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Flow cytometry: Follicular Lymphoma: Difference between revisions

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<span style="color:navy;font-size:80% ">'''Key to table: '''</span>
<span style="color:navy;font-size:80% ">'''Key to table: '''</span>
<span style="font-size:80% ">Markers most useful in initial diagnosis are <span style=color:navy><u>underlined in blue text</u></span></span>


<span style="font-size:80% ">Key to colour code for expression frequency [[Key_to_marker_expression_table|Click for link]]</span>
<span style="font-size:80% ">Key to colour code for expression frequency [[Key_to_marker_expression_table|Click for link]]</span>

Revision as of 22:21, 4 July 2023


File:FCL.jpg

Typical FCL morphology


Background

Follicular lymphoma expresses CD10, with other immunophenotypic featues differing from related disorders.

However, individual markers may not be expressed in all cases - confirmation can be made from histopathology, cytogenetic or genetic testing.


CD45 Expression


File:FCLCD45.jpg


Side scatter


Immunophenotype of FL
Major markers useful in diagnosis
Marker Freq Level Comment
κ/λ Expect κ or λ expression, undetectable in rare cases
CD19 - Expression is expected, but may be weak or undectable
CD5 - Expression of CD5 is characteristic of MCL
CD10 Strg Expression is expected though not universal in FL
CD23 - May be expressed by some cases of FL
CD79b Expression is expected and should be stronger than CLL
CD200 - Characteristically (though not always) negative in FL
FMC7 - Occasionally seen, FMC7 is not typical of FL
Other relevant markers
CD11C Expression is not typically seen in FL
CD20 - Expression is expected, rare cases may have CD20 loss
CD25 Not typical of FL, where present it is not generally strong
CD38 - Expression is expected in FL but CD138 should be absent
CD43 - Expression is uncommon in FL, may be helpful in some cases
CD103 - Not expressed by FL, consider HCL if found
CD138 - Predominantly expressed at plasma cell differentiation


Key to table:

Key to colour code for expression frequency Click for link

Key to expression strength code and use Click for link