Article ; Online: Factors determining whether diffuse large B-cell lymphoma samples are detected by flow cytometry.
International journal of laboratory hematology
2023 Volume 45, Issue 6, Page(s) 927–934
Abstract: ... In samples not detected by flow cytometry, lymphocytes were a lower percentage of total events (p = 0.02 ... and T cells were a higher percentage of total lymphocytes (p = 0.01). Cases with high MYC protein ... expression on immunohistochemistry were less likely to be missed by FCM (p = 0.011). Detection of DLBCL was ...
Abstract | Introduction: Flow cytometry (FCM) is widely used in the diagnosis of mature B-cell neoplasms (MBN), and FCM data are usually consistent with morphological findings. However, diffuse large B-cell lymphoma (DLBCL), a common MBN, is sometimes not detected by FCM. This study aimed to explore factors that increase the likelihood of failure to detect DLBCL by FCM. Methods: Cases with a final diagnosis of DLBCL that were analysed by eight-colour FCM were retrospectively collated. Clinical, FCM, histopathological and genetic data were compared between cases detected and cases not detected by FCM. Results: DLBCL cases from 135 different patients were analysed, of which 22 (16%) were not detected by FCM. In samples not detected by flow cytometry, lymphocytes were a lower percentage of total events (p = 0.02), and T cells were a higher percentage of total lymphocytes (p = 0.01). Cases with high MYC protein expression on immunohistochemistry were less likely to be missed by FCM (p = 0.011). Detection of DLBCL was not different between germinal centre B-cell (GCB) and non-GCB subtypes, not significantly affected by the presence of necrosis or fibrosis, and not significantly different between biopsy specimens compared to fine-needle aspirates, or between samples from nodal compared to extranodal tissue. Conclusion: The study identifies several factors which affect the likelihood of DLBCL being missed by FCM. Even with eight-colour analysis, FCM fails to detect numerous cases of DLBCL. |
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MeSH term(s) | Humans ; Retrospective Studies ; Flow Cytometry ; Lymphoma, Large B-Cell, Diffuse/pathology ; B-Lymphocytes/pathology ; Germinal Center/metabolism ; Germinal Center/pathology ; Prognosis |
Language | English |
Publishing date | 2023-08-25 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2268590-X |
ISSN | 1751-553X ; 1751-5521 ; 0141-9854 |
ISSN (online) | 1751-553X |
ISSN | 1751-5521 ; 0141-9854 |
DOI | 10.1111/ijlh.14158 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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