Skip to main content

Hematological Neoplasms

  • Chapter
Intraocular Inflammation

Abstract

Hematologic neoplasms comprise multiple malignant diseases derived from cells of myeloid or lymphocytic hematopoietic lineages. Hence, the classification of these disorders is primarily based on the hematopoietic lineage into lymphoid and myeloid neoplasms. In recent years, great progress has been made in the differentiation of disease entities and the definition of their specific properties leading to directed treatment and distinct prognostic evaluation. Also, the classification of hematologic neoplasms has evolved tremendously. In 2008, the World Health Organization (WHO) published its latest consensus criteria that incorporated a precise definition of morphology, immunophenotype, molecular markers, and clinical properties. According to these criteria lymphomas are grouped into lymphatic precursor neoplasms, mature B-, T-, and NK-cell neoplasms, Hodgkin’s lymphoma, and posttransplantation lymphoproliferative diseases (PTLD). Myeloid neoplasias and leukemia are subdivided into myeloproliferative neoplasms (MPN), myeloid and lymphoid neoplasms associated with eosinophilia, myelodysplastic/myeloproliferative neoplasms (MDS/MPN), myelodysplastic syndromes (MDS), acute myeloid leukemia (AML), acute leukemias of ambiguous lineage, B-lymphoblastic leukemia/lymphoma, and T-lymphoblastic leukemia. Of note, differentiation between acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma is obvious when a patient presents with masses composed of B or T lymphoblasts without detection of blasts in the bone marrow or peripheral blood. Therefore, lymphoblastic neoplasms are incorporated into both lymphoid (lymphoblastic lymphoma) and leukemia (ALL) classification criteria.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Campo E, Swerdlow SH, Harris NL et al (2011) The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications. Blood 117:5019–5032

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  2. Vardiman JW, Thiele J, Arber DA et al (2009) The 2008 revision of the World Health Organization (WHO) classification of myeloid neoplasms and acute leukemia: rationale and important changes. Blood 114:937–951

    Article  CAS  PubMed  Google Scholar 

  3. Cooper EL, Ricker JL (1951) Malignant lymphoma of the uveal tract. Am J Ophthalmol 34:1153–1158

    Article  CAS  PubMed  Google Scholar 

  4. Baxter EJ, Scott LM, Campbell PJ et al (2005) Acquired mutation of the tyrosine kinase JAK2 in human myeloproliferative disorders. Lancet 365:1054–1061

    Article  CAS  PubMed  Google Scholar 

  5. Gotlib J, Cools J, Malone JM 3rd et al (2004) The FIP1L1-PDGFRalpha fusion tyrosine kinase in hypereosinophilic syndrome and chronic eosinophilic leukemia: implications for diagnosis, classification, and management. Blood 103:2879–2891

    Article  CAS  PubMed  Google Scholar 

  6. Fenaux P, Mufti GJ, Hellstrom-Lindberg E et al (2009) Efficacy of azacitidine compared with that of conventional care regimens in the treatment of higher-risk myelodysplastic syndromes: a randomised, open-label, phase III study. Lancet Oncol 10:223–232

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Lübbert M, Suciu S, Baila L et al (2011) Low-dose decitabine versus best supportive care in elderly patients with intermediate- or high-risk myelodysplastic syndrome (MDS) ineligible for intensive chemotherapy: final results of the randomized phase III study of the European Organisation for Research and Treatment of Cancer Leukemia Group and the German MDS Study Group. J Clin Oncol 29:1987–1996

    Article  PubMed  Google Scholar 

  8. Ottmann OG, Pfeifer H (2009) Management of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ALL). Hematol Am Soc Hematol Educ Prog 2009:371–381

    Article  Google Scholar 

  9. Piro LD, Carrera CJ, Carson DA, Beutler E (1990) Lasting remissions in hairy-cell leukemia induced by a single infusion of 2-chlorodeoxyadenosine. N Engl J Med 322:1117–1121

    Article  CAS  PubMed  Google Scholar 

  10. Gertz MA (2013) Waldenström macroglobulinemia: 2013 update on diagnosis, risk stratification, and management. Am J Hematol 88:703–711

    Article  CAS  PubMed  Google Scholar 

  11. Gahrton G, Krishnan A (2014) Allogeneic transplantation in multiple myeloma. Expert Rev Hematol 7:79–90

    Google Scholar 

  12. Caballero D, Campo E, López-Guillermo A et al (2013) Clinical practice guidelines for diagnosis, treatment, and follow-up of patients with mantle cell lymphoma. Recommendations from the GEL/TAMO Spanish Cooperative Group. Ann Hematol 92:1151–1179

    Article  PubMed  Google Scholar 

  13. Cunningham D, Hawkes EA, Jack A et al (2013) Rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisolone in patients with newly diagnosed diffuse large B-cell non-Hodgkin lymphoma: a phase 3 comparison of dose intensification with 14-day versus 21-day cycles. Lancet 381(9880):1817–1826. doi:10.1016/S0140-6736(13)60313-X, Epub 2013 Apr 22

    Article  CAS  PubMed  Google Scholar 

  14. Engert A, Diehl V, Franklin J et al (2009) Escalated-dose BEACOPP in the treatment of patients with advanced-stage Hodgkin’s lymphoma: 10 years of follow-up of the GHSG HD9 study. J Clin Oncol 27:4548–4554

    Article  PubMed  Google Scholar 

  15. Lang GE, Lang SJ (2011) Augenveränderungen bei hämatologischen Erkrankungen. Ophthalmologe 108:981–993

    Article  CAS  PubMed  Google Scholar 

  16. Kincaid MC, Green WR (1983) Ocular and orbital involvement in leukemia. Surv Ophthalmol 27(4):211–232

    Article  CAS  PubMed  Google Scholar 

  17. Sharma T, Grewal J, Gupta S, Murray PI (2004) Ophthalmic manifestations of acute leukaemias: the ophthalmologist’s role. Eye 18:663–672

    Article  CAS  PubMed  Google Scholar 

  18. Espana EM, Shah S, Santhiago MR, Singh AD (2013) Graft versus host disease: clinical evaluation, diagnosis and management. Graefes Arch Clin Exp Ophthalmol 251(5):1257–1266. doi:10.1007/s00417-013-2301-z, Epub 2013 Mar 17

    Article  PubMed  Google Scholar 

  19. Chan TS, Gill H, Leung AY et al (2011) Uveitis as the initial manifestation of diffuse large B-cell lymphoma. Am J Hematol 87:198–200

    Article  PubMed  Google Scholar 

  20. Levy-Clarke GA, Greenman D, Sieving PC (2008) Ophthalmic manifestations, cytology, immunohistochemistry, and molecular analysis of intraocular metastatic T-cell lymphoma: report of a case and review of the literature. Surv Ophthalmol 53:285–295

    Article  PubMed Central  PubMed  Google Scholar 

  21. Chng WJ, Mow BM, Sundar G (2005) Leukaemic infiltration of the choroid. Eur J Haematol 74:91

    Article  CAS  PubMed  Google Scholar 

  22. Reddy SC, Jackson N, Menon BS (2003) Ocular involvement in leukemia-a study of 288 cases. Ophthalmologica 217:441–445

    Article  CAS  PubMed  Google Scholar 

  23. Abu el Asrar AM, Al-Momen AK, Kangave D, Harakati MS (1996) Prognostic importance of retinopathy in acute leukemia. Doc Ophthalmol 91:273–281

    Article  CAS  Google Scholar 

  24. Ohkoshi K, Tsiaras WG (1992) Prognostic importance of ophthalmic manifestations in childhood leukemia. Br J Ophthalmol 76:651–655

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  25. Hegde SP, Ursekar AT, Chitale AA (2011) Relapsing acute myeloid leukemia presenting as hypopyon uveitis. Indian J Ophthalmol 59:391–393

    Article  PubMed Central  PubMed  Google Scholar 

  26. Robb RM, Ervin LD, Sallan SE (1979) An autopsy study of eye involvement in acute leukemia of childhood. Med Pediatr Oncol 6:171–177

    Article  CAS  PubMed  Google Scholar 

  27. Lin YC, Liang TH, Chang HN et al (2008) Behçet disease associated with myelodysplastic syndrome. J Clin Rheumatol 14:169–174

    Article  PubMed  Google Scholar 

  28. Jackson N, Reddy SC, Hishamuddin M, Low HC (1996) Retinal findings in adult leukaemia: correlation with leukocytosis. Clin Lab Haematol 18:105–109

    Article  CAS  PubMed  Google Scholar 

  29. Druker BJ, Talpaz M, Resta DJ et al (2001) Efficacy and safety of a specific inhibitor of the BCR-ABL tyrosine kinase in chronic myeloid leukemia. N Engl J Med 344:1031–1037

    Article  CAS  PubMed  Google Scholar 

  30. Irdis SF, Ahmad SS, Scott MA et al (2013) The role of high-throughput technologies in clinical cancer genomics. Expert Rev Mol Diagn 13:167–181

    Article  Google Scholar 

  31. Jakobiec FA, Sacks E, Kronish JW et al (1987) Multifocal static creamy choroidal infiltrates. An early sign of lymphoid neoplasia. Ophthalmology 94:397–406

    Article  CAS  PubMed  Google Scholar 

  32. Saatci AO, Arikan G, Ozcan MA et al (2006) Indocyanine green angiographic features of systemic non-Hodgkin’s lymphoma and bilateral choroidal involvement. Ophthalmic Surg Lasers Imaging 37:236–239

    PubMed  Google Scholar 

  33. Gass JD, Weleber RG, Johnson DR (1987) Non-Hodgkin’s lymphoma causing fundus picture simulating fundus flavimaculatus. Retina 7:209–214

    Article  CAS  PubMed  Google Scholar 

  34. Mathai A, Lall A, Jain R, Pathengay A (2006) Systemic non-Hodgkin’s lymphoma masquerading as Vogt-Koyanagi-Harada disease in an HIV-positive patient. Clin Experiment Ophthalmol 34:280–282

    Article  PubMed  Google Scholar 

  35. Yang HK, Yu HG (2009) Acute lymphoblastic leukemia manifesting as acute Vogt-Koyanagi-Harada disease. Korean J Ophthalmol 23:325–328

    Article  PubMed Central  PubMed  Google Scholar 

  36. Abramson JS, Shipp MA (2005) Advances in the biology and therapy of diffuse large B-cell lymphoma: moving toward a molecularly targeted approach. Blood 106:1164–1174

    Article  CAS  PubMed  Google Scholar 

  37. Abramson JS (2006) T-cell/histiocyte-rich B-cell lymphoma: biology, diagnosis, and management. Oncologist 11:384–392

    Article  PubMed  Google Scholar 

  38. Ottmann OG, Pfeifer H (2009) Management of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ALL). Hematol Am Soc Hematol Educ Program 2009:371–381. doi:10.1182/asheducation-2009.1.371

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Manfred Zierhut MD .

Editor information

Editors and Affiliations

1 Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Case Report 31

Acute myelogenous lymphoma masquerading as VKH disease (PPT 21371 kb)

Case Report 34

Bilateral endogenous bacterial endophthalmitis and bacteraemia as the presenting manifestation of multiple myeloma (PPTX 5737 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Zierhut, M., Haen, S.P., Moehle, R., Chan, CC. (2016). Hematological Neoplasms. In: Zierhut, M., Pavesio, C., Ohno, S., Orefice, F., Rao, N. (eds) Intraocular Inflammation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75387-2_149

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-75387-2_149

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-75385-8

  • Online ISBN: 978-3-540-75387-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics