Usefulness of Dual Immunohistochemistry Staining in Detection of Hairy Cell Leukemia in Bone Marrow.

Abstract:

OBJECTIVES:We evaluated efficacy of two dual immunohistochemistry (IHC) staining assays in assessing hairy cell leukemia (HCL) involvement in core biopsies and compared the results with concurrently collected flow cytometric data. METHODS:Overall, 148 patients with HCL (123 male, 25 female; mean age: 59.8 years; range: 25-81 years) had multiparameter flow cytometry performed using CD19, CD20, CD22, CD11c, CD25, CD103, CD123, surface light chains, CD5, and CD23. In parallel, bone marrow IHC was done using PAX5/CD103 and PAX5/tartrate-resistant alkaline phosphatase (TRAP) dual IHC stains. RESULTS:Overall sensitivity of dual IHC stains was 81.4%, positive predictive value was 100%, and negative predictive value was 81.7%. All IHC-positive cases concurred with flow cytometry data, even when HCL burden was extremely low in the flow cytometry specimens (as low as 0.02% of all lymphoid cells). CONCLUSIONS:Dual IHC stain is a sensitive tool in detecting HCL, even in cases with minimal disease involvement.

journal_name

Am J Clin Pathol

authors

Gupta GK,Sun X,Yuan CM,Stetler-Stevenson M,Kreitman RJ,Maric I

doi

10.1093/ajcp/aqz171

subject

Has Abstract

pub_date

2020-02-08 00:00:00

pages

322-327

issue

3

eissn

0002-9173

issn

1943-7722

pii

5607847

journal_volume

153

pub_type

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