Department of Laboratory Medicine


Hematology Division



Hematopathology Laboratory

Comparison of Revised European/American (REAL) and Working Formulation Lymphoma Classifications

REAL Classification (ref. 4) Working Formulation Equivalent(s)
Precursor B-lymphoblastic leukemia/lymphoma Lymphoblastic
B-cell chronic lymphocytic leukemia/prolymphocytic leukemia/small lymphocytic lymphoma Small lymphocytic
Lymphoplasmacytoid lymphoma Small lymphocytic with plasmacytoid differentiation
Mantle cell lymphoma Diffuse small cleaved cell or small lymphocytic
Follicle center lymphoma, follicular, predominantly small cell (grade I) Follicular small cleaved cell
Follicle center lymphoma, follicular, mixed (grade II) Follicular mixed small cleaved and large cell
Follicle center lymphoma, follicular, predominantly large cell (grade III) Follicular large cell
Follicle center lymphoma, diffuse (predominantly small cell) Diffuse small cleaved cell
Marginal zone B-cell lymphoma
Extranodal: low grade B-cell lymphoma of MALT type Small lymphocytic
Nodal Small lymphocytic
Splenic marginal zone lymphoma with or without villous lymphocytes Small lymphocytic, diffuse small cleaved cell
Hairy cell leukemia None
Plasmacytoma/plasma cell myeloma Extramedullary plasmacytoma
Diffuse large B-cell lymphoma Diffuse large cell/immunoblastic
Primary mediastinal large B-cell lymphoma Diffuse large cell/immunoblastic
Burkitt's lymphoma Small noncleaved cell, Burkitt's
High grade B-cell lymphoma, Burkitt-like Small noncleaved cell non-Burkitt's
Precursor T-lymphoblastic lymphoma/leukemia Lymphoblastic
T-cell chronic lymphocytic leukemia Small lymphocytic
T-cell/NK-cell large granular lymphocyte leukemia Small lymphocytic, diffuse small cleaved cell
Mycosis fungoides/Sézary syndrome Mycosis fungoides
Peripheral T-cell lymphoma Diffuse small cleaved cell, diffuse mixed small and large cell, diffuse large cell, large cell immunoblastic
Angioimmunoblastic T-cell lymphoma Diffuse mixed small and large cell, large cell immunoblastic
Angiocentric lymphoma Diffuse small cleaved cell, diffuse mixed small and large cell, diffuse large cell, large cell immunoblastic
Intestinal T-cell lymphoma Diffuse small cleaved cell, diffuse mixed small and large cell, diffuse large cell, large cell immunoblastic
Adult T-cell lymphoma/leukemia Diffuse small cleaved cell, diffuse mixed small and large cell, diffuse large cell, large cell immunoblastic
Anaplastic large cell (CD30+) lymphoma Large cell immunoblastic

 

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Last updated: 6/22/00