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Benign and Malignant Disorders of Large Granular Lymphocytes - Diagnostic and Therapeutic Pearls (Hardcover)
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Benign and Malignant Disorders of Large Granular Lymphocytes - Diagnostic and Therapeutic Pearls (Hardcover)
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Natural killer (NK) cells are important effector cells of innate
immune system implicated in many physiological processes including
elimination of cancer cells and virus infected cells. NK cells
comprise a majority of large granular lymphocytes circulating in
peripheral blood with a minority derived from T cell lineage. Even
though NK cells were first described more than 40 years ago, it was
not until the 1980s and 1990s when immunophenotyping was
incorporated into clinical diagnostic methods and resulted in
discovery of distinct disorders of large granular lymphocytes and
NK cells. Since then, significant progress was made in our better
understanding of immunophenotypic and genotypic characteristics,
biology, functions as well as disorders of these cells. Most
recently, clinical studies using NK-cell based immunotherapy have
shown promising results in treatment of some of malignant diseases.
Disorders of large granular lymphocytes and NK cells are rare
comprising only about 1% of all lymphoid malignancies in western
countries. The rarity of these conditions was a main reason that
the progress in our understanding of pathogenesis and development
of novel therapeutic approaches has been delayed compared to
development in more common B cell lymphoid malignancies. The low
incidence of these diseases and scarcity of prospective clinical
trials also limit the availability of evidence based research
literature as well as comprehensive reviews about NK cell
disorders. Thus, the editors decided to take on the challenging
task and summarize our current knowledge about malignant and benign
diseases of large granular lymphocytes in this book based on the
best available evidence. The editors selected topics most relevant
to clinical practice in order to provide a useful guide for
practicing physicians. Chapters describing four disorders (T-cell
large granular lymphocytic leukemia, chronic lymphoproliferative
disorder of NK cells, extranodal NK cell lymphoma and aggressive NK
cell leukemia) incorporated into most recent 2016 revision of
classification of lymphoid malignancies are separated into
experimental, diagnositc and clinical parts for easier
understanding and reading. We are aware of challenges and inherited
limitations of any larger project like this one due to a rapid
progress especially in the field of genomics, which may not be
incorporated in this book before it is published. The editors and
contributing authors would like to thank the publisher NOVA for
their support.
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