关键词: B-cell flow-cytometry hairy cell leukemia immunophenotyping oncology

Mesh : Humans Leukemia, Hairy Cell / diagnosis pathology Antigens, CD Flow Cytometry Immunophenotyping Antigens, CD19

来  源:   DOI:10.3389/fimmu.2023.1207443   PDF(Pubmed)

Abstract:
Hairy Cell Leukemia is an infrequent leukemia that can be recognized both microscopically and flow cytometrically once the patient develops symptoms. We present a case where early diagnosis was achieved using flow cytometry long before the patient became symptomatic. This was achieved by focusing on a small percentage (0.9%) of total leukocytes that exhibited a higher side scatter and brighter CD19/CD20 than the remaining lymphocytes. A bone marrow aspirate three weeks later confirmed the presence of malignant B-cells. Shortly after, the patient presented splenomegaly and complained of fatigue.
摘要:
毛细胞白血病是一种罕见的白血病,一旦患者出现症状,可以通过显微镜和流式细胞术识别。我们提出了一个病例,在患者出现症状之前很久,就使用流式细胞术实现了早期诊断。这通过关注小百分比(0.9%)的总白细胞来实现,所述总白细胞表现出比剩余淋巴细胞更高的侧向散射和更亮的CD19/CD20。三周后,骨髓穿刺液证实存在恶性B细胞。不久之后,患者表现为脾肿大并抱怨疲劳。
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