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Flow cytometric marker pattern of chronic lymphocytic leukaemia: Difference between revisions

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!colspan="4" style = "font-size:110%; color: navy; text-align:center; background:#DEE0DE;"|'''Immunophenotype of CLL'''
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!colspan="4" style = "font-size:90%; background:#DAE8F2"|'''Major markers useful in CLL diagnosis'''
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|colspan="1" style = "font-size:80%; width: 15%; |'''Marker'''
|colspan="1" style = "font-size:80%; width: 5%; |'''CLL'''
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|colspan="1" style = "width: 4%; font-size:90%; color:navy;" |<u>'''κ/λ'''</u>
|colspan="1" style = "width: 8%; background:#00b8e6;"|wk
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|colspan="1" style = "font-size:90%; color:navy;" |<u>'''FMC7'''</u>
|colspan="1" style = "background:#66e0ff;"|
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|colspan="1" style = "font-size:90%; color:navy;" |<u>'''CD5'''</u>
|colspan="1" style = "background:#004466;"|
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|colspan="1" style = "font-size:90%;" |CD10
|colspan="1" style = "background:#00b8e6;"|
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|colspan="1" style = "font-size:90%;" |CD11C
|colspan="1" style = "background:#00b8e6;"|
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|colspan="1" style = "font-size:90%; color:navy;" |<u>'''CD19'''</u>
|colspan="1" style = "background:#004466;"|
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|colspan="1" style = "font-size:90%;" |CD20
|colspan="1" style = "background:#004466;"|
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|colspan="1" style = "font-size:90%; color:navy;" |<u>'''CD23'''</u>
|colspan="1" style = "background:#004466;"|
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|colspan="1" style = "font-size:90%; color:black;" |CD25
|colspan="1" style = "background:#00b8e6;"|wk
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|colspan="1" style = "font-size:90%; color:black;" |CD38
|colspan="1" style = "background:#66e0ff;"|
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|colspan="1" style = "font-size:90%;" |CD43
|colspan="1" style = "background:#004466;"|
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|colspan="1" style = "font-size:90%; color:navy;" |<u>'''CD79a'''</u>
|colspan="1" style = "background:#004466;"|wk
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|colspan="1" style = "font-size:90%;" |CD103
|colspan="1" style = "background:#E6FAFF;"|
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|colspan="1" style = "font-size:90%;" |CD138
|colspan="1" style = "background:#E6FAFF;"|
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|colspan="1" style = "font-size:90%; color:navy;" |<u>'''CD200'''</u>
|colspan="1" style = "background:#004466;"|
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Revision as of 23:28, 20 June 2023

Background

Typical CLL can be diagnosed with some confidence using flow cytometry.

However, individual markers may not be expressed in all cases - this can cause diagnostic difficulty particularly in distinguishing CLL from atypical cases of MCL or MZL. If this is the case then the atypical features should be reported, and the possibility of alternative diagnoses acknowledged.

Note also that cases with a low lymphocytosis (<1x109) may represent monoclonal B-lymphocytosis with CLL phenotype (click here for more).


Immunophenotype of CLL
Major markers useful in CLL diagnosis
Marker CLL
κ/λ wk
FMC7
CD5
CD10
CD11C
CD19
CD20
CD23
CD25 wk
CD38
CD43
CD79a wk
CD103
CD138
CD200


Key to table:

Markers most useful in initial diagnosis are underlined in blue text

Key to colour code for expression frequency Click for link

Key to expression strength code and use Click for link