Microdissection and gene rearrangement analysis of paraffin-embedded specimens of orbital malignant lymphoma.

Abstract:

PURPOSE:To determine whether a definite diagnosis of malignant lymphoma can be made from paraffin-embedded archived orbital specimens by gene rearrangement analysis using microdissection and polymerase chain reaction (PCR). METHODS:Specimens from four patients with histopathologically diagnosed orbital malignant lymphoma were examined. The malignant cells were microdissected off the paraffin-embedded specimens. DNA was extracted from the cells, and the immunoglobulin heavy chain ( IgH) gene was amplified by PCR. Gene rearrangements were detected by using primers for the third framework (FR3A), the second framework (FR2A), and the complementary determining region 3 (CDR3). Translocation of the B-cell lymphoma/leukemia-2 ( bcl-2) gene was also examined. RESULTS:Malignant cells were present on the slides of the paraffin-embedded specimens of three of four cases. The specimens from these three cases showed IgH rearrangements for FR3A, FR2A, and CDR3. A bcl-2-associated translocation was also detected in one case. CONCLUSIONS:Gene rearrangement analysis is applicable to paraffin-embedded archived orbital specimens to confirm a diagnosis of malignant lymphoma. The advantage of this method is that only a small specimen is needed because the detection sensitivity is high.

journal_name

Jpn J Ophthalmol

authors

Miyanaga M,Kiyosawa M,Takase H,Eishi Y,Shen DF,Chan CC,Mochizuki M

doi

10.1007/s10384-003-0038-7

keywords:

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

123-7

issue

2

eissn

0021-5155

issn

1613-2246

journal_volume

48

pub_type

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