© 2003 BMJ Publishing Group & Association of Clinical Pathologists
DIAGNOSTIC BRIEF
Immunohistochemical classification of B cell neoplasms
Department of Pathology, VU University Medical Center, 1081 HV Amsterdam, The Netherlands; jj.oudejans@vumc.nl
Keywords: B cell lymphoma; diagnosis; immunohistochemistry; lymphoma
| The first 150 words of the full text of this article appear below. |
In the new World Health Organisation (WHO) classification of haematological malignancies, immunophenotypical analysis is important in the subclassification of lymphomas.1 In the past decade, many new antibodies have become available that can be used on routinely fixed, paraffin wax embedded tissue sections.2,3 At present, it is possible to make a correct subclassification of B cell lymphomas in most cases using a relatively restricted set of markers. However, in some cases it may be difficult to differentiate a benign B cell response from a malignant B cell proliferation. In these cases, clonality analysis based on the presence of monoclonal immunoglobulin rearrangements is indicated. Moreover, the detection of specific translocations involving the c-myc, bcl-2, or cyclin D1 locus by molecular analysis may be required to make a definite diagnosis of Burkitts(like), follicular, or mantle cell lymphoma, respectively.
Whenever an immunodeficiency associated lymphoproliferative disorder is considered, RNA in situ hybridisation detecting the abundantly
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[Abstract] [Full Text]
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