#author("2022-07-17T22:20:25+09:00","","")
#author("2022-07-17T22:25:24+09:00","","")
[[Haematopathology-WHO 5th classification]]

*WHO 5th Classification of Lymphoid classification [#a65d4225]

2022年7月時点の文献--Leukemia;
2022年7月時点の文献--Alaggio R et al., Leukemia 2022; Jul;36(7):1720-1748. &note{:Alaggio R et al., Leukemia 2022; Jul;36(7):1720-1748.The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours: Lymphoid Neoplasms};


*B-cell proliferation/ B-cell lymphoma [#id596110]
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[[T-cell and NK cell LPD/lymphomaを見る>#T-cell]]

***Tumour-like lesions with B-cell predominance [#o6e4b291]
 

-Reactive B-cell-rich lymphoid proliferations that can mimic lymphoma * 

-IgG4-related disease* 

-Unicentric Castleman disease* 

-Idiopathic multicentric Castleman disease* 

-KSHV/HHV8-associated multicentric Castleman disease ( 4th Edでは, Multicentric Castleman disease

 *; Not previously included in WHO 4th Ed
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***Precursor B-cell neoplasms [#oa5e5e55]

''B-cell lymphoblastic leukaemias/lymphomas''  
>[ ]内はWHO 4th revised でのentity名です. 5th Edでは削除された項目もある. [Not previously included]は5thで新たに加えられたentity, [Same]は変更なしのentity.

-B-lymphoblastic leukaemia/lymphoma, NOS  [Same]

-B-lymphoblastic leukaemia/lymphoma with ''high hyperdiploidy'' [B-lymphoblastic leukaemia/lymphoma with hyperdiploidy]

-B-lymphoblastic leukaemia/lymphoma ''with hypodiploidy'' [Same]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with iAMP21''}; [Same]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with BCR::ABL1 fusion''}; [B-lymphoblastic leukaemia/lymphoma with t(9;22)(q34;q11.2); BCR-ABL1]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with BCR::ABL1-like features''}; [B-lymphoblastic leukaemia/lymphoma, BCR-ABL1-like]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with KMT2A rearrangement''}; [B-lymphoblastic leukaemia/lymphoma with t(v;11q23.3); KMT2A-rearranged]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with ETV6::RUNX1 fusion''}; [B-lymphoblastic leukaemia/lymphoma with t(12;21)(p13.2;q22.1); ETV6-RUNX1]]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with ETV6::RUNX1-like features''}; [Not previously included]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with TCF3::PBX1 fusion''}; [B-lymphoblastic leukaemia/lymphoma with t(1;19)(q23;p13.3); TCF3-PBX1]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with IGH::IL3 fusion''};  [B-lymphoblastic leukaemia/lymphoma with t(5;14)(q31.1;q32.1); IGH/IL3]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with TCF3::HLF fusion''};  [Not previously included]

-B-lymphoblastic leukaemia/lymphoma &color(#d7003a){''with other defined genetic abnormalities''}; [same]
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***Mature B-cell neoplasms [#f40754a0]

''Pre-neoplastic and neoplastic small lymphocytic proliferations''

-Monoclonal B-cell lymphocytosis (Same)

-Chronic lymphocytic leukaemia/small lymphocytic lymphoma (Same)

- [B-cell prolymphocytic leukaemia]; Entity deleted

''Splenic B-cell lymphomas and leukaemias''

-Hairy cell leukaemia (Same)

-Splenic marginal zone lymphoma (Same)

-Splenic diffuse red pulp small B-cell lymphoma (Same)

-Splenic B-cell lymphoma/leukaemia with prominent nucleoli [Not previously included (encompassing hairy cell leukaemia variant and some cases of B-cell prolymphocytic leukaemia)]
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''Lymphoplasmacytic lymphoma''

-Lymphoplasmacytic lymphoma [same]

''Marginal zone lymphoma''

-Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue  [same]

-Primary cutaneous marginal zone lymphoma  [Not previously included (originally included under “extranodal marginal zone
lymphoma of mucosa-associated lymphoid tissue”)]

-Nodal marginal zone lymphoma [same]

-Paediatric marginal zone lymphoma [same]
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''Follicular lymphoma''

-In situ follicular B-cell neoplasm In situ follicular neoplasia

-Follicular lymphoma [Same]

-Paediatric-type follicular lymphoma [Same]

-Duodenal-type follicular lymphoma [Same]

''Cutaneous follicle centre lymphoma''

-Primary cutaneous follicle centre lymphoma [Same]

''Mantle cell lymphoma''

-In situ mantle cell neoplasm In situ mantle cell neoplasia

-Mantle cell lymphoma [Same]

-Leukaemic non-nodal mantle cell lymphoma [Same]

''Transformations of indolent B-cell lymphomas''

-Transformations of indolent B-cell lymphomas  [Not previously included]

''Large B-cell lymphomas''

-Diffuse large B-cell lymphoma, NOS [Same]

-T-cell/histiocyte-rich large B-cell lymphoma [Same]

-Diffuse large B-cell lymphoma/ high grade B-cell lymphoma with MYC and BCL2 rearrangements

-High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements

-ALK-positive large B-cell lymphoma [Same]

-Large B-cell lymphoma with IRF4 rearrangement [Same]

-High-grade B-cell lymphoma with 11q aberrations Burkitt-like lymphoma with 11q aberration

-Lymphomatoid granulomatosis [Same]

-EBV-positive diffuse large B-cell lymphoma EBV-positive diffuse large B-cell lymphoma, NOS

-Diffuse large B-cell lymphoma associated with chronic inflammation [Same]

-Fibrin-associated large B-cell lymphoma Not previously included [Previously considered a subtype of diffuse large B-cell lymphoma associated with chronic inflammation]

-Fluid overload-associated large B-cell lymphoma Not previously included

-Plasmablastic lymphoma [Same]

-Primary large B-cell lymphoma of immune-privileged sites Not previously included, encompassing primary diffuse large B-cell lymphoma of the CNS in revised 4th edition [plus primary large B-cell lymphoma of the vitreoretina and primary large B-cell lymphoma of the testis]

-Primary cutaneous diffuse large B-cell lymphoma, leg type [Same]

-Intravascular large B-cell lymphoma [Same]

-Primary mediastinal large B-cell lymphoma [Same]

-Mediastinal grey zone lymphoma B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classic Hodgkin lymphoma

-High-grade B-cell lymphoma, NOS [Same]

''Burkitt lymphoma''

-Burkitt lymphoma [Same]

''KSHV/HHV8-associated B-cell lymphoid proliferations and lymphomas''

-Primary effusion lymphoma [Same]

-KSHV/HHV8-positive diffuse large B-cell lymphoma HHV8-positive diffuse large B-cell lymphoma, NOS

-KSHV/HHV8-positive germinotropic lymphoproliferative disorder

-HHV8-positive germinotropic lymphoproliferative disorder

''Lymphoid proliferations and lymphomas associated with immune deficiency and dysregulation''

-Hyperplasias arising in immune deficiency/dysregulation [Not previously included, encompassing non-destructive post-transplant lymphoproliferative disorders, among others]

-Polymorphic lymphoproliferative disorders arising in immune deficiency/dysregulation [Not previously included, encompassing polymorphic posttransplant lymphoproliferative disorders, other iatrogenic immunodeficiency-associated lymphoproliferative disorders, among others]

-EBV-positive mucocutaneous ulcer [Same]

-Lymphomas arising in immune deficiency / dysregulation [Not previously included, encompassing monomorphic posttransplant
lymphoproliferative disorders, classic Hodgkin lymphoma posttransplant lymphoproliferative disorders, lymphomas associated with HIV infection, among others]

-Inborn error of immunity-associated lymphoid proliferations and lymphomas [Lymphoproliferative diseases associated with primary immune disorders]


***Hodgkin lymphoma [#be9edea1]

-Classic Hodgkin lymphoma [Same]

-Nodular lymphocyte predominant Hodgkin lymphoma [Same]
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***Plasma cell neoplasms and other diseases with paraproteins [#w30117c1]

-Monoclonal gammopathies

-Cold agglutinin disease Not previously included IgM monoclonal gammopathy of undetermined significance [Same]

-Non-IgM monoclonal gammopathy of undetermined significance [Same]

-Monoclonal gammopathy of renal significance [Not previously included]
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''Diseases with monoclonal immunoglobulin deposition''

-Immunoglobulin-related [AL] amyloidosis  [Primary amyloidosis]

-Monoclonal immunoglobulin deposition disease [Light chain and heavy chain deposition disease]

''Heavy chain diseases''

-Mu heavy chain disease [Same]

-Gamma heavy chain disease [Same]

-Alpha heavy chain disease [Same]

''Plasma cell neoplasms''

-Plasmacytoma [Same]

-Plasma cell myeloma [Same]

-Plasma cell neoplasms with associated paraneoplastic syndrome

--POEMS syndrome

--TEMPI syndrome

--AESOP syndrome
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#aname(T-cell);

*T-cell and NK ell proliferation/lymphoma [#fda57cd6]

[ ]内はWHO 4th revised でのentity名です. 5th Edでは削除された項目もある. [Not previously included]は5thで新たに加えられたentity, [Same]は変更なしのentity.

***Tumour-like lesions with T-cell predominance [#l3d81534]

-Kikuchi-Fujimoto disease  [Not previously included]

-Indolent T-lymphoblastic proliferation [Not previously included]

-Autoimmune lymphoproliferative syndrome  [Not previously included]

***Precursor T-cell neoplasms [#xbcc125c]

''T-lymphoblastic leukaemia/lymphoma''

-T-lymphoblastic leukaemia / lymphoma, NOS [T-lymphoblastic leukaemia/lymphoma]

-Early T-precursor lymphoblastic leukaemia / lymphoma [Early T-cell precursor lymphoblastic leukaemia]

-[Entity deleted] NK-lymphoblastic leukaemia/lymphoma


***Mature T-cell and NK-cell neoplasms [#kab314d1]

''Mature T-cell and NK-cell leukaemias''

-T-prolymphocytic leukaemia [Same]

-T-large granular lymphocytic leukaemia  [T-cell large granular lymphocytic leukaemia]

-NK-large granular lymphocytic leukaemia  [Chronic lymphoproliferative disorder of NK cells]

-Adult T-cell leukaemia/lymphoma [Same]

-Sezary syndrome [Same]

-Aggressive NK-cell leukaemia [Same]
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''Primary cutaneous T-cell lymphomas''

-Primary cutaneous CD4-positive small or medium T-cell lymphoproliferative disorder [Same]

-Primary cutaneous acral CD8-positive lymphoproliferative disorder [Primary cutaneous acral CD8-positive T-cell lymphoma]

-Mycosis fungoides [Same]

-Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: Lymphomatoid papulosis [Same]

-Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: Primary cutaneous anaplastic large cell lymphoma [Same]

-Subcutaneous panniculitis-like T-cell lymphoma [Same]

-Primary cutaneous gamma/delta T-cell lymphoma [Same]

-Primary cutaneous CD8-positive aggressive epidermotropic cytotoxic T-cell lymphoma [Same]

-Primary cutaneous peripheral T-cell lymphoma, NOS  [Not previously included]
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''Intestinal T-cell and NK-cell lymphoid proliferations and lymphomas''

-Indolent T-cell lymphoma of the gastrointestinal tract Indolent T-cell lymphoproliferative disorder of the gastrointestinal tract

-Indolent NK-cell lymphoproliferative disorder of the gastrointestinal tract [Not previously included]

-Enteropathy-associated T-cell lymphoma [Same]

-Monomorphic epitheliotropic intestinal T-cell lymphoma [Same]

-Intestinal T-cell lymphoma, NOS [Same]
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''Hepatosplenic T-cell lymphoma''

-Hepatosplenic T-cell lymphoma [Same]
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''Anaplastic large cell lymphoma''

-ALK-positive anaplastic large cell lymphoma  [Anaplastic large cell lymphoma, ALK-positive]

-ALK-negative anaplastic large cell lymphoma  [Anaplastic large cell lymphoma, ALK-negative] 

-Breast implant-associated anaplastic large cell lymphoma [Same]
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''Nodal T-follicular helper [TFH] cell lymphoma''

-Nodal TFH cell lymphoma, angioimmunoblastic-type Angioimmunoblastic T-cell lymphoma

-Nodal TFH cell lymphoma, follicular-type Follicular T-cell lymphoma

-Nodal TFH cell lymphoma, NOS Nodal peripheral T-cell lymphoma with TFH phenotype

''Other peripheral T-cell lymphomas''

-Peripheral T-cell lymphoma, not otherwise specified [Same]

''EBV-positive NK/T-cell lymphomas''

-EBV-positive nodal T- and NK-cell lymphoma Not previously included

-Extranodal NK/T-cell lymphoma Extranodal NK/T-cell lymphoma, nasal-type
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''EBV-positive T- and NK-cell lymphoid proliferations and lymphomas of childhood''

-Severe mosquito bite allergy [Same]

-Hydroa vacciniforme lymphoproliferative disorder [Hydroa vacciniforme-like lymphoproliferative disorder]

-Systemic chronic active EBV disease  [Chronic active EBV infection of T- and NK-cell type, systemic form]

-Systemic EBV-positive T-cell lymphoma of childhood [Same]


***Mesenchymal dendritic cell neoplasms [#y9be3531]

-Follicular dendritic cell sarcoma [Same]

-EBV-positive inflammatory follicular dendritic cell sarcoma Inflammatory pseudotumour-like follicular/fibroblastic dendritic cell sarcoma

-Fibroblastic reticular cell tumour [Same]

-Myofibroblastic tumour

-Intranodal palisaded myofibroblastoma [Not previously included]
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''Spleen-specific vascular-stromal tumours''

-Splenic vascular-stromal tumours

-Littoral cell angioma [Not previously included]

-Splenic hamartoma [Not previously included]

-Sclerosing angiomatoid nodular transformation of spleen [Not previously included]

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