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|colspan="1" style = "font-size:80%;"|-
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|colspan="1" style = "font-size:80%;"|Uncommon but seen in some cases
|colspan="1" style = "font-size:80%;"|Uncommon but seen in some cases
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|colspan="1" style = "font-size:90%;" |CD138
|colspan="1" style = "background:#006699;"|
|colspan="1" style = "font-size:80%;"|var
|colspan="1" style = "font-size:84%;"|Particularly on cells with plasma cell features
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|colspan="1" style = "font-size:90%; color:black;" |CD23
|colspan="1" style = "font-size:90%; color:black;" |CD23
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|colspan="1" style = "font-size:90%;" |CD138
|colspan="1" style = "background:#006699;"|
|colspan="1" style = "font-size:80%;"|var
|colspan="1" style = "font-size:84%;"|Particularly on cells with plasma cell features
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Revision as of 10:51, 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
CD38 -
κ/λ Light chain retriction usually detected
CD5 - Uncommon but seen in some cases
CD138 var Particularly on cells with plasma cell features
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 -
CD43 - Generally not expressed by LPL
CD103 -


Key to table:

Key to colour code for expression frequency Click for link

Key to expression strength code and use Click for link