for at least 3 months. The lymphocyte subtypes are B-cells that share certain features with the abnormal clones of lymphocytes that circulate in chronic lymphocytic leukemia/small lymphocyte lymphoma (CLL/SLL) or, less frequently, other types of B-cell malignancies. Some individuals with these circulating B-cells develop CLL/SLL or the lymphoma types indicated by their circulating monoclonal B-cells. Hence, MBL is a premalignant disorder

References

  1. Maslak, Peter (1 September 2007). "Splenic villous lymphoma—peripheral blood". Blood (110 (5): 1410): 1. Retrieved 9 May 2020.
  2. Wu ML, Kwaan HC, Goolsby CL (November 2000). "Atypical hairy cell leukemia". Arch. Pathol. Lab. Med. 124 (11): 1710–3. doi:10.1043/0003-9985(2000)124<1710:AHCL>2.0.CO;2 (inactive 2021-01-11). PMID   11079033.CS1 maint: DOI inactive as of January 2021 (link)