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A "leukemic or blastoid phase" is a finding of unusual high amounts of lymphocytes in the peripheral blood (lymphocytosis) suggesting that the lymphoma cells are in the blood in high concentrations.
lymphocytosis is an abnormal increase in the number of lymphocytes — a type of white blood cell — in your blood. The most common cause is viral infection, such as EBV, CMV, rubella, whooping cough, toxoplasmosis, brucellosis, chronic lymphatic leukaemiam, and leukemic phase lymphoma.
It's our impression that special attention must be paid to tumor lysis syndrome when treating lymphoma in the leukemic phase - because the tumor cells may respond very rapidly to treatment, stressing the body to eliminate the cells killed (lysis) by therapy.
Leukemic phase of B-cell lymphomas mimicking chronic lymphocytic leukemia and variants at presentation. Mod Pathol. 2002 Nov;15(11):1111-20. PMID: 12429788 | Related articles
Leukemic phase of mantle cell lymphoma, blastoid variant.
Am J Clin Pathol. 1999 Apr;111(4):495-500. PMID: 10191769 | Related articles
FISH analysis for BCL-1 rearrangements and trisomy 12 helps the diagnosis of atypical B cell leukaemias. Leukemia. 1999 Nov;13(11):1721-6. PMID: 10557044
Blastoid variant of mantle cell lymphoma: late progression from classical mantle cell lymphoma and quantitation of minimal residual disease.
Eur J Haematol. 2005 Apr;74(4):353-8. PMID: 15777349 | Related articles
This report presents a rare case of long-term survivor of MCL with a progression of the original MCL cell clone to MCL-BV and demonstrates the clinical value of quantitative minimal residual disease assessment for optimized therapeutic management.
Mantle Cell Lymphomas, blastic variant - Related PubMed articles