Diagnosis Eligibility

NHL Subtypes and Roundup — Which Diagnoses Qualify

Non-Hodgkin Lymphoma is not one disease. It is more than 60 distinct cancers grouped under the same umbrella. The pathology report sitting on your kitchen table names one specific subtype — and the subtype matters more than most people realize. Here is which ones fit a Roundup claim and which ones are weaker fits.

By The Alvarez Law Firm·

When most people read the words "Non-Hodgkin Lymphoma" on their pathology report, they assume the diagnosis is binary — either it qualifies for a Roundup lawsuit or it does not. The reality is more layered. NHL is an umbrella that covers more than 60 distinct subtypes, and the science linking glyphosate to each of them is not identical.

Why The Subtype Matters

The body of epidemiological research connecting glyphosate to lymphoma is strongest for certain B-cell lineages. The 2015 IARC monograph that classified glyphosate as a "probable human carcinogen" identified Non-Hodgkin Lymphoma as a category, but it did not say every NHL subtype is supported equally. Within the federal Roundup MDL (In re: Roundup Products Liability Litigation, MDL No. 2741), bellwether selection, case strength, and expert testimony have all turned on subtype.

Knowing which subtype is on your pathology report is the single most useful piece of information you can bring to a first call.

The Subtype Map

Below is a working map of the NHL subtypes we see in intake, organized by how strongly they fit a Roundup claim under current science. None of this is a substitute for case-specific review by an attorney and a medical-legal professional, but it gives you a starting frame.

Subtype Lineage Roundup Fit
Diffuse Large B-Cell Lymphoma (DLBCL)B-cellStrong
Follicular LymphomaB-cellStrong
Marginal Zone Lymphoma (nodal, splenic, MALT)B-cellStrong
Mantle Cell LymphomaB-cellStrong
Small Lymphocytic Lymphoma (SLL) / Chronic Lymphocytic Leukemia (CLL)B-cellStrong
Burkitt LymphomaB-cellModerate
Lymphoplasmacytic Lymphoma / Waldenström's MacroglobulinemiaB-cellModerate
Hairy Cell LeukemiaB-cellModerate
Peripheral T-Cell Lymphoma (PTCL)T-cellModerate
Cutaneous T-Cell Lymphoma (Mycosis Fungoides, Sézary)T-cellWeaker
Anaplastic Large Cell Lymphoma (ALCL)T-cellWeaker
NK/T-Cell LymphomaNK/T-cellWeaker

Plain language: Most of the strongest cases involve B-cell lymphomas. T-cell and NK/T-cell lymphomas are not impossible to litigate, but the underlying science is thinner and the cases are harder to build.

The B-Cell Heavyweights

Diffuse Large B-Cell Lymphoma (DLBCL)

DLBCL is the most common aggressive NHL subtype in adults. It is also the subtype that figured most prominently in early Roundup bellwether cases. Most of the published epidemiological case-control studies on glyphosate include DLBCL specifically in their B-cell lymphoma category. If your pathology report lists DLBCL, the case fits the strongest part of the science.

Follicular Lymphoma

Follicular Lymphoma is the most common indolent (slow-growing) NHL subtype. It often presents at later stages because patients can be asymptomatic for years. The Hardeman bellwether, one of the cases that helped establish Roundup litigation, involved Follicular Lymphoma. The science here is well-established.

Marginal Zone Lymphoma

Marginal Zone Lymphoma includes three subvariants: nodal MZL, splenic MZL, and extranodal MALT lymphoma. All three are B-cell lymphomas that fit the broader B-cell lymphoma category supported by the science. MALT lymphoma in particular has been an underclaimed subtype — many patients with MALT do not realize their diagnosis qualifies.

Mantle Cell Lymphoma

Mantle Cell Lymphoma is a less common but aggressive B-cell subtype. It is included in the broader B-cell lymphoma category in most of the relevant epidemiology.

CLL / SLL

Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma are the same disease at different anatomic stages — one presents in the blood and bone marrow, the other in lymph nodes. Both are mature B-cell neoplasms and both are part of the broader B-cell lymphoma group supported by the science. CLL/SLL is one of the most common diagnoses we see in older agricultural workers.

The Moderate-Fit Subtypes

Burkitt Lymphoma, Lymphoplasmacytic Lymphoma (including Waldenström's), and Hairy Cell Leukemia are all B-cell cancers and are part of the lymphoid neoplasm category that the science addresses. The case-specific science is thinner than for DLBCL or Follicular, but viable claims can still be built, particularly with strong exposure histories.

T-Cell and NK/T-Cell Subtypes

Peripheral T-Cell Lymphoma, Cutaneous T-Cell Lymphoma (Mycosis Fungoides and Sézary syndrome), Anaplastic Large Cell Lymphoma, and NK/T-Cell Lymphoma are not B-cell cancers. The glyphosate science is much thinner for T-cell and NK lineages than for B-cell. These cases are not categorically excluded, but they are harder to build and we evaluate them carefully on individual facts.

What About Cancers That Are Not NHL At All?

Two diagnoses are often confused with NHL but are categorically different:

What If The Pathology Report Is Vague?

Many patients have a pathology report that says "B-cell lymphoma" or "Non-Hodgkin Lymphoma" without specifying the precise subtype. That happens for two reasons: the pathology was reviewed at a smaller community lab, or the patient was diagnosed in an era before today's subtype classifications were standard.

If your case has subtype ambiguity, we typically request the original pathology slides for re-review by a board-certified hematopathologist. A subtype reclassification can sometimes strengthen the fit between the diagnosis and the science.

Exposure Still Matters — Subtype Does Not Stand Alone

Subtype is one of three pillars in a Roundup claim. The other two are exposure (extent and duration of glyphosate use) and timing (when exposure began, when diagnosis occurred, and whether the latency period is consistent with what the science describes). A strong subtype with weak exposure history is not a strong case. A weaker subtype with decades of documented occupational exposure may still be viable. We assess all three together.

Bottom Line

If the pathology report says DLBCL, Follicular, Marginal Zone, Mantle Cell, or CLL/SLL, you are in the strongest part of the Roundup science. If it says Burkitt, Lymphoplasmacytic, Hairy Cell, or PTCL, you are in viable but more case-by-case territory. If it says Cutaneous T-Cell or NK/T-Cell, the case is harder and the analysis is fact-specific. And if the diagnosis is Multiple Myeloma or Hodgkin Lymphoma rather than NHL, the framework is different — see the linked companion pieces.

For broader context on eligibility, see who qualifies for a Roundup lawsuit and whether you can still sue Monsanto in 2026. The first call is free, Herb Borroto, M.D., J.D. reads the pathology personally, and there is no fee unless we recover for you.

Have a Pathology Report But Aren’t Sure If It Qualifies?

Free, confidential case review. Herb Borroto, M.D., J.D. reads the pathology personally and gives you a candid read on subtype, exposure, and timing.