Laboratory Medicine ›› 2015, Vol. 30 ›› Issue (2): 132-136.DOI: 10.3969/j.issn.1673-8640.2015.02.007

• Orignal Article • Previous Articles     Next Articles

Immunophenotyping and bone marrow hematology analysis in 55 cases of non-Hodgkin's lymphoma

YANG Limiao1, ZHANG Yaping2, YANG Hongle1, XING Jiangtao3, HU Rui1, ZHU Yun1   

  1. 1.Department of Clinical Laboratory, the Second Hospital of Hebei Medical University, Hebei Shijiazhuang 050000,China
    2. Blood Transfusion Department, the Second Hospital of Hebei Medical University, Hebei Shijiazhuang 050000,China
    3. Department of Clinical Laboratory, the Peace Hospital of Hebei Medical University, Hebei Shijiazhuang 050021, China
  • Received:2014-04-12 Online:2015-02-28 Published:2015-02-12

Abstract: Objective

To understand the progression of non-Hodgkin's lymphoma through bone marrow morphology, and to find out the application significance of immunohistochemistry in the diagnosis of non Hodgkin's lymphoma in order to determine the clinical stage.

Methods

The monoclonal antibody to some specimens of non-Hodgkin's lymphoma was used for immunohistochemical detection, and bone marrow morphology was performed in 55 lymphoma patients.

Results

By immunohistochemistry, the positive rate of T cell lymphoma associated antibody CD3 was 85.00%, and that of CD45RO was 90.47%, that of B cell lymphoma associated antibody CD20 was 89.65%, and that of CD79a was 88.90%. By bone marrow morphology, 9 cases (16.36%) had bone marrow involvement, 7 cases (12.72%) progressed to lymphoma-leukemia period. There were 19 patients whose lymphoma cells <5%, for those patients, a dynamic observation should be on, which can closely observe the morphological changes in bone marrow.

Conclusions

Immunohistochemistry can determine the type of T or B lymphoma, and it is a supplement to the histomorphological diagnosis of lymphoma, so that a more accurate and reliable diagnosis can be made. Bone marrow morphology can determine whether the patients' bone marrow is involved and whether it is already advanced in leukemia period, therefore the clinical stage of lymphoma can be identified.

Key words: Lymphoma, Non-Hodgkin, Immunophenotyping, Bone marrow, Histochemistry

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