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Large-cell transformation in MF (LCT — >25% large cells, often CD30+)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDBIO-MF-LCT
TypeBiomarker
Aliases
Large-cell transformationВелекоклітинна трансформація MF (LCT — >25% великих клітин, часто CD30+)
Statusreviewed 2026-04-25 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-NCCN-BCELL-2025

Biomarker Facts

Biomarker typehistology_morphology
Measurement
MethodSkin or LN biopsy review — proportion of large cells (>4× small lymphocyte size); CD30 IHC simultaneously
Unitscategorical (LCT positive if ≥25% large cells | LCT negative)
Related biomarkersNone declared

Notes

LCT marks aggressive transformation of MF — prognosis worsens substantially (median OS ~2-4 years from LCT diagnosis vs decades for early-stage MF). Often CD30+ (~30-50%) → eligible for brentuximab vedotin per ALCANZA trial. Mandates systemic therapy reassessment regardless of TNMB stage. Distinct from primary cutaneous CD30+ ALCL (different entity, different prognosis).

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