
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Follicular lymphoma classification
Introduction
Overview
Overview
According to the World Health Organization (WHO), follicular lymphoma may be classified into 3 subtypes: low-grade follicular lymphoma, high-grade follicular lymphoma, and diffuse large B cell lymphoma. Three variants of follicular lymphoma include pediatric follicular lymphoma, primary intestinal follicular lymphoma, and other extranodal follicular lymphoma.
Classification
Classification
1- Morphological Classification
The World Health Organization (WHO) classifies follicular lymphoma as follows:[1][2]
- Grades 1 and 2 also known as low-grade follicular lymphoma
- Grade 3A as high-grade follicular lymphoma
- Grade 3B as diffuse large B cell lymphoma
2- Variants of Follicular Lymphoma
Follicular lymphoma has 3 variants that include the following:[3][4]
A. Pediatric follicular lymphoma
- Involves cervical lymph nodes, other peripheral lymph nodes, or Waldeyer’s ring
- Patients typically have early-stage disease
- Lacks bcl-2 protein expression and t(14;18)
B. Primary intestinal follicular lymphoma
- Occurs most commonly in the small intestine, and frequently involves the duodenum.
- Duodenal follicular lymphoma
C. Other extranodal follicular lymphomas
- Usually have localized extranodal disease.
- Systemic relapses are rare.
- Testicular follicular lymphoma are reported with increased frequency in children, but also are reported in adults.
References
References
- β “Follicular Lymphomas”. Retrieved 2008-07-26.
- β Anderson T, Chabner BA, Young RC, Berard CW, Garvin AJ, Simon RM; et al. (1982). “Malignant lymphoma. 1. The histology and staging of 473 patients at the National Cancer Institute”. Cancer. 50 (12): 2699β707. PMIDΒ 7139563.
- β National Cancer Institute. Surveillance, Epidemiology, and End Results Program 2015. http://seer.cancer.gov
- β Kojima M, Yamanaka S, Yoshida T, Shimizu K, Murayama K, Ohno Y; et al. (2006). “Histological variety of floral variant of follicular lymphoma”. APMIS. 114 (9): 626β32. doi:10.1111/j.1600-0463.2006.apm_424.x. PMIDΒ 16948815.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]
