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:Terminal Deoxynucleotidyl Transferase (TdT) a nuclear cell protein whose detection therefore requires cells to be permeabilised for detection by flow cytometry. Expression is usual in acute lymphoblastic leukaemias, but TdT is also commonly also found in acute myeloid leukaemia so is not fully specific (Tdt is also strongly expressed by early regenerating B-lymphocytes (haematogones). Since expression of TdT is retricted to immature cells TdT expression can help distinguish between primative and mature B cells.


   
   

Revision as of 16:07, 18 May 2023


Summary
Terminal Deoxynucleotidyl Transferase (TdT) a nuclear cell protein whose detection therefore requires cells to be permeabilised for detection by flow cytometry. Expression is usual in acute lymphoblastic leukaemias, but TdT is also commonly also found in acute myeloid leukaemia so is not fully specific (Tdt is also strongly expressed by early regenerating B-lymphocytes (haematogones). Since expression of TdT is retricted to immature cells TdT expression can help distinguish between primative and mature B cells.



Normal expression and function

xxxxx


Diagnostic role

  • xxxxx



Other relevant information:

xxxxx




SUMMARY TABLES


Note The colour and % refer to the proportion of cases expressing the marker. Additional comments on strength, or site of expression (if relevant) are given below the table. For full details of key click here. For further information about a particular disease state click <I> adjacent to the condition name


Expression in primitive cell types
AML CMML B ALL Burkitt T ALL ETP ALL <I> MPAL <I> Hgns <I>
? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100%

Notes: xxxxx


Expression in mature B cell neoplasms
CLL MCL FL MZL HCL DLBCL LPL PCL
? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100%

Notes: xxxxx


Expression in mature T cell neoplasms*
ATLL CTCL/Sezary T-PLL T-LGL NK-LGL
? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100% ? <5% 5-20% 20-40% 40-80% 80-100%

Notes: xxxxx