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Immune-Escape Physics
Mantle Cell Clockwork
FL Archaeology
200

This iatrogenic immunodeficiency-associated LPD may regress after withdrawal of the offending antimetabolite, particularly when EBV-positive.

What is methotrexate-associated lymphoproliferative disorder?

200

In 2026, the FDA approved this regimen for pediatric patients 12 years and older with previously untreated stage III or IV classical Hodgkin lymphoma.

What is nivolumab plus AVD?

200

The canonical Hodgkin immune-evasion amplicon at 9p24.1 simultaneously increases PD-L1/PD-L2 copy number and dosage of this kinase.

What is JAK2?

200

The prototypic mantle-cell translocation juxtaposes immunoglobulin heavy-chain regulatory elements to this cyclin gene.

What is CCND1?

200

This acetyltransferase gene is a frequent early FL lesion; its loss perturbs enhancer acetylation, antigen presentation, and immune-synapse biology.

What is CREBBP?

400

The initial management backbone for many EBV-positive post-transplant B-cell LPDs is reduction of immunosuppression plus this antibody when clinically feasible.

What is rituximab?

400

In 2025, the FDA approved this ADC with lenalidomide and rituximab for relapsed/refractory LBCL after at least two lines in patient's ineligible for autoHCT or CAR T-cell therapy.

What is brentuximab vedotin?

400

In EBV-positive classical Hodgkin lymphoma, this latent viral membrane protein mimics CD40 signaling and converges on NF-kB activation.

What is LMP1?

400

This biologic subtype of mantle cell lymphoma is often SOX11-negative, IGHV-mutated, leukemic/splenic, and more indolent than conventional nodal MCL.

What is Leukemic non-nodal mantle cell lymphoma?

400

Gain-of-function mutations in this histone methyltransferase create a rational target for tazemetostat in relapsed follicular lymphoma.

What is EZH2?

600

This type of PTLD expresses CD30 and CD15 expression, weak PAX5, and usually EBV positivity in an immunosuppressed host.

What is classic Hodgkin lymphoma-type PTLD?

600

In 2025, the FDA approved this CD19 CAR T-cell product for relapsed/refractory marginal zone lymphoma after at least two prior lines of systemic therapy.

What is lisocabtagene maraleucel?

600

Large 'popcorn' LP cells that are CD20+, BCL6+, OCT2/BOB1+, and usually CD15-/CD30- point to this Hodgkin-adjacent B-cell lymphoma entity.

What is Nodular lymphocyte-predominant B-cell lymphoma?

600

Across modern MCL series, alteration of this tumor-suppressor pathway is the high-risk feature least rescued by cytarabine-intensive therapy or autologous transplant consolidation.

What is TP53 alteration?

600

This post-frontline clinical event, not a baseline score, identifies a follicular lymphoma group with strikingly inferior survival after immunochemotherapy.

What is POD24?

800

This immunodeficiency-associated lymphoma is universally HHV8-positive and often presents as serous effusions in HIV-positive or otherwise immunosuppressed patients.

What is primary effusion lymphoma?

800

In 2025, the FDA approved this antibody with lenalidomide and rituximab for relapsed/refractory follicular lymphoma.

What is tafasitamab-cxix?

800

The malignant Hodgkin/Reed-Sternberg cell preserves a crippled B-cell transcriptional signature by showing this transcription factor only weakly, not strongly as in most mature B-cell lymphomas.

What is Dim PAX5?

800

A cyclin D1-negative, SOX11-positive mantle-cell lymphoma should trigger a search for rearrangements of these alternative cyclin D genes.

What is CCND2 or CCND3?

800

This mostly pediatric/young-adult FL entity can look cytologically high grade but is usually localized, BCL2-rearrangement negative, and clinically indolent.

What is Pediatric-type follicular lymphoma?

1000

Mutations in SH2D1A encoding SAP cause this inherited syndrome with fulminant EBV infection, HLH, dysgammaglobulinemia, and lymphoma risk.

What is X-linked lymphoproliferative disease type 1?

1000

In 2025, the FDA approved this BTK inhibitor with bendamustine and rituximab for previously untreated mantle cell lymphoma.

What is acalabrutinib?

1000

The S1826-based regimen that displaced BV-AVD for many stage III/IV classical Hodgkin lymphoma patients combines AVD with this PD-1 inhibitor.

What is Nivolumab?

1000

In 2026, this next-generation BCL2 inhibitor became the first FDA-approved BCL2 inhibitor specifically for relapsed/refractory MCL after prior BTK inhibitor exposure.

What is Sonrotoclax?

1000

The inguinal, CD23-positive, BCL2-rearrangement-negative FL variant with frequent STAT6 and 1p36/TNFRSF14 lesions is best thought of as this morphologic variant.

What is Follicular lymphoma with predominantly diffuse growth pattern?