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Large Cell Lymphomas

  

About NHL > Types of Lymphoma > Large Cell Lymphomas

Last update: 04/24/2008

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Large Cell Lymphomas 

Generally fast growing cancer of b- or t-cells (lymphocytes) that normally reside in the lymphatic systemLarge Cell Lymphomas (LCL) are one of the most common types of aggressive lymphoma, comprising about 31% of lymphomas.  These lymphomas appear in both children and adults.

What is lymphoma? Briefly, lymphomas result when DNA damage or changes occurs to an immune cell (a lymphocyte) that alters the behavior of the cells. The damage to DNA results in the abnormal production of proteins that prevents the cells from dying when they should, or causes sustained rapid cell division that produces more of its kind. These malignant cells then may accumulate to form tumors that may enlarge the lymph nodes or spread to other areas of the lymphatic system, such as the spleen or bone marrow.

The clinical and pathological features of non-Hodgkin's lymphomas are diverse. For example, there is large cell lymphoma and also intermediate grade or high grade lymphoma. 

Diffuse Large B Cell Lymphoma accounts for for about 30% of all non Hodgkin lymphomas. It may first show itself as a extra-nodal mass -- outside the lymphatic system --  or as a rapidly growing nodal mass (enlarging lymph node).  
See Diffuse Cell Lymphoma page.

The characteristics of the lymphoma at diagnosis as determined by the pathology report, and it's actual clinical behavior, and other factors determine the type of treatment and the timing of treatment you and your doctor will consider. 

Follicular grade 3 lymphoma - related abstracts
See Factors that determine treatment timing and approach
Your age and treatment priorities
There are many types of large cell lymphomas
Lymphoma Series: Variants of Large-Cell Lymphoma  theoncologist.alphamedpress.org  | Full PDF
 
Introduction to a Special Series of Unique Entities Within the Spectrum of Large-Cell Lymphoma, George P. Canellos, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA 
Anaplastic Large Cell Lymphoma
(5% of all non Hodgkin Lymphomas)
Diffuse Large Cell & Diffuse Mixed Cell
Large-Cell, Immunoblastic (high grade) *
PubMed abstracts: ReviewTherapyDiagnosis
Large B-cell lymphoma  PubMed
Lymphoblastic (high grade) *
Large-Cell, Follicular * Also see Follicular
PubMed abstracts: Review | TherapyDiagnosis
Large-Cell, Ki-1 *
PubMed abstracts: ReviewTherapyDiagnosis
T Cell Rich Large B Cell Lymphoma 
(a rare subtype of large B cell lymphoma)
PubMed articles  All related articles | PubMed
T-Cell/Histiocyte–Rich Large B-Cell Lymphoma: A Distinct Clinicopathologic Entity By R. Achten   jco.org 
T-Cell/Histiocyte-Rich Large B-Cell Lymphomas and Classical Diffuse Large B-Cell Lymphomas Have Similar Outcome After Chemotherapy: A Matched-Control Analysis  R. Bouabdallah,et al  jco.org
OTHER
Intravascular B-cell lymphomas (rare)
Report of two cases with different clinical presentation but rapid central nervous system involvement. Leuk Lymphoma. 2003 Aug;44(8):1353-9.
PMID: 12952229  Abstracts
Primary Mediastinal B-Cell Lymphoma 
Primary Splenic Lymphoma 
Angiocentric  Lymphoma - Pulmonary B-Cell
Anaplastic Large Cell Lymphoma
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See Childhood Anaplastic Large Cell Lymphoma
See Anaplastic large cell lymphoma
 
Large-Cell, Immunoblastic
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B-cell stage:  mature, after antigen exposure
PubMed abstracts:  ReviewTherapyDiagnosis
About  Lymphoma Info Net
Lymphoblastic lymphoma/
leukemia
B-cell stage: precursor b-cell
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"Lymphoblastic lymphoma. This lymphoma often occurs in young people. Associated with large mediastinal mass (occurring in chest cavity between the lungs) and carries a high risk for spreading to bone marrow and central nervous system."  healthnyt
 
PubMed abstracts: ReviewTherapyDiagnosis
About  TheDoctorsDoctors.com
Also see: Childhood Lymphoblastic Lymphoma
Treatment
Questions for your doctor
   Patients Against Lymphoma
General, Treatment & Side Effects, Tests
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Aggressive Non-Hodgkin's Lymphoma: Improved Prognosis With Combination Chemotherapy, Tables  Medscape (free login req.)
Treatments of NHL (flowcharts) - MDACC  PDF | PDF-Help
Treatment Guidelines tsrcc.on.ca  PDF | PDF Help
 
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For all medical concerns,  you should always consult your doctor. 
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