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B-Cell Lymphomas

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Non-Hodgkin's Lymphomas caused by malignant (cancerous) B-Cell lymphocytes represent a large subset (about 85% in the US) of the known types of lymphoma (the other 2 subsets being T-Cell lymphomas and lymphomas where the cell type is the Natural Killer Cell or unknown).  
B-Cells undergo many changes in their life cycle dependent on complex signaling processes between cells and interaction with foreign substances in the body. 

Apparently various types of lymphoma or leukemia can occur in the B-Cell life cycle.  The following chart attempts to summarize this:

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As with much of the biology underlying lymphoma, the chart represents what researchers believe but not conclusive knowledge.  No comparable chart exists for T-Cell malignancies.

Causes

Most cases of follicular lymphoma, especially those rich in small-cleaved cells, have a t(14;18) gene translocation. This results in a rearranged and constitutively over-expressed gene called BCL-2. The BCL-2 gene tells the body to produce an inner mitochondrial membrane protein that blocks programmed cell death (apoptosis).   Many cases of small non-cleaved cell lymphomas including Burkitt's also have a gene translocation - the MYC gene, t(8;14). Most mantle cell lymphomas rearrange the BCL-1 gene, t(11;14).

Some low-grade lymphomas can progress to higher grade disease. In Richter's transformation, for example, small lymphocytic lymphoma promotes itself to diffuse large cell lymphoma.  Causes for this and other types of lymphoma are under constant investigation.

B-Cell Lymphomas: A Breakdown

Lymphomas are categorized by how the B-cells are affected.  An in-depth list of lymphoma classifications is available for reference. Please select a link for a specific lymphoma or group of lymphomas:

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Non-Hodgkin's Lymphoma Information Pages:

    Non-Hodgkin's Lymphomas
    Non-Hodgkin's Lymphoma: Diagnosis
    Non-Hodgkin's Lymphoma: Aggressive Lymphomas
    Non-Hodgkin's Lymphoma: Indolent Lymphomas
    Non-Hodgkin's Lymphoma: Treatment
    Non-Hodgkin's Lymphoma: Resources

Childhood Lymphoma Information Pages:

    Childhood Lymphoma
    Childhood Non-Hodgkin's Lymphoma

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This page is a work in progress - if you have more complete information, references, or other information please contact the author. The author is not in the medical field and does not warrant the correctness of the material on this page or the sites linked - please take online information and consult with your own medical team to make informed decisions.

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Updated October 22, 2005