Improved reliability of lymphoma diagnostics via PCR-based clonality testing: report of the BIOMED-2 Concerted Action BHM4-CT98-3936

Leukemia. 2007 Feb;21(2):201-6. doi: 10.1038/sj.leu.2404467. Epub 2006 Dec 14.

Abstract

The diagnosis of malignant lymphoma is a recognized difficult area in histopathology. Therefore, detection of clonality in a suspected lymphoproliferation is a valuable diagnostic criterion. We have developed primer sets for the detection of rearrangements in the B- and T-cell receptor genes as reliable tools for clonality assessment in lymphoproliferations suspected for lymphoma. In this issue of Leukemia, the participants of the BIOMED-2 Concerted Action CT98-3936 report on the validation of the newly developed clonality assays in various disease entities. Clonality was detected in 99% of all B-cell malignancies and in 94% of all T-cell malignancies, whereas the great majority of reactive lesions showed polyclonality. The combined BIOMED-2 results are summarized in a guideline, which can now be implemented in routine lymphoma diagnostics. The use of this standardized approach in patients with a suspect lymphoproliferation will result in improved diagnosis of malignant lymphoma.

MeSH terms

  • False Negative Reactions
  • Gene Rearrangement
  • Humans
  • Lymphoma / genetics*
  • Lymphoma / pathology*
  • Lymphoma, B-Cell / genetics
  • Lymphoma, B-Cell / pathology
  • Lymphoma, T-Cell / genetics
  • Lymphoma, T-Cell / pathology
  • Polymerase Chain Reaction / methods*
  • Receptors, Antigen, T-Cell / genetics
  • Reproducibility of Results

Substances

  • Receptors, Antigen, T-Cell