Flow cytometric analysis of cytologic specimens in hematologic disease

Curtis A. Hanson, Bertram Schnitzer

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Cytologic evaluation of body fluids and fine needle aspirations (FNA) is frequently required in patients with hematologic diseases. In this study we have correlated immunophenotyping and DNA analysis by flow cytometry with cytologic findings and tissue biopsies from 20 patients with body fluid specimens and 5 with FNA. Nineteen of 25 cases, including all FNA cases, had an immunophenotype consistent with malignancy: 12 monoclonal lymphomas, 2 T‐cell lymphomas, 2 T‐ALL and 3 non‐T‐ALL. By cytologic examination, 14 of these 19 cases were positive for malignant cells, 2 suspicious and 3 negative; the latter 5 cases, including 2 FNA cases, had small monoclonal B‐cell populations detected by flow cytometry. Six cases had a benign immunophenotype; cytologic examination was benign in 4 of these and suspicious for lymphoma in 2. Our results show the feasibility of using flow cytometry to evaluate body fluids or FNA and demonstrate that small malignant populations that may be missed by routine cytology can be detected by flow cytometry.

Original languageEnglish (US)
Pages (from-to)2-7
Number of pages6
JournalJournal of Clinical Laboratory Analysis
Volume3
Issue number1
DOIs
StatePublished - 1989

Keywords

  • cytology
  • flow cytometry
  • leukemia
  • lymphoma

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology
  • Public Health, Environmental and Occupational Health
  • Clinical Biochemistry
  • Medical Laboratory Technology
  • Biochemistry, medical
  • Microbiology (medical)

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