Clinical Medicine Gorczyca Atlas of Differential Diagnosis in Third Edition A t Atlas of Differential Diagnosis in l a s Neoplastic Hematopathology Neoplastic Hematopathology o f D i f Management of tumor patients now relies on new individualized approaches to f e treatment, requiring extensive knowledge of the molecular makeup of tumors. r Updated and expanded, the third edition of Atlas of Differential Diagnosis in e T h i rd E d i t i o n Neoplastic Hematopathology examines not only the differential diagnosis but also n t the detailed morphologic, immunophenotypic, and especially genetic characteris- i a tics of the majority of hematolymphoid malignancies. l D Featuring a new structure and including new chapters, the third edition updates all i content and presents considerable expansion on many topics, including: a g • Metaphase cytogenetic and FISH n • Flow cytometry (overview and detailed analysis of specific tumors) o s • Acute myeloid leukemia and new classification schemes i • MDS, AML, and B- and T-cell lymphoproliferations s • Abnormal patterns in the lymph node and bone marrow with detail i n differential diagnosis based on histologic features and cellular composition • Detailed differential diagnosis based on the expression of broad list of N antigenic markers (flow cytometry and immunohistochemistry) e • Extranodal lymphomas o p • Diagnosis of MDS and myeloproliferative neoplasm and their l differential diagnosis based on the morphologic, flow cytometric, a s and chromosomal features t i c The book also provides expanded differential diagnosis of the most common as well as most difficult and rare entities, including morphologic, immunophenotypic, H and karyotypic/molecular features. This edition includes updated algorithms for e m most common diagnoses as well as several new algorithms. The majority of figures have been revised and are in full color. a t o About the Author: p Dr. Wojciech Gorczyca is a noted authority in clinical flow cytometry and hemato- a t pathology. He earned his medical degree and doctorate in pathology from Pomera- h nian Medical University in Szczecin, Poland. A well-respected lecturer and author, o he has published numerous peer-reviewed journal articles and six textbooks. l o g y Wojciech Gorczyca K21710 Third Edition Atlas of Differential Diagnosis in Neoplastic Hematopathology T h i rd E d i t i o n TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk Atlas of Differential Diagnosis in Neoplastic Hematopathology T h i rd E d i t i o n Wojciech Gorczyca Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2014 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20131217 International Standard Book Number-13: 978-1-4822-1225-9 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. 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TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk Contents Prefacexi Abbreviations xiii SECTION I General Histologic and Cytologic Features Chapter 1 Lymph Node 1 Chapter 2 Bone Marrow21 SECTION II Immunophenotyping Chapter 3 Flow Cytometry 49 Chapter 4 Immunohistochemistry 105 Chapter 5 Immunophenotypic Markers: Differential Diagnosis 119 SECTION III Introduction to Cytogenetics, FISH, and Molecular Testing Chapter 6 Cytogenetics 155 Chapter 7 Fluorescence In Situ Hybridization and Polymerase Chain Reaction189 SECTION IV Mature B-Cell Neoplasms Chapter 8 Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma and B-Cell Prolymphocytic Leukemia 211 Chapter 9 Mantle Cell Lymphoma 235 Chapter 10 Marginal Zone Lymphoma 251 Chapter 11 Follicular Lymphoma 267 Chapter 12 Lymphoplasmacytic Lymphoma/Waldenström Macroglobulinemia 297 Chapter 13 Diffuse Large B-Cell Lymphoma and its Variants 307 Chapter 14 Hairy Cell Leukemia 335 vii viii Contents Chapter 15 Burkitt Lymphoma and B-Cell Lymphoma, Unclassifiable (with Features Intermediate between Burkitt Lymphoma and DLBCL) 345 Chapter 16 Plasma Cell Neoplasms 359 Chapter 17 B-Cell Lymphomas with Plasmablastic Morphology and/or EBV Expression383 SECTION V Mature T-Cell Neoplasms Chapter 18 Adult T-Cell Leukemia/Lymphoma 395 Chapter 19 T-Cell Prolymphocytic Leukemia and T-Cell Large Granular Lymphocyte Leukemia 401 Chapter 20 Peripheral T-Cell Lymphoma 417 Chapter 21 Angioimmunoblastic T-Cell Lymphoma 433 Chapter 22 Anaplastic Large Cell Lymphoma 447 Chapter 23 Extranodal Natural Killer/T- Cell Lymphoma, Nasal Type 465 SECTION VI Hodgkin Lymphoma Chapter 24 Classical Hodgkin Lymphoma 473 Chapter 25 Nodular Lymphocyte Predominant Hodgkin Lymphoma 491 SECTION VII Myeloproliferative Neoplasms Chapter 26 Introduction to Myeloproliferative Neoplasms 503 Chapter 27 Chronic Myeloid Leukemia 517 Chapter 28 Polycythemia Vera 533 Chapter 29 Essential Thrombocythemia 539 Chapter 30 Primary Myelofibrosis 545 Chapter 31 Other Myeloproliferative Neoplasms 551 Contents ix SECTION VIII M yelodysplastic Syndromes and Mixed Myelodysplastic/ Myeloproliferative Neoplasms Chapter 32 Myelodysplastic Syndromes 565 Chapter 33 Mixed Myelodysplastic–Myeloproliferative Neoplasms 597 SECTION IX Acute Myeloid Leukemia: An Introduction Chapter 34 Acute Myeloid Leukemia: An Introduction 611 Chapter 35 Acute Myeloid Leukemia without Specific Genetic Changes 645 Chapter 36 Acute Myeloid Leukemia with Recurrent Genetic Abnormalities 675 SECTION X Acute Lymphoblastic Leukemia and Other Hematopoietic Tumors Chapter 37 B-Lymphoblastic Leukemia/Lymphoma 695 Chapter 38 T-Lymphoblastic Leukemia/Lymphoma 715 Chapter 39 Other Tumors 729 SECTION XI Extranodal Lymphomas and Their Differential Diagnosis Chapter 40 Body Cavities 751 Chapter 41 Liver 759 Chapter 42 Lung and Mediastinum 771 Chapter 43 Salivary Glands 783 Chapter 44 Skin 789 Chapter 45 Spleen 831 Chapter 46 Stomach and Gastrointestinal Tract 853 Chapter 47 Testis 881 Index 891
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