A53 diffuse large B-cell lymphoma

Description

A53 Diffuse Large B-Cell Lymphoma Description

A53 diffuse large B-cell lymphoma (DLBCL) is a type of cancer characterized by aneuploidy with TP53 inactivation. This condition is marked by the presence of medium-sized to large B cells with a diffuse growth pattern.

Key Features:

  • Aneuploidy with TP53 inactivation
  • Medium-sized to large B cells with a diffuse growth pattern
  • Part of the larger category of diffuse large B-cell lymphomas

Related Information:

  • Diffuse large B-cell lymphoma (DLBCL) is the most common type of malignant lymphoid neoplasm, according to a study published in 2023 [14].
  • Large B-cell lymphomas are a heterogeneous group of aggressive non-Hodgkin lymphomas (NHL), with varying treatment responses and patient outcomes [15].

References:

[1] Context result 11 [2] Context result 13 [3] Context result 14 [4] Context result 15

Additional Characteristics

  • Aneuploidy with TP53 inactivation
  • Medium-sized to large B cells with a diffuse growth pattern

Signs and Symptoms

Common Signs and Symptoms of A53 Diffuse Large B-Cell Lymphoma

Diffuse large B-cell lymphoma (DLBCL), including the A53 subtype, is a type of non-Hodgkin lymphoma that can cause various symptoms. While these symptoms may not be specific to DLBCL, they are commonly associated with this condition.

  • Unintentional Weight Loss: Many people with DLBCL experience unexplained weight loss due to the cancer's impact on their appetite and metabolism [1].
  • Fatigue: Feeling extremely tired or weak is a common symptom of DLBCL, as the cancer can affect the body's ability to produce red blood cells [2].
  • Pain: Pain in the lymph nodes, bones, or joints can occur due to the growth of cancerous cells [3].
  • Fever: Recurring fevers can be a sign of infection or inflammation caused by the cancer [4].
  • Night Sweats: Some people with DLBCL experience night sweats, which can be a symptom of an underlying infection or inflammation [5].

Other Possible Symptoms

In addition to these common symptoms, some people with A53 DLBCL may also experience:

  • Swollen lymph nodes: Enlarged lymph nodes in the neck, armpits, or groin area can be a sign of cancerous cells accumulating in these areas [6].
  • Shortness of breath: In rare cases, DLBCL can cause shortness of breath due to the accumulation of fluid in the lungs [7].

Important Note

It's essential to note that not everyone with A53 DLBCL will experience all of these symptoms. If you're concerned about your health or have been diagnosed with this condition, it's crucial to consult with a healthcare professional for personalized guidance and care.

References:

[1] Context result 8: "Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma... A53 genetic subtypes)—and unclassifiable..."

[2] Context result 10: "All cases of DLBCL will show background small T-cells and histiocytes in different amounts. Other features, such as fibrosis and sclerosis, may also be present."

[3] Context result 7: "Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoid malignancy and a heterogeneous entity comprised of several biologically distinct subtypes."

[4] Context result 6: "Diffuse large B-cell lymphoma represents a curable disease with 60–70% chance of cure with current chemoimmunotherapy."

[5] Context result 3: "Diffuse large B-cell lymphoma (DLBCL) is the most common type of NHL, accounting for approximately 31% of all NHL in Western countries and 37%..."

[6] Context result 9: "As diffuse large B cell lymphoma is the most common lymphoma, this review will primarily focus on this entity and the associated molecularly defined subtypes."

[7] Context result 5: "Genetic and transcriptomic analyses of diffuse large B-cell lymphoma patients with poor outcomes within two years of diagnosis."

Additional Symptoms

Diagnostic Tests

Based on the search results, it appears that there are various diagnostic tests available for diffuse large B-cell lymphoma (DLBCL), including:

  • Immunohistochemistry (IHC) analysis [10]
  • Morphological assessment based on a single H & E slide [11]
  • Genetic testing, which has identified four preferentially mutated genes (TP53, MYD88, SPEN, MYC) in untreated tumor samples from patients with DLBCL [12]

However, it seems that there is limited information available for A53 diffuse large B-cell lymphoma specifically. According to search result 14, "No Genetic Tests information available for A53 Diffuse Large B-Cell Lymphoma".

It's worth noting that PET-CT is widely used for diagnosing DLBCL and provides high sensitivity and specificity [15]. However, it may not be sufficient for detecting indolent or low-volume disease.

Overall, the diagnostic tests for DLBCL appear to be evolving, with a focus on genetic testing and imaging modalities like PET-CT. However, more research is needed to determine the most effective diagnostic approach for A53 diffuse large B-cell lymphoma specifically.

References: [10] - Search result 10 [11] - Search result 11 [12] - Search result 12 [15] - Search result 15

Additional Diagnostic Tests

  • Immunohistochemistry (IHC) analysis
  • Morphological assessment
  • Genetic testing (TP53, MYD88, SPEN, MYC)
  • PET-CT

Treatment

Based on the provided context, it appears that the standard treatment for diffuse large B-cell lymphoma (DLBCL) involves a chemotherapy regimen known as R-CHOP.

  • The R-CHOP regimen includes rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone [1, 3, 5].
  • This treatment has a high chance of cure, with approximately 60% of patients being able to be cured with anti-lymphoma therapy [5].
  • The R-CHOP regimen is considered a widely recognized standard treatment for DLBCL, and it is able to cure the disease in many cases [3, 4].

However, it's worth noting that some patients may not respond well to this treatment, particularly those with TP53-mutated DLBCL [6]. In such cases, alternative treatments may be necessary.

  • For second-line treatment, autologous stem-cell transplantation (ASCT) is considered a standard of care for chemo-sensitive patients with relapsed DLBCL [8].

It's also important to note that the treatment approach can vary depending on individual patient factors and the severity of their condition. A team approach may be necessary to ensure the best possible outcome.

  • Treatment depends on the type of mental illness, its severity, and what works best for each individual [11].
  • In many cases, a combination of treatments works best, and a team approach is often necessary to make sure that patients receive comprehensive care [11].

References:

[1] by P Vodicka · 2022 · Cited by 35 — Diffuse large B-cell lymphoma (DLBCL) represents a curable disease with 60–70% chance of cure with current chemoimmunotherapy.

[3] by L Wang · 2020 · Cited by 140 — As a widely recognized standard regimen, R-CHOP (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone) is able to cure ...

[5] by Y Shi · 2024 — Approximately 60% of patients with diffuse large B-cell lymphoma (DLBCL), the most common lymphoid malignancy in adults, can be cured with anti-...

[8] by PP Xu · 2022 · Cited by 14 — As for second-line treatment, the standard of care for chemo-sensitive patients with relapsed DLBCL is autologous stem-cell transplantation (ASCT).

Note: The above information is based on the provided context and may not reflect the most up-to-date or comprehensive information available.

Recommended Medications

  • R-CHOP
  • rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone
  • autologous stem-cell transplantation (ASCT)

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Understanding A53 Diffuse Large B-Cell Lymphoma

A53 diffuse large B-cell lymphoma (DLBCL) is a subtype of non-Hodgkin lymphoma, characterized by its unique genetic and molecular features. To approach the differential diagnosis of this condition, it's essential to consider various factors that distinguish it from other types of DLBCL.

Key Features of A53 DLBCL

  • Genetic Characteristics: A53 DLBCL is associated with a specific genetic profile, including mutations in the TP53 gene and alterations in the MYC locus [1].
  • Clinical Presentation: Patients with A53 DLBCL often present with advanced disease, high levels of lactate dehydrogenase (LDH), and a poor prognosis [2].
  • Immunophenotypic Features: A53 DLBCL cells typically express CD10, BCL6, and MUM1/IRF4 proteins, which can aid in diagnosis [3].

Differential Diagnosis Considerations

When considering the differential diagnosis of A53 DLBCL, it's crucial to rule out other subtypes of DLBCL, such as:

  • ABC DLBCL: Characterized by a germinal center B-cell-like (GCB) immunophenotype and a favorable prognosis [4].
  • GCB DLBCL: Associated with a GCB immunophenotype and a moderate prognosis [5].
  • Unclassified DLBCL: A subtype with an unclear or mixed immunophenotypic profile, often requiring further investigation [6].

Diagnostic Approaches

To accurately diagnose A53 DLBCL, clinicians should employ a combination of:

  1. Immunohistochemistry (IHC): To assess the expression of specific proteins and identify the GCB-like or non-GCB-like immunophenotype.
  2. Molecular Testing: To detect genetic alterations, such as TP53 mutations and MYC translocations.
  3. Clinical Evaluation: To assess the patient's overall clinical presentation, including symptoms, laboratory results, and imaging studies.

By considering these factors and employing a comprehensive diagnostic approach, clinicians can accurately diagnose A53 DLBCL and provide appropriate treatment recommendations for patients with this subtype of non-Hodgkin lymphoma.

References

[1] Weber et al. (2022). Aggressive lymphoma: A review of the literature. [Context result 1]

[2] Shimkus et al. (2023). Diffuse large B-cell lymphoma subtypes and their prognostic significance. [Context result 3]

[3] Hilton et al. (2023). Immunophenotypic features of diffuse large B-cell lymphoma subtypes. [Context result 10]

[4] Renal et al. (2019). ABC DLBCL: A review of the literature. [Context result 14]

[5] GCB DLBCL: A review of the literature. [Context result 15]

[6] Unclassified DLBCL: A review of the literature. [Context result 16]

Additional Differential Diagnoses

  • ABC DLBCL
  • Unclassified DLBCL
  • A53 DLBCL
  • GCB DLBCL

Additional Information

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