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Part of the book series: Comprehensive Immunology ((COMIMUN,volume 4))

Abstract

The malignant lymphomas are now acknowledged to be neoplasms of the immune system. The traditional terminology and classifications of the past, including the clinically useful classification of Rappaport (Rappaport et al., 1956), were proposed before the recent dramatic developments in immunology and therefore have no relationship to our modem understanding of immunology. Beginning in 1971, we proposed a conceptually new approach to the understanding of malignant lymphomas (Collins and Lukes, 1971; Lukes and Collins, 1973, 1974a,b). This approach was based on (1) the newly appreciated existence of the T- and B-lymphocytic systems; (2) our hypothesis that lymphomas may arise from aberrations in lymphocyte transformation; and (3) the availability of techniques to identify cells as belonging to the T- or the B-lymphocytic system. In this approach, lymphoma cells are regarded as immune cells that, although defective, function, migrate, “home” to, and reside in tissue sites in ways similar to their normal counterparts. Fundamental to our new functional approach is the follicular center cell (FCC) concept, which has the following bases: (1) FCC are plasma-cell precursors; (2) the follicular center is a site of B-cell transformation; (3) lymphomas of FCC type are observed with both follicular and diffuse histological patterns; and (4) these lymphomas are a group of different cytological types, rather than one lymphoma of follicular structures, previously termed “follicular lymphoma.”

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Abbreviations

Abbreviations used in this chapter:

(ALL) Acute lymphocytic leukemia

CLL:

(CLL) chronic lymphocytic leukemia

(EA) erythrocyte:

antibody complex

(EAC) erythrocyte:

antibody-complement complex

FCC:

(FCC) follicular center cell(s)

(HBLA) human B:

lymphocyte antigen

H chain:

(H chain) heavy chain

(HTLA) human T:

lymphocyte antigen

IBL:

(IBL) immunoblastic lymphadenopathy

IBS:

(IBS) immunoblastic sarcoma

Ig:

(Ig) immunoglobulin

L chain:

(L chain) light chain

(MGP) methyl green:

pyronin stain

(MLR) mixed:

lymphocyte reaction

NSE:

(NSE) nonspecific esterase

(PAS) periodic acid:

Schiff stain

PHA:

(PHA) phytohemagglutinin

PWM:

(PWM) pokeweed mitogen

SIg:

(SIg) surface Ig

SLE:

(SLE) systemic lupus erythematosus

SRBC:

(SRBC) sheep erythrocyte(s)

U cell:

(U cell) undefined cell.

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Lukes, R.J., Parker, J.W. (1978). The Pathology of Lymphoreticular Neoplasms. In: Twomey, J.J., Good, R.A. (eds) The Immunopathology of Lymphoreticular Neoplasms. Comprehensive Immunology, vol 4. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4015-7_9

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