Table 1.

Proposed unifying nomenclature and examples of immunodeficiency-associated LPDs

3-Part unifying nomenclature
Name of lesionViral statusSpecific 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 lesionViral statusSpecific 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 nomenclatureWHO 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 nomenclatureWHO 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 
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