Lymphoid neoplasms in the REAL/WHO classification.5,31
**B and T/NK-cell neoplasms are grouped according to major clinical presentations (predominantly disseminated/leukemic, primary extranodal, predominantly nodal) |
B-cell Neoplasms |
Precursor B-cell neoplasm |
• Precursor B-lymphoblastic leukemia/lymphoma (precursor B-cell acute lymphoblastic leukemia) |
Mature (peripheral) B-cell neoplasms** |
• Chronic lymphocytic leukemia/B-cell small lymphocytic lymphoma |
• B-cell prolymphocytic leukemia |
• Lymphoplasmacytic lymphoma |
• Splenic marginal zone B-cell lymphoma (splenic lymphoma with villous lymphocytes) |
• Hairy cell leukemia |
• Plasma cell myeloma/Plasmacytoma |
• Extranodal marginal zone B-cell lymphoma (MALT lymphoma) |
• Nodal marginal zone B-cell lymphoma |
• Follicular lymphoma |
• Mantle cell lymphoma |
• Diffuse large B-cell lymphomas |
• Burkitt lymphoma/leukemia |
T and NK-Cell Neoplasms |
Precursor T-cell neoplasm |
• Precursor T-lymphoblastic leukemia/lymphoma (precursor T-cell acute lymphoblastic leukemia) |
• Blastoid NK-cell lymphoma |
Mature (peripheral) T-cell neoplasms |
• T-cell prolymphocytic leukemia |
• T-cell large granular lymphocytic leukemia |
• Aggressive NK-cell leukemia |
• Adult T-cell lymphoma/leukemia (HTLV1+) |
• Extranodal NK/T-cell lymphoma, nasal type |
• Enteropathy-type T-cell lymphoma |
• Hepatosplenic T-cell lymphoma |
• Subcutaneous panniculitis-like T-cell lymphoma |
• Mycosis fungoides/Sézary syndrome |
• Primary cutaneous anaplastic large cell lymphoma |
• Peripheral T-cell lymphoma, not otherwise specified |
• Angioimmunoblastic T-cell lymphoma |
• Primary systemic anaplastic large cell lymphoma |
Hodgkin lymphoma (Hodgkin disease) |
• Nodular lymphocyte predominant Hodgkin lymphoma |
• Classical hodgkin lymphoma |
Nodular sclerosis Hodgkin lymphoma (Grades 1 and 2) |
Lymphocyte-rich classical Hodgkin lymphoma |
Mixed cellularity Hodgkin lymphoma |
Lymphocyte depleted Hodgkin lymphoma |
**B and T/NK-cell neoplasms are grouped according to major clinical presentations (predominantly disseminated/leukemic, primary extranodal, predominantly nodal) |
B-cell Neoplasms |
Precursor B-cell neoplasm |
• Precursor B-lymphoblastic leukemia/lymphoma (precursor B-cell acute lymphoblastic leukemia) |
Mature (peripheral) B-cell neoplasms** |
• Chronic lymphocytic leukemia/B-cell small lymphocytic lymphoma |
• B-cell prolymphocytic leukemia |
• Lymphoplasmacytic lymphoma |
• Splenic marginal zone B-cell lymphoma (splenic lymphoma with villous lymphocytes) |
• Hairy cell leukemia |
• Plasma cell myeloma/Plasmacytoma |
• Extranodal marginal zone B-cell lymphoma (MALT lymphoma) |
• Nodal marginal zone B-cell lymphoma |
• Follicular lymphoma |
• Mantle cell lymphoma |
• Diffuse large B-cell lymphomas |
• Burkitt lymphoma/leukemia |
T and NK-Cell Neoplasms |
Precursor T-cell neoplasm |
• Precursor T-lymphoblastic leukemia/lymphoma (precursor T-cell acute lymphoblastic leukemia) |
• Blastoid NK-cell lymphoma |
Mature (peripheral) T-cell neoplasms |
• T-cell prolymphocytic leukemia |
• T-cell large granular lymphocytic leukemia |
• Aggressive NK-cell leukemia |
• Adult T-cell lymphoma/leukemia (HTLV1+) |
• Extranodal NK/T-cell lymphoma, nasal type |
• Enteropathy-type T-cell lymphoma |
• Hepatosplenic T-cell lymphoma |
• Subcutaneous panniculitis-like T-cell lymphoma |
• Mycosis fungoides/Sézary syndrome |
• Primary cutaneous anaplastic large cell lymphoma |
• Peripheral T-cell lymphoma, not otherwise specified |
• Angioimmunoblastic T-cell lymphoma |
• Primary systemic anaplastic large cell lymphoma |
Hodgkin lymphoma (Hodgkin disease) |
• Nodular lymphocyte predominant Hodgkin lymphoma |
• Classical hodgkin lymphoma |
Nodular sclerosis Hodgkin lymphoma (Grades 1 and 2) |
Lymphocyte-rich classical Hodgkin lymphoma |
Mixed cellularity Hodgkin lymphoma |
Lymphocyte depleted Hodgkin lymphoma |