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Follicular Lymphomas: Morphology, Prognostic Factors and Treatment

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Interferons

Abstract

Meaningful discussion of therapy of a disease requires a precise definition of the pathologic entity needing therapy. This requirement is only partially fulfilled for the non-Hodgkin’s lymphomas (NHL). Classification of these malignancies is particularly difficult at present as molecular biologists, cytogeneticists, immunologists, histopathologists and clinicians all strive to increase diagnostic precision with the NHLs. This article concentrates on the low-grade lymphomas which are subdivided differently in the two most commonly used histologic classifications for lymphomas—the Working Formulation for Clinical Usage [1, 2] and the Kiel Classification [3, 4]. Although these classification systems allow differentiation of lymphoma subtypes by histology [5], classification according to prognosis is more difficult since the final outcome may change with treatment. These socalled low-grade lymphomas can be divided into two broad categories, follicular lymphomas and diffuse B or T small-cell lymphomas (Table 1). The clinical aggressiveness associated with the two categories of lymphomas, as well as the outcome of these patients, is variable. In some cases the lymphomas have very low clinical aggressiveness and patients have a long survival time irrespective of the type of treatment. In other cases, the lymphomas are much more aggressive, with patients having a low response rate to treatment, a short progression-free survival and short overall survival.

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Coiffier, B., Berger, F., Giles, F. (1997). Follicular Lymphomas: Morphology, Prognostic Factors and Treatment. In: Aul, C., Schneider, W. (eds) Interferons. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60411-9_7

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