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Table 1 Comparison of clinical, morphology, immunophenotype and genetics features between SMCL and classic MCL

From: Smoldering mantle cell lymphoma

 

SMCL

Classic MCL

Clinical features

 B symptom

without

with or without

 Serum LDH

normal

elevated or normal

 Serum β2-MG

normal

elevated or normal

 MIPI

low risk

low to high risk

 Ki-67

< 30%

≥30%

Max tumor diameter

< 3 cm

≥3 cm

SUV of PET/CT

≤ 6

> 6

evaluation every 3 mons

no tumor growth

having tumor growth

Morphology

 Origin

germinal or post-germinal center

antigen-naïve pregerminal center

 Cytology

non-blastoid/pleomorphic

small cell, classic, pleomorphic, or blastic

Immunophenotype

 CD5

low

high

 CD38

low

high

 CD23

high

low

 CD200

high

low

 light chain restriction

kappa

lambda

Genetics

TP53

low

high

NOTCH1/2

low

high

C-myc

low

high

 Cyclin D1 mRNA

low

high

 Cell cycle

G1 or before

S

  1. MCL mantle cell lymphoma, LDH lactic dehydrogenase, β2-MG β2-microglobulin, MIPI mantle cell lymphoma International prognostic index, Max maximum, SUV standardized uptake value, PET/CT positron emission tomography/computerized tomography