PMID- 29893006 OWN - NLM STAT- MEDLINE DCOM- 20181214 LR - 20210109 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 32 IP - 9 DP - 2018 Nov TI - Evaluation of the utility of peripheral blood vs bone marrow in karyotype and fluorescence in situ hybridization for myelodysplastic syndrome diagnosis. PG - e22586 LID - 10.1002/jcla.22586 [doi] LID - e22586 AB - OBJECTIVE: To clear the role of peripheral blood as a substitution for bone marrow in myelodysplastic syndrome and to evaluate the concordance between peripheral blood and bone marrow using karyotype and fluorescence in situ hybridization (FISH) methods. METHODS: We examined 35 bone marrow (BM) and peripheral blood (PB) samples from myelodysplastic syndrome (MDS) patient using karyotype and FISH. Karyotype method for BM and PB samples performed using the standard protocol with an exception for peripheral blood in which growth factor for cultivation was not used. FISH testing was performed using a panel of MDS-associated probes to detect 20q12, 20qter, 5q31, 5q33, 5p15 and chromosome 7 and 8 centromeres. RESULTS: Our results showed karyotypes of BM and PB are concordant in 74% of cases, while about 53% of these concordances were achieved from cases with normal karyotypes. However, the results of BM FISH were completely concordant with PB FISH. CONCLUSION: Although peripheral blood karyotype is not trustworthy for MDS diagnosis, examining peripheral blood, using the FISH method, could be useful for clinical monitoring. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Asadi Fakhr, Zhaleh AU - Asadi Fakhr Z AUID- ORCID: 0000-0001-8895-0016 AD - Department of Genetics and Molecular Biology, Medical School, Isfahan University of Medical Science, Isfahan, Iran. FAU - Mehrzad, Valiollah AU - Mehrzad V AD - Department of Hematology and Oncology, Medical School, Omid Hospital, Isfahan University of Medical Science, Isfahan, Iran. FAU - Izaditabar, Amin AU - Izaditabar A AD - Medical Genetics Center of Genome, Isfahan, Iran. FAU - Salehi, Mansoor AU - Salehi M AUID- ORCID: 0000-0002-6565-0907 AD - Department of Genetics and Molecular Biology, Medical School, Isfahan University of Medical Science, Isfahan, Iran. AD - Medical Genetics Center of Genome, Isfahan, Iran. LA - eng GR - Isfahan University of Medical Sciences/ PT - Journal Article DEP - 20180611 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Bone Marrow/*pathology MH - *Chromosome Aberrations MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - *Karyotype MH - Male MH - Middle Aged MH - *Myelodysplastic Syndromes/blood/diagnosis/pathology MH - Young Adult PMC - PMC6817227 OTO - NOTNLM OT - bone marrow OT - fluorescence in situ hybridization OT - karyotype OT - myelodysplastic syndrome OT - peripheral blood EDAT- 2018/06/13 06:00 MHDA- 2018/12/15 06:00 PMCR- 2018/06/11 CRDT- 2018/06/13 06:00 PHST- 2018/04/12 00:00 [received] PHST- 2018/05/19 00:00 [accepted] PHST- 2018/06/13 06:00 [pubmed] PHST- 2018/12/15 06:00 [medline] PHST- 2018/06/13 06:00 [entrez] PHST- 2018/06/11 00:00 [pmc-release] AID - JCLA22586 [pii] AID - 10.1002/jcla.22586 [doi] PST - ppublish SO - J Clin Lab Anal. 2018 Nov;32(9):e22586. doi: 10.1002/jcla.22586. Epub 2018 Jun 11.