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Table 1 Summary of clinical, pathological, and molecular characteristics of the molecular subtypes of DLBCL

From: Novel drug targets for personalized precision medicine in relapsed/refractory diffuse large B-cell lymphoma: a comprehensive review

Molecular subtype

Immuno phenotype

Presume d cell of origin

Diagnostic molecular features

Etiology

Frequencya

Clinical features

T/HRLBCL

CD20, CD45,k (CD79A/B), CD15—, (CD30—),

Progenitor cell of germinal center B- cell

Gene expression profiling

Unknown

~1–4 %

Median age: 30–50

Gender dominance: male

Extranodal (vague nodularity is rare)

BOB1, PU.1+/—, CT2, PAX5, (BCL2), BCL6, IRF4—

Diffuse pattern with predominance of reactive T cells

Bone marrow involvement: ~ 30 %

Survival ~ 50 % at 5 years

Curable ~ 45 %

GCB-

CD20, CD10, CD22, (CD30), (BCL2), (MYC), BCL6, GCET, HGAL, LMO2, PTEN+/—, IRF4—, FOX —,

Germinal center B-cell

Gene expression profiling

Unknown

~17 %

Median age 61

DLBCL

Gender dominance: male ≥ female

Nodal and extranodal

Bone marrow involvement: ~ 15 %

Survival ~ 60 % at 5 years

Curable ~ 50 %

ABC-

CD20, CD22, (CD30), (CD79A/B), IRF4, FOXP1, (BCL2), (MYC), BCL6+/—, GCET—, LMO2—,

Post-germinal center B- cell

Gene expression profiling

Unknown

~15 %

Median age: 66

DLBCL

Gender dominance: male ≥ female

Nodal and extranodal

Bone marrow involvement: ~ 15 %

Survival ~ 40 % at 5 years

Curable ~30 %

PMLBCL

CD19, CD20, CD22, CD30, CD45, CD79A, CD3—, CD10—, CD21— BOB1, PU.1, OCT2, PAX5, BCL6, IRF4, c-REL, TRAF1

Post- thymic B- cell

Gene expression profiling

Unknown

~6 %

Median age: 33

Gender dominance: female Mediastinal, thoracic > nodal Bone marrow involvement: rare Survival: > 60 % at 5 years

Curable: > 60 %

  1. The PMLBCL, GCB and ABC subtypes are histologically indistinguishable and require gene expression profiling (GEP) to be discerned. T/HRLBCL also shows overlapping histological features of other distinct entities and may appear similar to other lymphoid diseases, such as nodular lymphocyte-predominant Hodgkin lymphoma, classical Hodgkin lymphoma, and peripheral T-cell lymphoma. Diagnosis of this entity is occasionally difficult and requires careful immunohistochemical analysis of the tumor cells. GEP can greatly help to classify T/HRLBCL.
  2. aApproximate percentage of the particular DLBCL subtype among all patients with B-cell lymphoma. Adapted from REF: [3, 70, 86]. Information for this table was gleaned from the following references: [1–3, 15, 19, 20, 29, 35, 37–40, 45–48, 50, 51, 56, 62, 63, 65–70, 75, 86, 87, 107, 108, 111, 112, 116].
  3. DLBCL diffuse large B cell lymphoma, T/HRLBCL T cell/histiocyte-rich large B-cell lymphoma, GCB Germinal center B cell-like, ABC Activated B cell-like, PMLBCL primary mediastinal (thymic) large B-cell lymphomas