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Peripheral T-cell lymphoma, not otherwise specified (PTCL, NOS) is a heterogeneous group of mature T-cell lymphomas. It is defined by default for cases not fulfilling the criteria for specifically defined PTCL entities according to the 2017 WHO classification. This category probably encompasses several biological subgroups that are still undefined. Because PTCL, NOS is a diagnosis of exclusion, it requires an expert pathologic review with an exhaustive workup. A recent study highlighted that the diagnosis of PTCL, NOS is challenging and poorly reproducible, with an overall concordance of 63.4% between referral and expert pathologists. Especially, a diagnosis of nodal PTCL...
References and Further Reading
D’Amore, F., Gaulard, P., Trumper, L., Corradini, P., Kim, W. S., Specht, L., Bjerregaard Pedersen, L., Ladetto, M., & on behalf of the ESMO Guidelines Committee. (2015). Peripheral T-cell lymphomas: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Annals of Oncology, 26(Supplement 5), v108–v115.
Jaffe, E. S., Arber, D. A., Campo, E., Lee Harris, N., & Quintanilla-Fend, L. (2016). Haematopathology. In Peripheral T-cell lymphoma, not otherwise specified (2nd ed., pp. 641–657). Elsevier: Philadelphia, PA.
Laurent, C., et al. (2017). Impact of Expert Pathologic review of lymphoma diagnosis: Study of patients from the French Lymphopath Network. Journal of Clinical Oncology, 35(18), 2008–2017.
Lemonnier, F., Gaulard, P., & de Leval, L. (2018). New insights in the pathogenesis of T-cell lymphomas. Current Opinion in Oncology, 30(5), 277–284.
Swerdlow, S., Campo, E., Harris, N. L., Jaffe, E. S., Pileri, S. A., Stein, H., Thiele, J., Arber, D., Hasserjian, R., & Le Beau, M. (2017). WHO classification of tumours of haematopoietic and lymphoid tissues. In Peripheral T-cell lymphoma, NOS (Revised 4th ed., pp. 403–407). IARC: Lyon. WHO Classification of Tumours.
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Gaulard, P., Drieux, F. (2019). Peripheral T-Cell Lymphoma, Not Otherwise Specified. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_3895-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_3895-1
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