Summary:
In the last decades, considerable changes in the classification of lymphomas have been made. In
addition to morphology and immunohistochemistry, the last WHO (2001) classification also utilizes
cytogenetics and molecular biology. In many cases classification notices oncogenic mechanisms.
The authors describe some differences in immunophenotype in certain entities: chronic
lymphocytic leukaemia/ small lymphocytic lymphoma - CLL/SLL, follicular lymphoma - FL, mantle
cell lymphoma -MCL, diffuse large B-cell lymphoma – DLBCL, and anaplastic large cell lymphoma
- ALCL, mainly with respect to prognosis. The authors point out to heterogeneity within the
individual types of lymphomas from the point of view of morphology, immunohistochemistry and
molecular biology.
Recently it has been shown, that differences in prognosis are not limited to individual nosologic
entities, but also may be found within the particular category of lymphoma. For example, CLL/SLL
is divided in two different subunits according to mutational status of variable segment (VH) of the
immunoglobulin heavy chain gene. The cases with unmutated VH segment display progressive
disease which is in contrast to cases with the same morphology but with mutated VH segment.
Similar differences were found in MCL. Attention is drawn to oncogenic and apoptosis-regulating
mechanisms, such as gene p53 and the Bcl-2 family.
Key words:
non-Hodgkin’s lymphoma – immunohistochemistry – molecular pathology –
classification
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