Biclonal chronic lymphocytic leukemia.

Abstract:

:Chronic lymphocytic leukemia (CLL) is well characterized clinically and immunophenotypically. Demonstration of a monotypic CD19+, CD5+ B-cell population is central to the diagnosis. We report 2 cases of biclonal CLL. Two elderly men were encountered with an absolute lymphocytosis consisting of the typical CD5+, CD19+, CD23+ B-cell population seen in CLL; however, immunoglobulin light chain restriction by flow cytometry was not apparent as B cells expressed kappa or lambda light chains without a clear monotypic population. Molecular genetic analysis of flow cytometry-sorted cells (kappa and lambda populations) revealed in both cases 2 monoclonal B-cell populations. The characterization of these cases and a review of the issues surrounding biclonal CLL are presented.

journal_name

Am J Clin Pathol

authors

Hsi ED,Hoeltge G,Tubbs RR

doi

10.1309/V8AN-A2XP-7TDV-HR0T

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

798-804

issue

6

eissn

0002-9173

issn

1943-7722

journal_volume

113

pub_type

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