Presentation
NK cell production, and stimulation of mononuclear cells. 9 It can present as a primary or secondary disorder. [acgcasereports.gi.org]
All cases showed somatic mutations, with intraclonal heterogeneity evident at presentation, and some sequences were aberrant. The VH sequences of the DLCL which responded to treatment became homogeneous at relapse. [ncbi.nlm.nih.gov]
Homepage Rare diseases Search Search for a rare disease Diffuse large B-cell lymphoma Disease definition Diffuse large B-cell lymphoma is the most common subtype of non-Hodgkin lymphoma (NHL; see this term) in adults characterized by a median age of presentation [orpha.net]
CD21 -- highlight FDC networks if present. CD23 -- highlight FDC networks if present. MIB1 -- proliferative rate. EBER -- EBV. CD3 -- T cells (membrane/cytoplasm). CD5 -- T cells (membrane). Unstained x4. [librepathology.org]
Entire Body System
- Weight Loss
Some people may also develop patches of inflamed skin across their body or experience fevers, night sweats and unexplained weight loss. [leukaemia.org.au]
Other symptoms include fever, night sweats, and weight loss. There are several subtypes of diffuse large B-cell lymphoma. [cancer.gov]
Some common symptoms patients develop that lead to a specialist include: fevers sweats weight loss Your first tests for diagnosis Your specialist will need to perform a biopsy to confirm if you have Diffuse large B-cell lymphoma. [petermac.org]
- Anemia
[…] known as hepatomegaly Nausea and vomiting Abdominal pain Easy bruising or bleeding as a result of liver failure Unintentional weight loss; changes in appetite Fatigue and weakness, headache High temperatures and excessive night sweats (may be recurrent) Anemia [dovemed.com]
Patients may also have anemia or thrombocytopenia from marrow infiltration or more rarely from immune hemolysis. With the most sensitive techniques, a monoclonal serum immunoglobulin (M-component) can be identified in almost half the cases. [pleiad.umdnj.edu]
Labs on presentation revealed anemia, thrombocytopenia, acute liver injury, and acute renal failure necessitating intermittent hemodialysis. [acgcasereports.gi.org]
During treatment, 19 percent of patients receiving CHOP and 14 percent of those receiving CHOP plus rituximab had grade 3 or 4 anemia. [nejm.org]
- Congestive Heart Failure
The risk of congestive heart failure associated with anthracycline has been shown to decrease with the use of dexrazoxane, an iron chelater ( 66 ). [clincancerres.aacrjournals.org]
- Chronic Infection
About 1 in 3 people with this type of lymphoma have chronic hepatitis C virus (HCV) infection. Treating the infection with anti-viral drugs can often cause these lymphomas to go into remission. [cancer.org]
Cardiovascular
- Heart Disease
Besides the above, the following general factors may contribute towards lymphoma formation and development: Family history of immune disease The presence of any systemic disease Smoking Exposure to radiation and industrial chemicals Chemotherapy X-ray [dovemed.com]
Neurologic
- Stroke
Diagnose patients with dementia with Lewy Bodies based on the 2017 criteria Arteriovenous Malformation Coma/Level of Consciousness Demyelinating Disease Dermatome Map Functional Outcome Head & Neck Trauma Headache Intracerebral Hemorrhage Ischemic Stroke [qxmd.com]
[…] vessels meaning it could affect just about any part of the body, although it is rare to find it in the bone marrow or lymph nodes.Symptoms vary depending on which small blood vessels are affected, but 75% of people with this form of DLBCL experience stroke-like [leukaemia.org.au]
[…] cause intestinal obstruction that results in urine outflow obstruction and kidney damage Blood loss may occur due to frequent or heavy bleeding, giving rise to severe anemia The leukemic cells can overgrow and cause clogging of vessels resulting in stroke [dovemed.com]
Workup
Workup for his liver failure was unrevealing, and computed tomography of the abdomen and pelvis showed hepatic steatosis without focal hepatic lesions, splenomegaly with multiple splenic infarcts, and right axillary and retropectal lymphadenopathy. [acgcasereports.gi.org]
See Workup for more detail. [emedicine.medscape.com]
For diagnosis and clinical workup, history taking, physical examination, complete blood counts, blood chemistry, bone marrow biopsy, tissue biopsy, and imaging studies including neck, chest, abdomen, and pelvis computed tomography (CT), and positron emission [journals.lww.com]
Treatment
Stem cell treatment (transplants) This treatment is sometime used to treat lymphoma that has come back after treatment. It is an intensive treatment, so it is not suitable for everyone. [macmillan.org.uk]
If your child has advanced diffuse large B-cell lymphoma, treatment is the same as the treatment for Burkitt Lymphoma. [danafarberbostonchildrens.org]
However, in patients with diffuse lymphoma, the duration of CR and overall survival were improved by treatment with the CHOP regimens compared to COP-Bleo (p = 0.02). [ncbi.nlm.nih.gov]
Focusing on you (treatment) Diffuse large B-cell lymphoma treatment depends on disease staging. Treatment will involve chemotherapy and possibly the use of an antibody treatment such as rituximab. [petermac.org]
Prognosis
[…] to improve the prognosis so that it is nearly as favourable as the GBC variant. [nhlcyberfamily.org]
Some studies, using the updated Kiel Classification's definition of immunoblastic lymphoma (>90% immunoblasts), show a worse prognosis for this type. [pleiad.umdnj.edu]
: fresh frozen tissue only Prognosis DLBCL accounts for about 40% of all lymphomas and prognosis is very variable. It is generally aggressive but potentially curable. [e-immunohistochemistry.info]
Further advances in personalized medicine may improve prognosis.” A Complex Disease As Dr. [ascopost.com]
Etiology
[…] granulomatosis, mediastinal, primary cutaneous, primary effusion, primary CNS, T cell / histiocyte rich Epidemiology Common in Western countries (25 - 30% of adult non-Hodgkin lymphoma) Affects all ages (most commonly elderly, median age 7th decade) Etiology [pathologyoutlines.com]
[…] identified, presence of B symptoms, hepatosplenomegaly and lymphadenopathy on physical exam, severe lactic acidosis, and rapidly fatal course should raise the index of suspicion toward malignancy as the possible etiology for ALF. [acgcasereports.gi.org]
Etiology is unknown and the most common site of involvement is the mediastinum, with or without the involvement of lymph nodes (7). [scielo.br]
(Etiology) Lymphocytes are a type of white blood cells that are responsible for providing immunity in the human body. B-cells and T-cells are the two different types of lymphocytes. [dovemed.com]
Epidemiology
Epidemiology, clinical manifestastions, pathologic features, and diagnosis of diffuse large B cell lymphoma. [medora.it]
Epidemiology DLBCL constitute 30-40% of the adult non-Hodgkin's lymphoma cases in western countries (higher incidence in developing countries). The median age is 70-80 years of age; however, can be seen in children. [wiki.clinicalflow.com]
[…] lymphoma, not otherwise specified (DLBCL, NOS) Variants described separately include: AIDS associated, CD5+, EBV positive, intravascular, lymphomatoid granulomatosis, mediastinal, primary cutaneous, primary effusion, primary CNS, T cell / histiocyte rich Epidemiology [pathologyoutlines.com]
DNA microarrays to conduct a systemic characterization of gene expression Two molecularly distinct types: 1) Germinal Center and 2) Activated B-like OS significantly better for Germinal Center patients Primary Mediastinal Large B-cell [ edit ] Epidemiology [en.wikibooks.org]
Synonyms Epidemiology Constitutes 30-40% of all adult non-Hodgkin lymphomas 2,5. Age range is broad, including children, but with a peak in the 7 th decade. [e-immunohistochemistry.info]
Pathophysiology
Now we must all become “splitters,” as enhanced understanding of the molecular genetic pathophysiology of various lymphoma subtypes impacts prognosis and treatment. [consultqd.clevelandclinic.org]
REVIEW ARTICLE Pathophysiology and molecular aspects of diffuse large B-cell lymphoma Gisele Rodrigues Gouveia; Sheila Aparecida Coelho Siqueira; Juliana Pereira Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo - USP, São Paulo [scielo.br]
BCL2-driven malignant transformation is one of the principal pathophysiological mechanisms of GCB-subtype DLBCL, and constitutive activation of the NF-κB pathway is the hallmark of ABC-subtype DLBCL 15 – 17. [f1000research.com]
These analyses reveal several genes that are rarely mutated, but that may nevertheless play an important role in the pathophysiology of DLBCL. [pnas.org]
Prevention
REFERENCE BOOK Screening for Colorectal Cancer | CTFPHC REFERENCE BOOK Screening for Cognitive Impairment | CTFPHC REFERENCE BOOK Screening for Depression | CTFPHC REFERENCE BOOK Screening for Developmental Delay | CTFPHC Review Canadian Task Force on Preventive [qxmd.com]
The efficacy of a combination of sequential intravenous methotrexate (MTX) (1 g/m2) and intrathecal MTX in preventing relapse in the CNS and improving survival times was assessed. [ncbi.nlm.nih.gov]
The treatment is to prevent that happening. You might hear it called prophylactic treatment. Usually, you have a chemotherapy drug called methotrexate. Doctors call this intrathecal chemotherapy. It is similar to having a lumbar puncture. [cancerresearchuk.org]