PMID- 17638669 OWN - NLM STAT- MEDLINE DCOM- 20070823 LR - 20091119 IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 128 IP - 2 DP - 2007 Aug TI - Chronic lymphocytic leukemia FISH panel: impact on diagnosis. PG - 323-32 AB - Interphase fluorescence in situ hybridization (FISH) is an alternative to conventional chromosome analysis of chronic lymphocytic leukemia (CLL) cells. We analyzed 172 samples from 136 possible CLL cases using a FISH panel. Reflex testing with probes to CCND1, BCL2, BCL3, BCL11A, c-MYC, MALT1, and a break-apart immunoglobulin heavy chain (IGH) probe was done if more than 2 signals for 14q32 occurred. For 111 cases, there were sufficient data for analysis. Of 111 cases, 81 (72.9%) had 1 or more genetic abnormalities. The most frequent abnormality was 13q-, followed by trisomy 12, 11q-, and 17p-. In 13 cases, there were IGH abnormalities. Two cases with CCND1/IGH fusion were reclassified as mantle cell lymphoma. Four CLL cases had IGH fusion with BCL2, BCL3 (2 cases), and BCL11A; no fusion partner was detected in 7 cases. Morphologic features were atypical for CLL in 2 cases with IGH fusion (BCL11A and BCL3). The FISH CLL panel is useful to identify prognostic aberrations and to clarify diagnosis in cases with unusual morphologic features. FAU - Nelson, Beverly P AU - Nelson BP AD - Department of Pathology, Feinberg Medical School, Northwestern University, Chicago, IL 60611-2908, USA. FAU - Gupta, Rohit AU - Gupta R FAU - Dewald, Gordon W AU - Dewald GW FAU - Paternoster, Sarah F AU - Paternoster SF FAU - Rosen, Steven T AU - Rosen ST FAU - Peterson, LoAnn C AU - Peterson LC LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Cyclin D) RN - 0 (Cyclins) RN - 0 (Immunoglobulin Heavy Chains) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Chromosomes, Human, Pair 14 MH - Cyclin D MH - Cyclins/genetics MH - Female MH - Humans MH - Immunoglobulin Heavy Chains/genetics MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence/*methods MH - Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis/*genetics/immunology/pathology MH - Lymphoma, Mantle-Cell/genetics MH - Male MH - Middle Aged MH - Prognosis MH - Translocation, Genetic EDAT- 2007/07/20 09:00 MHDA- 2007/08/24 09:00 CRDT- 2007/07/20 09:00 PHST- 2007/07/20 09:00 [pubmed] PHST- 2007/08/24 09:00 [medline] PHST- 2007/07/20 09:00 [entrez] AID - U3UN662552383654 [pii] AID - 10.1309/21TN2RUWKR827UW2 [doi] PST - ppublish SO - Am J Clin Pathol. 2007 Aug;128(2):323-32. doi: 10.1309/21TN2RUWKR827UW2.