This neoplasm is not reportable.

Name

In situ follicular B-cell neoplasm (ISFN)

ICD-O-3 Morphology

9695/1: In situ follicular neoplasia
Effective 2021 and later

Reportability

This neoplasm is not reportable

Primary Site(s)

See Module 7
This hematopoietic disease is not reportable for the U.S. except for primary sites C700-C729, C751-C753.
Canada, refer to your specific province for reportability requirements.

Most common primary sites: lymph nodes, intestine, spleen, tonsils, thyroid, and salivary glands

Abstractor Notes

In situ follicular B-cell neoplasm (ISFN) is part of the Mature B-cell neoplasms lineage table in the WHO 5th edition of Hematolymphoid Tumors. (See Appendix B in the Hematopoietic Manual, Table B15)

Alternate Names

In situ follicular neoplasia

Definition

In situ follicular neoplasia (ISFN), formerly referred to In situ follicular B-cell neoplasm (ISFN) is defined as partial or complete colonization of some reactive germinal centers by follicular B cells with IGH::BCL2 fusion and strong BCL2 expression in otherwise normal reactive lymph nodes or lymphoid tissues at extranodal sites. (WHO 5th edition)

Corresponding ICD-10 Codes (Cause of Death codes only)

D47.7 Other specified neoplasms of uncertain or unknown behavior of lymphoid, hematopoietic, and related tissue

Corresponding ICD-10-CM Codes (U.S. only)

D47.Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue (effective October 01, 2015)

Sources

WHO Classification of Tumours Editorial Board. Haematolymphoid tumours. Lyon (France): International Agency for Research on Cancer; 2024. (WHO classification of tumours series, 5th ed.; vol. 11). https://publications.iarc.who.int/637.
Section: Follicular lymphoma
Pages: Part B: 421-422

International Classification of Diseases for Oncology, 3rd edition (including revisions). Geneva: World Health Organization, 2001, 2011, 2020.
Section: ICD-O-3.2 (2020) Morphological Codes
Pages: http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=100&Itemid=577

PDQ® Adult Treatment Editorial Board. PDQ Indolent B-Cell Non-Hodgkin Lymphoma Treatment. Bethesda, MD: National Cancer Institute. Updated <02/18/2025>. Available at: https://www.cancer.gov/types/lymphoma/hp/indolent-b-cell-lymphoma-treatment-pdq. Accessed <03/04/2025>. [PMID: 37437080]
Section: Indolent B-Cell Non-Hodgkin Lymphoma Treatment (PDQ®)–Health Professional Version
Pages: https://www.cancer.gov/types/lymphoma/hp/adult-nhl-treatment-pdq
Glossary