PMID- 28744576 OWN - NLM STAT- MEDLINE DCOM- 20171129 LR - 20180710 IS - 1432-0584 (Electronic) IS - 0939-5555 (Linking) VI - 96 IP - 10 DP - 2017 Oct TI - Cytogenetics with flow cytometry in lymph node/extranodal tissue biopsies is sensitive to assist the early diagnosis of suspected lymphomas. PG - 1673-1680 LID - 10.1007/s00277-017-3066-y [doi] AB - Few studies have examined the value of cytogenetic studies with flow cytometry (FC) in lymph node/extranodal tissue biopsies with suspected lymphoma. To evaluate this, G-banded karyotyping and/or fluorescence in situ hybridization (FISH) with FC immunophenotyping were performed on 185 lymph node or extranodal tissue biopsy specimens with suspected lymphoma. Complete cytogenetic analysis of lymph node/extranodal tissue was successful in 174 cases (94.1%) and 57.5% demonstrated chromosomal abnormalities. In 116 malignant lymphoma cases, 83.8% showed abnormalities. In 74 B cell lymphomas (B-NHL), abnormalities were more frequent in lymph node/extranodal tissues than in bone marrow by conventional cytogenetics (CC, 97.2 vs 26.1%), FISH (70.6 vs 17.6%), and FC (98.6 vs 28.4%). Three B-NHL diagnoses were confirmed by re-biopsy of lymph nodes due to the presence of abnormalities in the first biopsy, but no evidence of malignancy in pathological, FC, or IgH/TCR gene rearrangement analyses. In 29 T cell lymphomas (T-NHL), abnormalities were more frequent in lymph nodes than in bone marrow by CC (67.9 vs 21.4%) and FC (75.9 vs 27.6%) analyses. As expected, in 13 Hodgkin lymphoma cases, abnormalities were more frequent in lymph nodes than bone marrow by CC (41.7 vs 16.7%) and FC (30.8 vs 7.7%) analyses. In 56 reactive lymphoid hyperplasias (RLH), 7.1% had conventional clonal cytogenetic abnormalities. Two of these patients died of disease progression and two had their pathological diagnosis revised after the second review. These findings indicate that cytogenetic analysis combined with FC in lymph node/extranodal tissue biopsies can provide critical information in the auxiliary diagnosis of lymphoma. FAU - Wang, Ying AU - Wang Y AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Li, Qinlu AU - Li Q AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Zhu, Li AU - Zhu L AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Mao, Xia AU - Mao X AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Zhang, Heng AU - Zhang H AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Huang, Lifang AU - Huang L AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Meng, Fankai AU - Meng F AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Wei, Jia AU - Wei J AUID- ORCID: 0000-0002-6435-9368 AD - Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. jiawei@tjh.tjmu.edu.cn. LA - eng GR - 81300390/National Natural Science Foundation of China/ GR - 81570110/National Natural Science Foundation of China/ GR - 81500082/National Natural Science Foundation of China/ PT - Journal Article DEP - 20170725 PL - Germany TA - Ann Hematol JT - Annals of hematology JID - 9107334 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Chromosome Aberrations MH - Female MH - *Flow Cytometry MH - *Gene Rearrangement MH - *Hodgkin Disease/diagnosis/genetics/pathology MH - Humans MH - *Lymphoma, B-Cell/diagnosis/genetics/pathology MH - *Lymphoma, T-Cell/diagnosis/genetics/pathology MH - Male MH - Middle Aged MH - Sentinel Lymph Node Biopsy OTO - NOTNLM OT - Chromosome abnormalities OT - FISH OT - Flow cytometry OT - Lymphoma OT - Reactive lymphoid hyperplasia EDAT- 2017/07/27 06:00 MHDA- 2017/12/01 06:00 CRDT- 2017/07/27 06:00 PHST- 2017/03/29 00:00 [received] PHST- 2017/07/05 00:00 [accepted] PHST- 2017/07/27 06:00 [pubmed] PHST- 2017/12/01 06:00 [medline] PHST- 2017/07/27 06:00 [entrez] AID - 10.1007/s00277-017-3066-y [pii] AID - 10.1007/s00277-017-3066-y [doi] PST - ppublish SO - Ann Hematol. 2017 Oct;96(10):1673-1680. doi: 10.1007/s00277-017-3066-y. Epub 2017 Jul 25.