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10 Cards in this Set

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What are the main differences between Chronic Lymphocytic leukemia (CLL) and small Lymphocytic lymphoma (SLL)?

The degree of peripheral blood lymphocytosis. CLL lymphocyte count >5000.

What is the most common leukemia of adults?

CLL

Does chromosomal translocations are common in CLL\SLL?

No. They are rare.

What are the most common genetic anomalies in CLL\SLL?

Deletions of 13q14,11q, and 17p and trisomy 12q.

What is the cell of origin in CLL\SLL?

Postgerminal center memory B cell


Naive B cell

What are the morphologic characteristic of CLL\SLL? 3

Diffuse infiltrate of predominantly small Lymphocytes with round slightly irregular nuclei.


Proliferation centers- larger activated lymphocytes that gathered in aggregates, which contain mitoticaly active cells.


Smudge cells.

What is the pathognomonic morphologic feature for SLL\CLL?

Proliferation centers if present.

What is the immunophenotype of CLL\SLL?

Pan B cell markers cd19,20,23,5.

What are the main clinical features of patients with CLL\SLL? 5

Generalized lymphadenopathy and hepathosplenomegaly


Hypogammaglobulinemia


Hemolytic anemia


Thrombocytopenia


What is Richter syndrome?

Transformation to defuse large B cell lymphoma. 10-5%.


This is bad prognostic feature