PMID- 22961721 OWN - NLM STAT- MEDLINE DCOM- 20130408 LR - 20210823 IS - 1552-4957 (Electronic) IS - 1552-4949 (Linking) VI - 82 IP - 6 DP - 2012 Nov TI - Flow cytometry CD45-negative B-NHL: a case report of a diffuse large B-cell lymphoma without extranodal involvement. PG - 369-71 LID - 10.1002/cyto.b.21038 [doi] AB - BACKGROUND: The loss of CD45, the leukocyte-common antigen, has been described in rare cases of large B-cell lymphoma (LBCL) subtypes with extranodal involvement by immunohistochemical methods. Here we report a case of a patient with LBCL, with no extranodal lesions, which is CD45 negative by flow cytometry (FC) immunophenotyping. METHODS: Immunophenotyping and DNA content analysis was performed by multiparametric FC on lymph node and bone marrow aspirate obtained from a 65 year old male patient. RESULTS: Malignant B-lymphocytes were CD5-, CD10+/++, CD11c-, CD19+, CD20+/++, CD23-, CD34-, CD38-/+, CD45-, CD79b++/+++, BCL2 overexpressed, FMC7++, IgM++/+++, TdT- with Lambda light chain restriction. This pathological cellular population showed near-diploid DNA content, with a high proliferate rate. CONCLUSIONS: To our knowledge, we describe the first case of a CD19+ B-cell non-Hodgkin lymphoma without expression of CD45 detected by FC, and the first case without extranodal involvement presentation. This case is reported not only because it is a rare one but also to raise awareness of FC users of its correct diagnosis. CI - Copyright (c) 2012 International Clinical Cytometry Society. FAU - Palmeira, Carlos AU - Palmeira C AD - Flow Cytometry Laboratory, Department of Hematology, IPO-Porto, Porto, Portugal. palmeira.ca@gmail.com FAU - Sousa, Maria Emilia AU - Sousa ME FAU - Godinho, Ines AU - Godinho I FAU - Pires, Ana Marta AU - Pires AM FAU - Mendes, Carlos AU - Mendes C FAU - Martins, Gabriela AU - Martins G LA - eng PT - Case Reports PT - Journal Article DEP - 20120907 PL - United States TA - Cytometry B Clin Cytom JT - Cytometry. Part B, Clinical cytometry JID - 101235690 RN - 0 (Antigens, CD) RN - 0 (Glycoproteins) RN - 0 (Immunoglobulin M) RN - 0 (MS4A1 protein, human) RN - EC 2.7.7.31 (DNA Nucleotidylexotransferase) RN - EC 3.1.3.48 (Leukocyte Common Antigens) RN - EC 3.1.3.48 (PTPRC protein, human) SB - IM MH - Aged MH - Antigens, CD/analysis/immunology MH - B-Lymphocytes/immunology MH - Biopsy MH - Bone Marrow/immunology MH - Cell Proliferation MH - DNA Nucleotidylexotransferase/analysis/immunology MH - Flow Cytometry/*methods MH - Glycoproteins/analysis MH - Humans MH - Immunoglobulin M/analysis MH - Immunophenotyping/methods MH - Leukocyte Common Antigens/analysis/immunology/*metabolism MH - Lymph Nodes/immunology MH - Lymphoma, Large B-Cell, Diffuse/*diagnosis/immunology/pathology MH - Male EDAT- 2012/09/11 06:00 MHDA- 2013/04/09 06:00 CRDT- 2012/09/11 06:00 PHST- 2011/11/16 00:00 [received] PHST- 2012/07/26 00:00 [revised] PHST- 2012/07/27 00:00 [accepted] PHST- 2012/09/11 06:00 [entrez] PHST- 2012/09/11 06:00 [pubmed] PHST- 2013/04/09 06:00 [medline] AID - 10.1002/cyto.b.21038 [doi] PST - ppublish SO - Cytometry B Clin Cytom. 2012 Nov;82(6):369-71. doi: 10.1002/cyto.b.21038. Epub 2012 Sep 7.