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High grade table

Name of lymphoma Other features
Diffuse large cell lymphoma – commonest type People of working age likely to recover with treatment and become long term survivors (>60% survival at 8 years)
Mediastinal large B-cell lymphoma Often affects women aged 30-40. variable prognosis
Follicular large cell lymphoma No special features
Anaplastic large cell lymphoma Disease often affects the skin - causing skin lesions. People of working age likely to recover with treatment and become long term survivors
Extranodal NK/T-cell lymphoma Often presents as a tumour in the nose and commonly affects the brain. Has a much worse survival rate than other high grade lymphomas.
Lymphomatoid granulomatosis Often presents as a tumour in the nose or lung.
Angioimmunoblastic T-cell lymphoma Likely to have severe swelling of lymph node groups and severe ‘B’ symptoms. May be treated with chemotherapy or steroid drugs alone. Poor outcome. Median overall survival 15 months.
Peripheral T-cell lymphoma Poor survival despite treatment –likely to have needs.
Enteropathy type intestinal T-cell lymphoma A type of lymphoma associated with untreated celiac disease. Surgery to remove affected bowel is often part of diagnosis or treatment – in addition to chemotherapy. More aggressive than commonest type– likely to have needs.
Intravascular large B-cell lymphoma (intravascular lymphomatosis) More aggressive than commonest type– likely to have needs.
Burkitt's lymphoma/diffuse noncleaved –cell lymphoma Aggressive treatment is required including intrathecal chemotherapy and prophylactic cranial irradiation to prevent brain spinal cord involvement.
Lymphoblastic lymphoma Very aggressive form of NHL – more common in younger people. Bone marrow transplant is treatment of choice.
Adult T-cell leukaemia/lymphoma Lymphoma associated with Human T-cell lymphotropic virus type 1. May be treated with zidovudine and interferon. Outcome very poor.
Mantle cell lymphoma Median survival with this disease is 3-5 years. It affects older people more often than people of working age. (This was classified as low grade in the past)
post-transplant lymphoproliterative disorder Type of lymphoma that occurs in people taking immunosuppressant drugs – usually after organ transplant. May resolve if drugs can be stopped but this may not be feasible if transplanted organ is vital to survival e.g. heart? Poor prognosis
True histiocytic lymphoma Very rare.
Primary effusion lymphoma Type of lymphoma affecting people with HIV. Prognosis is poor – likely to have needs.

Amended February 2009