Table 4.

T-Lymphoproliferative Disorders

DisorderCommon PhenotypeComments/VariationPotentially Associated Genetic Abnormalities
 
T-prolymphocyte leukemia CD2, CD3, CD5, CD7, CD4, CD8(−) Dual CD4/CD8 or CD4(−), CD8 rare Alterations of 14q11 and 14q32 
   Clonal TCR rearrangement 
Large granular lymphocytic leukemia-T CD2, CD3, CD5(−), CD7(−), CD4(−), CD8, CD16, CD11b, CD56(−), CD57, CD25(−) CD3, CD56 variant more aggressive Clonal TCR rearrangement 
Large granular lymphocytic leukemia-NK CD2, CD3(−), CD16, CD56, CD4(−), CD8−/+, CD56, CD57(−), CD25(−)  No TCR rearrangement 
Mycosis fungoides Sézary syndrome CD2, CD3, CD5, CE7+/−, CD4, CD8(−), CD25(−) May not have aberrant phenotype Clonal TCR rearrangement 
Adult T-cell leukemia/lymphoma CD2, CD3, CD5, CD7(−), CD4, CD8(−), DR, bright CD25 L-selectin overexpressed Abnormalities of p53 with progression 
  HTLV-I Clonal TCR rearrangement 
T-chronic lymphocytic leukemia CD2, CD3, CD5, CD7, CD4, CD8(−) Aberrant pattern unusual CD8, CD4(−) rare Clonal TCR rearrangement 
DisorderCommon PhenotypeComments/VariationPotentially Associated Genetic Abnormalities
 
T-prolymphocyte leukemia CD2, CD3, CD5, CD7, CD4, CD8(−) Dual CD4/CD8 or CD4(−), CD8 rare Alterations of 14q11 and 14q32 
   Clonal TCR rearrangement 
Large granular lymphocytic leukemia-T CD2, CD3, CD5(−), CD7(−), CD4(−), CD8, CD16, CD11b, CD56(−), CD57, CD25(−) CD3, CD56 variant more aggressive Clonal TCR rearrangement 
Large granular lymphocytic leukemia-NK CD2, CD3(−), CD16, CD56, CD4(−), CD8−/+, CD56, CD57(−), CD25(−)  No TCR rearrangement 
Mycosis fungoides Sézary syndrome CD2, CD3, CD5, CE7+/−, CD4, CD8(−), CD25(−) May not have aberrant phenotype Clonal TCR rearrangement 
Adult T-cell leukemia/lymphoma CD2, CD3, CD5, CD7(−), CD4, CD8(−), DR, bright CD25 L-selectin overexpressed Abnormalities of p53 with progression 
  HTLV-I Clonal TCR rearrangement 
T-chronic lymphocytic leukemia CD2, CD3, CD5, CD7, CD4, CD8(−) Aberrant pattern unusual CD8, CD4(−) rare Clonal TCR rearrangement 

Abbreviations: +/−, variable, more often positive; −/+, variable, more often negative; (−), negative; TCR, T-cell receptor.

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