PMID- 15871725 OWN - NLM STAT- MEDLINE DCOM- 20050822 LR - 20171116 IS - 1320-5463 (Print) IS - 1320-5463 (Linking) VI - 55 IP - 5 DP - 2005 May TI - Distinguishing between proliferating nodal lymphoid blasts in chronic myelogenous leukemia and non-Hodgkin lymphoma: report of three cases and detection of a bcr/abl fusion signal by single-cell analysis. PG - 273-9 AB - Lymph node biopsies were analyzed from three patients with chronic myelogenous leukemia (CML) showing nodal blast proliferation. Immunohistochemically, the blasts from all three patients had an immature marker profile with a T-blast population (cCD3+, CD4-, CD7+, CD8-, CD99+, terminal deoxynucleotidyl transferase +) and a hematopoietic progenitor cell marker (CD34). In two patients, the blasts also expressed myeloid lineage specificity (naphthol AS-D chloroacetate esterase activity and myeloperoxidase positivity). However, it was difficult to distinguish between blast proliferation in CML and non-Hodgkin lymphoma from these immunohistopathological findings alone. Subsequently, bcr gene rearrangement and bcr/abl mRNA expression were detected by Southern blot and reverse transcription-polymerase chain reaction analysis of the lymph nodes. Fluorescence in situ hybridization (FISH) analysis of lymph node touch smears also disclosed bcr/abl gene fusion signals in the blasts of all patients, confirming that the blasts were derived from Philadelphia chromosome-positive CML. Accurate discrimination between the proliferating nodal blasts of CML and non-Hodgkin lymphoma is essential for determining subsequent therapy. FISH analysis of bcr/abl in single-cell blast preparations is an efficient tool that allows rapid, accurate cytopathological diagnosis of extramedullary blast-phase CML and its discrimination from non-Hodgkin lymphoma. FAU - Yashima-Abo, Akiko AU - Yashima-Abo A AD - Department of Pathology, School of Medicine, Iwate Medical University, Morioka, Iwate, Japan. ayashima@iwate-med.ac.jp FAU - Satoh, Takashi AU - Satoh T FAU - Abo, Toru AU - Abo T FAU - Aoki, Yusei AU - Aoki Y FAU - Kowata, Shugo AU - Kowata S FAU - Ito, Shigeki AU - Ito S FAU - Ishida, Yoji AU - Ishida Y FAU - Fujiwara, Hitomi AU - Fujiwara H FAU - Maesawa, Chihaya AU - Maesawa C FAU - Masuda, Tomoyuki AU - Masuda T LA - eng PT - Case Reports PT - Comparative Study PT - Journal Article PL - Australia TA - Pathol Int JT - Pathology international JID - 9431380 RN - 0 (12E7 Antigen) RN - 0 (Antigens, CD) RN - 0 (Antigens, CD34) RN - 0 (Antigens, CD7) RN - 0 (CD3 Complex) RN - 0 (CD99 protein, human) RN - 0 (Cell Adhesion Molecules) RN - EC 1.11.1.7 (Peroxidase) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) RN - EC 2.7.7.31 (DNA Nucleotidylexotransferase) RN - EC 3.1.- (Naphthol AS D Esterase) SB - IM MH - 12E7 Antigen MH - Adult MH - Antigens, CD/analysis MH - Antigens, CD34/analysis MH - Antigens, CD7/analysis MH - Blotting, Southern MH - CD3 Complex/analysis MH - Cell Adhesion Molecules/analysis MH - Cell Proliferation MH - DNA Nucleotidylexotransferase/analysis MH - Female MH - Fusion Proteins, bcr-abl/genetics MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence/methods MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics/metabolism/*pathology MH - Lymph Nodes/chemistry/metabolism/*pathology MH - Lymphoma, Non-Hodgkin/genetics/metabolism/*pathology MH - Male MH - Middle Aged MH - Naphthol AS D Esterase/analysis MH - Peroxidase/analysis MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2005/05/06 09:00 MHDA- 2005/08/23 09:00 CRDT- 2005/05/06 09:00 PHST- 2005/05/06 09:00 [pubmed] PHST- 2005/08/23 09:00 [medline] PHST- 2005/05/06 09:00 [entrez] AID - PIN1824 [pii] AID - 10.1111/j.1440-1827.2005.01824.x [doi] PST - ppublish SO - Pathol Int. 2005 May;55(5):273-9. doi: 10.1111/j.1440-1827.2005.01824.x.