Seminars in Diagnostic Pathology最新文献

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Updates on lymphoblastic leukemia/lymphoma classification and minimal/measurable residual disease analysis 淋巴母细胞白血病/淋巴瘤分类和最小/可测量残留疾病分析的最新进展。
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.10.001
Alexandra E. Kovach , Brent L. Wood
{"title":"Updates on lymphoblastic leukemia/lymphoma classification and minimal/measurable residual disease analysis","authors":"Alexandra E. Kovach ,&nbsp;Brent L. Wood","doi":"10.1053/j.semdp.2023.10.001","DOIUrl":"10.1053/j.semdp.2023.10.001","url":null,"abstract":"<div><p>Lymphoblastic leukemia/lymphoma (ALL/LBL), especially certain subtypes, continues to confer morbidity and mortality despite significant therapeutic advances. The pathologic classification of ALL/LBL, especially that of B-ALL, has recently substantially expanded with the identification of several distinct and prognostically important genetic drivers. These discoveries are reflected in both current classification systems, the World Health Organization (WHO) 5th edition and the new International Consensus Classification (ICC). In this article, novel subtypes of B-ALL are reviewed, including <em>DUX4, MEF2D</em> and <em>ZNF384</em><span>-rearranged B-ALL; the rare pediatric entity B-ALL with </span><em>TLF3</em>::<em>HLF</em>, now added to the classifications, is discussed; updates to the category of B-ALL with <span><em>BCR</em></span>::<em>ABL1</em><span>-like features (Ph-like B-ALL) are summarized; and emerging genetic subtypes of T-ALL are presented. The second half of the article details current approaches to minimal/measurable residual disease (MRD) detection in B-ALL and T-ALL and presents anticipated challenges to current approaches in the burgeoning era of antigen-directed immunotherapy.</span></p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 457-471"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Classic Hodgkin lymphoma in young people 年轻人的典型霍奇金淋巴瘤
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.06.005
Srishti Gupta, Jeffrey W. Craig
{"title":"Classic Hodgkin lymphoma in young people","authors":"Srishti Gupta,&nbsp;Jeffrey W. Craig","doi":"10.1053/j.semdp.2023.06.005","DOIUrl":"10.1053/j.semdp.2023.06.005","url":null,"abstract":"<div><p>Classic Hodgkin lymphoma<span><span><span> (CHL) is a unique form of lymphoid cancer featuring a heterogeneous tumor microenvironment<span> and a relative paucity of malignant Hodgkin and Reed-Sternberg (HRS) cells with characteristic phenotype. Younger individuals (children, adolescents and young adults) are affected as often as the elderly, producing a peculiar bimodal age-incidence profile that has generated immense interest in this disease and its origins. Decades of epidemiological investigations have documented the populations most susceptible and identified multiple risk factors that can be broadly categorized as either biological or environmental in nature. Most risk factors result in overt immunodeficiency or confer more subtle alterations to baseline health, physiology or immune function. Epstein Barr virus, however, is both a risk factor and well-established driver of lymphomagenesis in a significant subset of cases. </span></span>Epigenetic<span> changes, along with the accumulation of somatic driver mutations and cytogenetic abnormalities are required for the malignant transformation of germinal center-experienced HRS cell precursors. </span></span>Chromosomal instability<span> and the influence of endogenous mutational processes are critical in this regard, by impacting genes involved in key signaling pathways that promote the survival and proliferation of HRS cells and their escape from immune destruction. Here we review the principal features, known risk factors and lymphomagenic mechanisms relevant to newly diagnosed CHL, with an emphasis on those most applicable to young people.</span></span></p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 379-391"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A personalized approach to lymphoproliferations in patients with inborn errors of immunity 先天性免疫缺陷患者淋巴细胞增生的个体化治疗方法
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.07.001
Shachar Naor , Etai Adam , Ginette Schiby , Dita Gratzinger
{"title":"A personalized approach to lymphoproliferations in patients with inborn errors of immunity","authors":"Shachar Naor ,&nbsp;Etai Adam ,&nbsp;Ginette Schiby ,&nbsp;Dita Gratzinger","doi":"10.1053/j.semdp.2023.07.001","DOIUrl":"10.1053/j.semdp.2023.07.001","url":null,"abstract":"<div><p>Biopsies from patients with inborn error of immunity (IEI) may pose a diagnostic challenge due to the abnormal anatomy<span><span> of their lymphoid organs and the tendency for the development of </span>lymphoproliferations<span> in various organs, some of which may lead to the wrong impression of malignant lymphoma which may prompt aggressive unnecessary treatment. In this article we will review typical histologic findings in various IEI's described in the literature and discuss the appropriate approach to the diagnosis of lymphoproliferations in these patients by presenting illustrative cases.</span></span></p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 408-419"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9841310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-transplant lymphoproliferative disorders (PTLD) in adolescents and young adults: A category in need of definition 青少年和年轻人移植后淋巴细胞增生性疾病(PTLD):一个需要定义的类别
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.07.002
Amy Chadburn
{"title":"Post-transplant lymphoproliferative disorders (PTLD) in adolescents and young adults: A category in need of definition","authors":"Amy Chadburn","doi":"10.1053/j.semdp.2023.07.002","DOIUrl":"10.1053/j.semdp.2023.07.002","url":null,"abstract":"<div><p>Post-transplant lymphoproliferative disorders are a well-recognized complication of solid organ and stem cell transplantation<span>. Much data has accumulated with respect to the pathobiology and clinical behavior of these lesions in the general post-transplant population as well as in the pediatric and adult age groups. However, information as to these lesions in the adolescent and young adult populations, which bridge the pediatric and adult groups, is limited. In this review, the focus is on this unique population of PTLD patients and their proliferations.</span></p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 401-407"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10083126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EDITORIAL BOARD (p/u from previous issue) 编辑委员会(p/u自上期)
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/S0740-2570(23)00103-X
{"title":"EDITORIAL BOARD (p/u from previous issue)","authors":"","doi":"10.1053/S0740-2570(23)00103-X","DOIUrl":"https://doi.org/10.1053/S0740-2570(23)00103-X","url":null,"abstract":"","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Page i"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S074025702300103X/pdfft?md5=2702f5aa44c295b1b78d945829d5e103&pid=1-s2.0-S074025702300103X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138430555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TABLE OF CONTENTS (p/u from previous issue w/updates) 目录表(p/u来自上一期,更新)
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/S0740-2570(23)00104-1
{"title":"TABLE OF CONTENTS (p/u from previous issue w/updates)","authors":"","doi":"10.1053/S0740-2570(23)00104-1","DOIUrl":"https://doi.org/10.1053/S0740-2570(23)00104-1","url":null,"abstract":"","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Page ii"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0740257023001041/pdfft?md5=8777bdaf6e6611d4094c440b552fb405&pid=1-s2.0-S0740257023001041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138395618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inherited bone marrow failure syndromes and germline predisposition to myeloid neoplasia: A practical approach for the pathologist 遗传性骨髓衰竭综合征和种系对骨髓瘤的易感性:病理学家的实用方法
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.06.006
Jingwei Li , Jacob R. Bledsoe
{"title":"Inherited bone marrow failure syndromes and germline predisposition to myeloid neoplasia: A practical approach for the pathologist","authors":"Jingwei Li ,&nbsp;Jacob R. Bledsoe","doi":"10.1053/j.semdp.2023.06.006","DOIUrl":"10.1053/j.semdp.2023.06.006","url":null,"abstract":"<div><p><span><span>The diagnostic work up and surveillance of germline disorders of bone marrow failure and predisposition to </span>myeloid malignancy<span><span><span><span> is complex and involves correlation between clinical findings, laboratory and genetic studies, and bone marrow histopathology. The rarity of these disorders and the overlap of clinical and pathologic features between primary and secondary causes of bone marrow failure, acquired </span>aplastic anemia<span>, and myelodysplastic syndrome may result in diagnostic uncertainty. With an emphasis on the pathologist's perspective, we review diagnostically useful features of germline disorders including </span></span>Fanconi anemia<span>, Shwachman-Diamond syndrome, telomere biology disorders, </span></span>severe congenital neutropenia<span>, GATA2 deficiency, </span></span></span><em>SAMD9/SAMD9L</em> diseases, Diamond-Blackfan anemia, and acquired aplastic anemia. We discuss the distinction between baseline morphologic and genetic findings of these disorders and features that raise concern for the development of myelodysplastic syndrome.</p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 429-442"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aggressive non-Hodgkin lymphoma in the pediatric and young adult population; diagnostic and molecular pearls of wisdom 儿童和年轻人的侵袭性非霍奇金淋巴瘤;诊断和分子的智慧之珠
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.06.002
Amrit Singh, Ifeyinwa E. Obiorah
{"title":"Aggressive non-Hodgkin lymphoma in the pediatric and young adult population; diagnostic and molecular pearls of wisdom","authors":"Amrit Singh,&nbsp;Ifeyinwa E. Obiorah","doi":"10.1053/j.semdp.2023.06.002","DOIUrl":"10.1053/j.semdp.2023.06.002","url":null,"abstract":"<div><p><span><span>Mature non-Hodgkin lymphomas (NHLs) of the pediatric and young adults(PYA), including </span>Burkitt lymphoma<span><span> (BL), diffuse large B cell lymphoma<span> (DLBCL), high-grade B cell lymphoma (HGBCL), primary mediastinal large B cell lymphoma (PMBL) and anaplastic large cell lymphoma (ALCL), generally have excellent prognosis compared to the adult population. BL, </span></span>DLBCL and </span></span>HGBCL<span><span><span> are usually of germinal center (GCB) origin in the PYA population. PMBL neither belongs to the GCB nor the activated B cell subtype and is associated with a poorer outcome than BL or DLBCL of comparable stage. Anaplastic large cell lymphoma is the most frequent </span>peripheral T cell lymphoma occurring in the PYA and accounts for 10–15% of childhood NHL. Most pediatric ALCL, unlike in the adult, demonstrate expression of </span>anaplastic lymphoma kinase<span> (ALK). In recent years, the understanding of the biology and molecular features of these aggressive lymphomas has increased tremendously. This has led to reclassification of newer PYA entities including Burkitt-like lymphoma with 11q aberration.</span></span></p><p>In this review, we will discuss the current progress discovered in frequently encountered aggressive NHLs in the PYA, highlighting the clinical, pathologic and molecular features that aid in the diagnosis of these aggressive lymphomas. We will be updating the new concepts and terminologies used in the new classification systems.</p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 392-400"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changing landscape of pediatric histiocytoses: Birth, life, and transdifferentiation of pediatric histiocytes 儿童组织细胞增多的变化:儿童组织细胞的出生、生命和转分化
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.05.003
Aaron Auerbach , Nadine S. Aguilera
{"title":"The changing landscape of pediatric histiocytoses: Birth, life, and transdifferentiation of pediatric histiocytes","authors":"Aaron Auerbach ,&nbsp;Nadine S. Aguilera","doi":"10.1053/j.semdp.2023.05.003","DOIUrl":"10.1053/j.semdp.2023.05.003","url":null,"abstract":"<div><p><span>Histiocytic neoplasms in the children are very rare, and histiocytoses can occur in the perinatal period<span>. The presumed origins and presentation of specific histiocytoses in the pediatric age group are described. Common and newly described histiocytoses are presented including </span></span>Langerhans cell histiocytosis<span>, Rosai-Dorfman disease, histiocytic sarcoma<span>, ALK positive histiocytosis, and hemophagocytic lymphohistiocytosis. Molecular findings common to pediatric histiocytoses are also discussed.</span></span></p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 420-428"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reactive Lymphadenopathy in the Pediatric Population with a Focus on Potential Mimics of Lymphoma 儿童人群中的反应性淋巴结病,重点是潜在的淋巴瘤模拟物
IF 2.3 3区 医学
Seminars in Diagnostic Pathology Pub Date : 2023-11-01 DOI: 10.1053/j.semdp.2023.05.004
Rachel A. Mariani , Elizabeth L. Courville
{"title":"Reactive Lymphadenopathy in the Pediatric Population with a Focus on Potential Mimics of Lymphoma","authors":"Rachel A. Mariani ,&nbsp;Elizabeth L. Courville","doi":"10.1053/j.semdp.2023.05.004","DOIUrl":"10.1053/j.semdp.2023.05.004","url":null,"abstract":"<div><p><span>Benign lymphadenopathy<span> is common in the pediatric population and may be clinically striking. As in adults, lymph node evaluation in pediatric patients requires careful morphologic and immunohistochemical assessment and clinical contextualization of the findings. It is important for the </span></span>pathologist<span> to be familiar with benign and reactive conditions that may mimic malignancy<span>. This review presents non-neoplastic or indolent processes or patterns of lymphoid hyperplasia that may be confused with or raise the differential of lymphoma, with a focus on those more commonly encountered in the pediatric/adolescent population.</span></span></p></div>","PeriodicalId":49548,"journal":{"name":"Seminars in Diagnostic Pathology","volume":"40 6","pages":"Pages 371-378"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9599381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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