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Hematopathology, An Issue of Surgical Pathology Clinics, E-Book

Hematopathology, An Issue of Surgical Pathology Clinics, E-Book

George Fedoriw

(2016)

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Book Details

Abstract

Dr. George Fedoriw leads the second issue presented in the Surgical Pathology Clinics on Hematopathology. Topics in this issue include: Evidence-based, high-value hematopathology; The expanding spectrum of follicular lymphoma; Lymphoid proliferations in the immunocompromised host; Reporting clinically relevant biomarkers of intermediate/high grade B-cell lymphomas; Transformation of lymphomas; T-cell lymphoproliferations: distinguishing benign from malignant; Lymphoma microenvironment and immunotherapy; Differentiating low grade lymphomas with non-specific immunophenotype; Molecular markers of myeloid leukemias and myelodysplastic syndromes; Update of myeloproliferative neoplasms; Mimics of myeloid neoplasms; Therapy effect: impact on bone marrow morphology. Each topic is written by a leader in pathology with expertise in hematopathology. The focus on these articles, as all in the series, is on Differential Diagnosis, with histologic images and tips for working with the most challenging aspects of these pathologies.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Hematopathology i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface\r v
Laboratory Test Utilization Management: General Principles and Applications in Hematopathology\r v
B-cell Non-Hodgkin Lymphomas with Plasmacytic Differentiation\r v
The Expanding Spectrum of Follicular Lymphoma\r v
Comprehensive Assessment and Classification of High-Grade B-cell Lymphomas\r v
B-cell Lymphoproliferative Disorders Associated with Primary and Acquired Immunodeficiency\r vi
Transformation in Low-grade B-cell Neoplasms\r vi
Lymphoma Microenvironment and Immunotherapy\r vi
Role of Flow Cytometry in the Diagnosis and Prognosis of Plasma Cell Myeloma\r vi
Immunoglobulin G4–Related Lymphadenopathy\r vii
T-cell Lymphomas: Updates in Biology and Diagnosis\r vii
Genetic Testing in Acute Myeloid Leukemia and Myelodysplastic Syndromes\r vii
Myeloid Neoplasms with Germline Predisposition: A New Provisional Entity Within the World Health Organization Classification\r vii
Therapy Effect: Impact on Bone Marrow Morphology\r viii
SURGICAL PATHOLOGY CLINICS\r ix
FORTHCOMING ISSUES ix
June 2016 ix
September 2016 ix
December 2016 ix
RECENT ISSUES ix
December 2015 ix
September 2015 ix
June 2015 ix
Preface xi
Laboratory Test Utilization Management 1
ABSTRACT 1
OVERVIEW 1
TEST UTILIZATION MANAGEMENT PRINCIPLES 2
STRATEGY FOR TEST UTILIZATION MANAGEMENT IMPLEMENTATION 2
THE PRACTICE OF HEMATOPATHOLOGY AND TEST UTILIZATION 4
ALGORITHMIC APPROACH TO THE INITIAL WORKUP AND DIAGNOSIS OF MYELODYSPLASTIC SYNDROME 4
ALGORITHMIC APPROACH TO THE EVALUATION OF BONE MARROW SPECIMENS PERFORMED FOR STAGING OF LYMPHOMA 5
SUMMARY 7
ACKNOWLEDGMENTS 7
REFERENCES 7
B-cell Non-Hodgkin Lymphomas with Plasmacytic Differentiation 11
ABSTRACT 11
LYMPHOPLASMACYTIC LYMPHOMA 11
OVERVIEW 11
GROSS AND MICROSCOPIC FEATURES 12
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS 12
PROGNOSIS 13
EXTRANODAL MARGINAL ZONE LYMPHOMA OF MUCOSA-ASSOCIATED LYMPHOID TISSUE 14
OVERVIEW 14
GROSS AND MICROSCOPIC FEATURES 14
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS 15
PROGNOSIS 16
NODAL MARGINAL ZONE LYMPHOMA 16
OVERVIEW 16
GROSS AND MICROSCOPIC FEATURES 16
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS 17
PROGNOSIS 18
SPLENIC MARGINAL ZONE LYMPHOMA 18
OVERVIEW 18
GROSS AND MICROSCOPIC FEATURES 18
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS 19
PROGNOSIS 20
PLASMABLASTIC LYMPHOMA 21
OVERVIEW 21
GROSS AND MICROSCOPIC FEATURES 21
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS 22
PROGNOSIS 24
REFERENCES 24
The Expanding Spectrum of Follicular Lymphoma 29
ABSTRACT 29
OVERVIEW 29
FOLLICULAR LYMPHOMA VARIANTS 30
PEDIATRIC FOLLICULAR LYMPHOMA 31
ANATOMIC VARIANTS OF FOLLICULAR LYMPHOMA IN ADULTS 34
EARLY AND PRECURSOR LESIONS 36
REFERENCES 38
Comprehensive Assessment and Classification of High-Grade B-cell Lymphomas 41
ABSTRACT 41
OVERVIEW 41
MORPHOLOGIC RISK STRATIFICATION 43
CELL-OF-ORIGIN DETERMINATION 43
MYC/BCL2/BCL6 REARRANGEMENTS AND DOUBLE-HIT LYMPHOMAS 45
IDENTIFICATION OF DOUBLE-HIT LYMPHOMAS 46
IMMUNOHISTOCHEMISTRY FOR EXPRESSION OF MYC AND BCL2 47
OTHER CLINICALLY RELEVANT BIOMARKERS IN DIFFUSE LARGE B-CELL LYMPHOMA 47
OTHER CLINICALLY RELEVANT BIOMARKERS IN BURKITT LYMPHOMA 48
NEW HORIZONS/FUTURE DIRECTIONS 49
REFERENCES 49
B-cell Lymphoproliferative Disorders Associated with Primary and Acquired Immunodeficiency 55
ABSTRACT 55
OVERVIEW 55
DIFFUSE LARGE B-CELL LYMPHOMA 57
OVERVIEW 57
CLINICAL FEATURES 58
DIAGNOSIS 58
PROGNOSIS 58
IMMUNODEFICIENCY-ASSOCIATED BURKITT LYMPHOMA 58
OVERVIEW 58
CLINICAL FEATURES 59
DIAGNOSIS 59
Transformation in Low-grade B-cell Neoplasms 79
ABSTRACT 79
OVERVIEW 79
BIOLOGICAL CATEGORIES OF CLINICAL TRANSFORMATION 80
CLINICAL FEATURES OF TRANSFORMATION 80
FOLLICULAR LYMPHOMA TRANSFORMATION 81
MECHANISMS OF TRANSFORMATION IN FOLLICULAR LYMPHOMA 82
MIMICS OF TRANSFORMED FOLLICULAR LYMPHOMA 84
RICHTER TRANSFORMATION OF CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA 85
MECHANISMS OF TRANSFORMATION IN DIFFUSE LARGE B-CELL LYMPHOMA/RICHTER SYNDROME 88
MIMICS OF DIFFUSE LARGE B-CELL LYMPHOMA/RICHTER SYNDROME 88
VARIANTS OF RICHTER SYNDROME 90
SUMMARY 90
REFERENCES 90
Lymphoma Microenvironment and Immunotherapy 93
ABSTRACT 93
OVERVIEW 93
TUMOR MICROENVIRONMENT IN LYMPHOMA 94
SIGNALS TO AND FROM THE TUMOR MICROENVIRONMENT 94
EVASION FROM IMMUNE SYSTEM 94
CHRONIC LYMPHOCYTIC LEUKEMIA 94
Tumor-associated macrophages 95
Follicular dendritic cells 95
Fibroblastic reticular cells 95
Endothelial cells 95
Follicular T helper cells 95
Regulatory T cells 95
Cytotoxic T cells 95
Natural killer cells 95
Myeloid-derived suppressor cells 95
MICROENVIRONMENT-TARGETED IMMUNOTHERAPIES FOR CHRONIC LYMPHOCYTIC LEUKEMIA 96
FOLLICULAR LYMPHOMA 97
MICROENVIRONMENT-TARGETED IMMUNOTHERAPIES FOR FOLLICULAR LYMPHOMA 97
CLASSIC HODGKIN LYMPHOMA 98
MICROENVIRONMENT-TARGETED IMMUNOTHERAPIES FOR CLASSIC HODGKIN LYMPHOMA 99
SUMMARY 99
REFERENCES 99
Role of Flow Cytometry in the Diagnosis and Prognosis of Plasma Cell Myeloma 101
ABSTRACT 101
OVERVIEW 102
DIAGNOSTIC UTILITY OF FLOW CYTOMETRY IN PLASMA CELL MYELOMA 103
NORMAL VERSUS ABNORMAL PLASMA CELLS 103
GENERAL TECHNICAL ISSUES RELATED TO PLASMA CELL MYELOMA FLOW CYTOMETRY 104
ADDED VALUE OF FLOW CYTOMETRY IN THE DIAGNOSTIC WORK-UP OF PLASMA CELL MYELOMA 106
PROGNOSTIC UTILITY OF FLOW CYTOMETRY IN PLASMA CELL MYELOMA 111
QUALITATIVE PROGNOSTIC PARAMETERS 111
QUANTITATIVE PROGNOSTIC PARAMETERS 111
MINIMAL RESIDUAL DISEASE ANALYSIS FLOW CYTOMETRY IN PLASMA CELL MYELOMA 112
UTILITY OF FLOW CYTOMETRY IN THERAPY-RELATED ISSUES IN PLASMA CELL MYELOMA 113
REFERENCES 113
Immunoglobulin G4–Related Lymphadenopathy 117
ABSTRACT 117
OVERVIEW 117
CLINICAL PRESENTATION AND GROSS FEATURES 118
MICROSCOPIC FEATURES 118
DIAGNOSIS 121
DIFFERENTIAL DIAGNOSIS 122
PROGNOSIS 127
REFERENCES 128
T-cell Lymphomas 131
ABSTRACT 131
OVERVIEW AND PRACTICAL CONSIDERATIONS 131
ANAPLASTIC LARGE CELL LYMPHOMA, OVERVIEW 132
ANAPLASTIC LARGE CELL LYMPHOMA, ANAPLASTIC LYMPHOMA KINASE POSITIVE 132
ANAPLASTIC LARGE CELL LYMPHOMA, ANAPLASTIC LYMPHOMA KINASE NEGATIVE 133
ANGIOIMMUNOBLASTIC T-CELL LYMPHOMA 133
PERIPHERAL T-CELL LYMPHOMA, NOT OTHERWISE SPECIFIED 136
SUMMARY 139
REFERENCES 139
Genetic Testing in Acute Myeloid Leukemia and Myelodysplastic Syndromes 143
ABSTRACT 143
OVERVIEW 143
CYTOGENETIC TESTING IN MYELODYSPLASTIC SYNDROME AND ACUTE MYELOID LEUKEMIA 144
MOLECULAR GENETIC RISK-STRATIFICATION IN MYELODYSPLASTIC SYNDROME AND ACUTE MYELOID LEUKEMIA 147
METHODS OF DETECTING GENETIC ABERRATIONS IN MYELODYSPLASTIC SYNDROME AND ACUTE MYELOID LEUKEMIA 150
DETECTION OF TRANSLOCATIONS 150
DETECTION OF COPY NUMBER ABNORMALITIES 150
DETECTION OF POINT MUTATIONS AND INSERTION/DELETIONS 151
RELEVANCE OF SPECIFIC MUTATIONS IN MYELODYSPLASTIC SYNDROME AND ACUTE MYELOID LEUKEMIA 151
MYELOID TRANSCRIPTION FACTORS 151
CCAAT/Enhancer Binding Protein Alpha 151
Ets Variant 6 Gene (ETV6) 152
Runt-related Transcription Factor 1 (RUNX1) 152
SIGNAL TRANSDUCTION 152
FMS Like Tyrosine Kinase 3 (FLT3) 152
Nucleophosmin 1 (NPM1) 154
Tumor Protein p53 (TP53) 155
V-kit Hardy-Zuckerman 4 Feline Sarcoma Viral Oncogene Homolog (KIT) 155
RNA SPLICING: SF3B1, SETBP1, SRSF, U2AF1 155
COHESIN COMPLEX 156
EPIGENETIC MODIFIERS: GENES THAT METHYLATE DNA AND ALTER CHROMATIN STRUCTURE 156
DNA METHYLATION 157
DNA Methyl Transferase 3A (DNMT3A) 157
Ten-Eleven Translocation Gene-2 (TET2) 157
Isocitrate Dehydrogenase 1 and 2 (IDH1/IDH2) 157
CHROMATIN MODIFIERS 157
Additional Sex Combs Like Transcriptional Regulator 1 (ASXL1) 157
Mixed Lineage Leukemia (MLL) 158
Enhancer of Zeste 2 Polycomb Repressive Complex 2 Subunit (EZH2) 158
REFERENCES 158
Myeloid Neoplasms with Germline Predisposition 165
ABSTRACT 165
OVERVIEW 165
SPECIAL CLINICAL FEATURES OF MYELOID NEOPLASMS ASSOCIATED WITH GERMLINE PREDISPOSITION MUTATIONS 166
WHAT ARE THE SPECIFIC MYELOID NEOPLASMS ASSOCIATED WITH GERMLINE PREDISPOSITION MUTATIONS? 167
MYELOID NEOPLASMS WITH GERMLINE PREDISPOSITION WITHOUT A PREEXISTING DISORDER OR ORGAN DYSFUNCTION 167
Acute Myeloid Leukemia with Germline CEBPA Mutation 167
Myeloid Neoplasms with Germline DDX41 Mutation 168
MYELOID NEOPLASMS WITH GERMLINE PREDISPOSITION AND PREEXISTING PLATELET DISORDERS 168
Myeloid Neoplasms with Germline RUNX1 Mutation 168
Myeloid Neoplasms with Germline ANKRD26 Mutation 168
Myeloid Neoplasms with Germline ETV6 Mutation 169
MYELOID NEOPLASMS WITH GERMLINE PREDISPOSITION ASSOCIATED WITH OTHER ORGAN DYSFUNCTION 169
Myeloid Neoplasms with Germline GATA2 Mutation 169
Myeloid Neoplasms with Germline\rPredisposition Associated with Inherited Bone\rMarrow Failure Syndromes and Telomere\rBiology Disorders\r 169
EMERGING SYNDROMES THAT LIKELY PREDISPOSE TO MYELOID MALIGNANCIES 169
GERMLINE ALTERATIONS AND SYNDROMES NOT DESCRIBED UNDER THE PROVISIONAL WORLD HEALTH ORGANIZATION–DEFINED CATEGORY 170
WHICH PATIENTS WITH MYELOID NEOPLASMS SHOULD BE TESTED FOR GERMLINE PREDISPOSITION MUTATIONS? 172
HOW SHOULD THE PRESENCE OF A GERMLINE PREDISPOSITION MUTATION BE ESTABLISHED? 173
WHAT ARE THE REMAINING CHALLENGES RELATED TO THIS NEW PROVISIONAL WORLD HEALTH ORGANIZATION CATEGORY? 174
SUMMARY 174
REFERENCES 175
Therapy Effect 177
ABSTRACT 177
OVERVIEW 177
BONE MARROW POST MYELOABLATION 177
FIBROSIS 177
NECROSIS 178
SEROUS ATROPHY 178
GROWTH FACTORS AND CYTOKINE EFFECTS 179
EFFECT OF SPECIFIC THERAPEUTIC AGENTS 183
IMATINIB 183
LENALIDOMIDE 185
RITUXIMAB 185
INTERFERON 186
REFERENCES 186