Proposed unifying nomenclature and examples of immunodeficiency-associated LPDs
3-Part unifying nomenclature . | ||
---|---|---|
Name of lesion . | Viral status . | Specific immunodeficiency setting . |
B-cell hyperplasia (eg, plasmacytic hyperplasia) | eg, EBV+/−, HHV8+/− | eg, Posttransplant (solid organ), iatrogenic (methotrexate), immune senescence |
Polymorphic B-cell lymphoproliferations (eg, mucocutaneous ulcer) | ||
Lymphoma (WHO terminology) (eg, diffuse large B-cell lymphoma, Anaplastic large cell lymphoma, ALK−) |
3-Part unifying nomenclature . | ||
---|---|---|
Name of lesion . | Viral status . | Specific immunodeficiency setting . |
B-cell hyperplasia (eg, plasmacytic hyperplasia) | eg, EBV+/−, HHV8+/− | eg, Posttransplant (solid organ), iatrogenic (methotrexate), immune senescence |
Polymorphic B-cell lymphoproliferations (eg, mucocutaneous ulcer) | ||
Lymphoma (WHO terminology) (eg, diffuse large B-cell lymphoma, Anaplastic large cell lymphoma, ALK−) |
Examples of diagnostic labels . | |
---|---|
Proposed unifying nomenclature . | WHO 2016 nomenclature . |
Plasmacytic hyperplasia, EBV+, posttransplant (solid organ) | Plasmacytic hyperplasia, nondestructive posttransplant LPD |
Polymorphic B-LPD, EBV+, iatrogenic (methotrexate) | Polymorphic LPD resembling polymorphic posttransplant LPD |
Mucocutaneous ulcer, EBV+, primary immunodeficiency (CHARGE syndrome) | EBV+ mucocutaneous ulcer |
Diffuse large B-cell lymphoma, EBV−, HIV infection | Diffuse large B-cell lymphoma |
Diffuse large B-cell lymphoma, T-cell/histiocyte-rich, EBV+, immune senescence | EBV+ diffuse large B-cell lymphoma |
Primary effusion lymphoma, HHV8+, EBV+, HIV infection | Primary effusion lymphoma |
Examples of diagnostic labels . | |
---|---|
Proposed unifying nomenclature . | WHO 2016 nomenclature . |
Plasmacytic hyperplasia, EBV+, posttransplant (solid organ) | Plasmacytic hyperplasia, nondestructive posttransplant LPD |
Polymorphic B-LPD, EBV+, iatrogenic (methotrexate) | Polymorphic LPD resembling polymorphic posttransplant LPD |
Mucocutaneous ulcer, EBV+, primary immunodeficiency (CHARGE syndrome) | EBV+ mucocutaneous ulcer |
Diffuse large B-cell lymphoma, EBV−, HIV infection | Diffuse large B-cell lymphoma |
Diffuse large B-cell lymphoma, T-cell/histiocyte-rich, EBV+, immune senescence | EBV+ diffuse large B-cell lymphoma |
Primary effusion lymphoma, HHV8+, EBV+, HIV infection | Primary effusion lymphoma |