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<span style="color: navy>'''Background to flow cytometric diagnosis'''</span>
<span style="color: navy>'''Background to flow cytometric diagnosis'''</span>


These cells share features of mature B cell differentation with features of early plasma cell differentiation and may have mixed populations with features of each. Where either B-cell differentiation or plasma cell features predominate this can make the diagnosis difficult.
Cells of LPL share features of mature B-cell differentation and features of early plasma cell differentiation, and have mixed populations with features of each (although proportions vary). This can be a challenging diagnosis by flow cytometry alone, but other modalities can generally make this diagnosis clear.





Revision as of 10:41, 14 July 2023


LPL.jpg


Background to flow cytometric diagnosis

Cells of LPL share features of mature B-cell differentation and features of early plasma cell differentiation, and have mixed populations with features of each (although proportions vary). This can be a challenging diagnosis by flow cytometry alone, but other modalities can generally make this diagnosis clear.


Immunophenotype of LPL
CD45 expression
Typically expression of CD45 is similar to that of normal T and B cells.
Major markers useful in CLL diagnosis
Marker Freq Level Comment
CD19 - Generally CD19 will be expressed
κ/λ Light chain retriction usually detected
CD5 - Uncommon but seen in some cases
CD23 - Infrequent but reported
CD79b - Generally expressed
CD200 - Detected infrequently
FMC7 Generally expressed
Other relevant markers
CD10 - Expression may be seen
CD11C -
CD20 - Expect expression
CD25 -
CD38 -
CD43 -
CD103 -
CD138 -


Key to table:

Key to colour code for expression frequency Click for link

Key to expression strength code and use Click for link