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* Hairy cell leukemia may be classified  into two subtypes: Hairy cell leukemia (classic) and hairy cell leukemia variant.<ref name="wiki">Hairy cell leukemia. Wikipedia (2015) https://en.wikipedia.org/wiki/Hairy_cell_leukemia#Classification Accessed on October, 17 2015</ref>
* Hairy cell leukemia variant is still considered a provisional entity at this time, as the WHO is unable to recognize it as distinct diseases  due to insufficient evidence.<ref name="pmid21300984">{{cite journal| author=Campo E, Swerdlow SH, Harris NL, Pileri S, Stein H, Jaffe ES| title=The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications. | journal=Blood | year= 2011 | volume= 117 | issue= 19 | pages= 5019-32 | pmid=21300984 | doi=10.1182/blood-2011-01-293050 | pmc=PMC3109529 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21300984  }} </ref>
* The algorithm below illustrates characteristic findings associated with each subtypes:<ref name="pmid16990106">{{cite journal| author=Matutes E| title=Immunophenotyping and differential diagnosis of hairy cell leukemia. | journal=Hematol Oncol Clin North Am | year= 2006 | volume= 20 | issue= 5 | pages= 1051-63 | pmid=16990106 | doi=10.1016/j.hoc.2006.06.012 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16990106  }} </ref>
{{familytree/start |summary=Molecular classification criteria}}
{{familytree/start |summary=Molecular classification criteria}}
{{familytree | | | | | | | | Y01 | | | | | | | | | Y01=<div style="width: 20em; padding:0.5em;">'''Hairy cell leukemia classification'''</div>}}
{{familytree | | | | | | | | Y01 | | | | | | | | | Y01=<div style="width: 20em; padding:0.5em;">'''Hairy cell leukemia classification'''</div>}}
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* '''CD103+, CD11c+, and CD25+ on immunophenotype'''<br>
* '''CD103+, CD11c+, and CD25+ on immunophenotype'''<br>
* '''DBA.44+, Cyclin D1+, and Annexin A1+ on immunohistochemistry'''<br>
* '''DBA.44+, Cyclin D1+, and Annexin A1+ on immunohistochemistry'''<br>
* '''Presence of BRAF V600E mutation on cytogenetic tests'''</div>|
* '''Presence of BRAF V600E mutation on cytogenetic tests'''
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</div>|A03=<div style="width: 25em; padding:0.5em;text-align:left">
* '''Occurs in approximately 5% of the cases '''<br>
* '''Occurs in approximately 5% of the cases'''<br>
* '''The male to female ratio is approximately 2 to 1'''<br>
* '''The male to female ratio is approximately 2 to 1'''<br>
* '''The median age at diagnosis is greater than 70 years.'''<br>
* '''The median age at diagnosis is greater than 70 years'''<br>
* '''Less than 10% lymphocytosis on peripheral blood smear'''<br>
* '''greater than 90% lymphocytosis on peripheral blood smear'''<br>
* '''Normal level of monocyte on peripheral blood smear'''<br>
* '''Normal level of monocyte on peripheral blood smear'''<br>
* '''Normal hemoglobin level in most of the patients'''<br>
* '''Normal hemoglobin level in most of the patients'''<br>
* '''Normal platelets count in most of the patients'''<br>
* '''Normal platelets count in most of the patients'''<br>
* '''CD103+, CD11c+, and CD25- on immunophenotype'''<br>
* '''CD103+, CD11c+, and CD25- on immunophenotype'''<br>
* '''DBA.44+, Cyclin D1+, and Annexin A1 - on immunohistochemistry'''<br>
* '''DBA.44+, Cyclin D1+, and Annexin A1- on immunohistochemistry'''<br>
* '''Presence of BRAF wild type on cytogenetic tests'''</div>}}
* '''Presence of BRAF wild type mutation on cytogenetic tests'''</div>}}
{{familytree/end}}
{{familytree/end}}
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Latest revision as of 20:16, 19 October 2015

  • Hairy cell leukemia may be classified into two subtypes: Hairy cell leukemia (classic) and hairy cell leukemia variant.[1]
  • Hairy cell leukemia variant is still considered a provisional entity at this time, as the WHO is unable to recognize it as distinct diseases due to insufficient evidence.[2]
  • The algorithm below illustrates characteristic findings associated with each subtypes:[3]
 
 
 
 
 
 
 
Hairy cell leukemia classification
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hairy cell leukemia
 
 
 
 
 
Hairy cell leukemia variant
 
 
 
 
 
 
 
 
 
  • Occurs in approximately 95% of the cases
  • The male to female ratio is approximately 4 to 1
  • The median age at diagnosis is 55 years
  • Less than 10% lymphocytosis on peripheral blood smear
  • Decreased level of monocyte on peripheral blood smear
  • Decreased hemoglobin level in approximately 85% of the patients
  • Thrombocytopenia is present in approximately 80% of the patients
  • CD103+, CD11c+, and CD25+ on immunophenotype
  • DBA.44+, Cyclin D1+, and Annexin A1+ on immunohistochemistry
  • Presence of BRAF V600E mutation on cytogenetic tests
 
 
 
 
 
  • Occurs in approximately 5% of the cases
  • The male to female ratio is approximately 2 to 1
  • The median age at diagnosis is greater than 70 years
  • greater than 90% lymphocytosis on peripheral blood smear
  • Normal level of monocyte on peripheral blood smear
  • Normal hemoglobin level in most of the patients
  • Normal platelets count in most of the patients
  • CD103+, CD11c+, and CD25- on immunophenotype
  • DBA.44+, Cyclin D1+, and Annexin A1- on immunohistochemistry
  • Presence of BRAF wild type mutation on cytogenetic tests
 
 
 
 
 
 
 
 




The median age at diagnosis is 55 years.

  1. Hairy cell leukemia. Wikipedia (2015) https://en.wikipedia.org/wiki/Hairy_cell_leukemia#Classification Accessed on October, 17 2015
  2. Campo E, Swerdlow SH, Harris NL, Pileri S, Stein H, Jaffe ES (2011). "The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications". Blood. 117 (19): 5019–32. doi:10.1182/blood-2011-01-293050. PMC 3109529. PMID 21300984.
  3. Matutes E (2006). "Immunophenotyping and differential diagnosis of hairy cell leukemia". Hematol Oncol Clin North Am. 20 (5): 1051–63. doi:10.1016/j.hoc.2006.06.012. PMID 16990106.