PMID- 22537394 OWN - NLM STAT- MEDLINE DCOM- 20120802 LR - 20191210 IS - 1873-5835 (Electronic) IS - 0145-2126 (Linking) VI - 36 IP - 7 DP - 2012 Jul TI - Will a peripheral blood (PB) sample yield the same diagnostic and prognostic cytogenetic data as the concomitant bone marrow (BM) in myelodysplasia? PG - 832-40 LID - 10.1016/j.leukres.2012.03.013 [doi] AB - In patients with myelodysplastic syndromes (MDS), chromosome anomalies are detected by conventional cytogenetic studies (CCS) and/or interphase fluorescence in situ hybridization (FISH) of bone marrow (BM) samples and provide prognostic and diagnostic information, which can direct therapy. Whether peripheral blood (PB) can be substituted for bone marrow in these cases and can provide the same information remains unknown. Concurrent BM and PB specimens collected from 100 patients with recently diagnosed MDS were studied using both CCS and FISH. While 68% of BM samples showed an abnormal karyotype by CCS, only 31% of PB samples were abnormal by CCS. In 12% of patients, FISH and CCS were discordant due to the inability of the FISH panel to detect all possible abnormalities. However, only one case (1%) had a cryptic abnormality detected by FISH. BM and PB FISH were discordant in 3% of cases, most likely due to the smaller clone size in PB vs. BM. While PB should not be substituted for BM at diagnosis, it is a viable alternative for monitoring patients using the appropriate FISH probe(s). CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Cherry, Athena M AU - Cherry AM AD - Stanford Hospitals and Clinics, Palo Alto, CA 94304, USA. acherry@stanfordmed.org FAU - Slovak, Marilyn L AU - Slovak ML FAU - Campbell, Lynda J AU - Campbell LJ FAU - Chun, Kathy AU - Chun K FAU - Eclache, Virginie AU - Eclache V FAU - Haase, Detlef AU - Haase D FAU - Haferlach, Claudia AU - Haferlach C FAU - Hildebrandt, Barbara AU - Hildebrandt B FAU - Iqbal, Anwar M AU - Iqbal AM FAU - Jhanwar, Suresh C AU - Jhanwar SC FAU - Ohyashiki, Kazuma AU - Ohyashiki K FAU - Sole, Francesc AU - Sole F FAU - Vandenberghe, Peter AU - Vandenberghe P FAU - VanDyke, Daniel L AU - VanDyke DL FAU - Zhang, Yanming AU - Zhang Y FAU - Dewald, Gordon W AU - Dewald GW LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article DEP - 20120425 PL - England TA - Leuk Res JT - Leukemia research JID - 7706787 SB - IM CIN - Leuk Res. 2012 Jul;36(7):806-7. PMID: 22551656 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biopsy, Needle MH - Bone Marrow Examination/methods MH - Child MH - Cytogenetic Analysis/*methods MH - Cytogenetics/methods MH - Female MH - Hematologic Tests/methods MH - Humans MH - Karyotyping/methods MH - Male MH - Medical Oncology/*methods MH - Middle Aged MH - Models, Biological MH - Myelodysplastic Syndromes/blood/*diagnosis/pathology MH - Prognosis MH - Young Adult EDAT- 2012/04/28 06:00 MHDA- 2012/08/03 06:00 CRDT- 2012/04/28 06:00 PHST- 2011/11/15 00:00 [received] PHST- 2012/03/13 00:00 [revised] PHST- 2012/03/14 00:00 [accepted] PHST- 2012/04/28 06:00 [entrez] PHST- 2012/04/28 06:00 [pubmed] PHST- 2012/08/03 06:00 [medline] AID - S0145-2126(12)00135-X [pii] AID - 10.1016/j.leukres.2012.03.013 [doi] PST - ppublish SO - Leuk Res. 2012 Jul;36(7):832-40. doi: 10.1016/j.leukres.2012.03.013. Epub 2012 Apr 25.