Abstract
Flow cytometry immunophenotyping (FCI) of hematolymphoid specimens is a powerful tool in clinical medicine aiding in the accurate diagnosis and subclassification of acute and chronic leukemias, non-Hodgkin lymphomas, myelodysplasia, and other hematolymphoid neoplastic processes. Multiple flow cytometric strategies are used to evaluate hematolymphoid populations, including identification of neoplastic populations with aberrant immunophenotypes, abnormal maturation patterns, monotypic kappa/lambda light chain expression, restricted V-beta expression, and abnormal light scatter properties. In this chapter, we present a general approach to analyze hematolymphoid populations. Specimen handling, gating strategies, and appropriate antibody panels for flow cytometric detection of abnormal hematologic populations are presented.
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References
Davis, B. H., Holden, J. T., Bene, M. C., et al. (2007) 2006 Bethesda International Consensus recommendations on the flow cytometric immunophenotypic analysis of hematolymphoid neoplasia: medical indications. Cytometry B Clin. Cytom. 72, Suppl 1, S5–S13.
Stetler-Stevenson, M., Ahmad, E., Barnett, D., et al. (2007) Clinical Flow Cytometric Analysis of Neoplastic Hematolymphoid Cells; Approved Guideline – Second Edition. Clinical and Laboratory Standards Institute 27, Wayne, PA, USA.
Wood, B. L., Arroz, M., Barnett, D., DiGiuseppe, J., Greig, B., Kussick, S. J., Oldaker, T., Shenkin, M., Stone, E., and Wallace, P. (2007) 2006 Bethesda International Consensus recommendations on the immunophenotypic analysis of hematolymphoid neoplasia by flow cytometry: optimal reagents and reporting for the flow cytometric diagnosis of hematopoietic neoplasia. Cytometry B Clin. Cytom. 72, Suppl 1, S14–S22.
Stelzer, G. T., Marti, G., Hurley, A., McCoy, P., Jr., Lovett, E. J., and Schwartz, A. (1997) U.S.-Canadian Consensus recommendations on the immunophenotypic analysis of hematologic neoplasia by flow cytometry: standardization and validation of laboratory procedures. Cytometry 30, 214–230.
Swerdlow, S. H., Campo, E., Harris, N. L., et al. (2008) WHO Classification of Tumors of Haematopoietic and Lymphoid Tissues, Forth Edition, International Agency for Research on Cancer (IARC), Lyon, France.
Kussick, S. J., Fromm, J. R., Rossini, A., et al. (2005) Four-color flow cytometry shows strong concordance with bone marrow morphology and cytogenetics in the evaluation for myelodysplasia. Am. J. Clin. Pathol. 124, 170–181.
Stetler-Stevenson, M., Arthur, D. C., Jabbour, N., et al. (2001) Diagnostic utility of flow cytometric immunophenotyping in myelodysplastic syndrome. Blood 98, 979–987.
Stetler-Stevenson, M. and Yuan, C. M. (2009) Myelodysplastic syndromes: the role of flow cytometry in diagnosis and prognosis. Int. J. Lab. Hematol. 31, 476–483.
Li, S., Eshleman, J. R., and Borowitz, M. J. (2002) Lack of surface immunoglobulin light chain expression by flow cytometric immunophenotyping can help diagnose peripheral B-cell lymphoma. Am. J. Clin. Pathol. 118, 229–234.
Kingma, D. W., Imus, P., Xie, X. Y., et al. (2002) CD2 is expressed by a subpopulation of normal B cells and is frequently present in mature B-cell neoplasms. Cytometry 50, 243–248.
Ginaldi, L., De Martinis, M., Matutes, E., Farahat, N., Morilla, R., and Catovsky, D. (1998) Levels of expression of CD19 and CD20 in chronic B cell leukaemias. J. Clin. Pathol. 51, 364–369.
Nowakowski, G. S., Morice, W.G., Phyliky, R. L., Li, C. Y., and Tefferi, A. (2005) Human leucocyte antigen class I and killer immunoglobulin-like receptor expression patterns in T-cell large granular lymphocyte leukaemia. Br. J. Haematol. 128, 490–492.
Morice, W. G., Kurtin, P. J., Leibson, P. J., Tefferi, A., and Hanson, C. A. (2003) Demonstration of aberrant T-cell and natural killer-cell antigen expression in all cases of granular lymphocytic leukaemia. Br. J. Haematol. 120, 1026–1036.
Marti, G. E., Rawstron, A. C., Ghia, P., et al. (2005) Diagnostic criteria for monoclonal B-cell lymphocytosis. Br. J. Haematol. 130, 325–332.
Kussick, S. J., Kalnoski, M., Braziel, R. M., and Wood, B. L. (2004) Prominent clonal B-cell populations identified by flow cytometry in histologically reactive lymphoid proliferations. Am. J. Clin. Pathol. 121, 464–472.
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Calvo, K.R., McCoy, C.S., Stetler-Stevenson, M. (2011). Flow Cytometry Immunophenotyping of Hematolymphoid Neoplasia. In: Hawley, T., Hawley, R. (eds) Flow Cytometry Protocols. Methods in Molecular Biology, vol 699. Humana Press. https://doi.org/10.1007/978-1-61737-950-5_14
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DOI: https://doi.org/10.1007/978-1-61737-950-5_14
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