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Updated: Jul 20, 2026

Multiplexed Fluorescent Immunohistochemical Staining, Imaging, and Analysis in Histological Samples of Lymphoma
Published on: January 9, 2019
[Flow fluorimetry in differential diagnosis of diffuse large B-cell lymphoma]
Insights
Flow cytometry effectively identifies B-cell clonality and assesses tumor cell proliferation in diffuse large B-cell lymphoma (DLBCL). This method aids in precise diagnosis and understanding of DLBCL tumor biology.
Area of Science:
- Hematology
- Immunology
- Oncology
Context:
- Diffuse large B-cell lymphoma (DLBCL) is an aggressive non-Hodgkin lymphoma.
- Accurate immunophenotyping is crucial for DLBCL diagnosis and subclassification.
- Flow cytometry offers a rapid and sensitive method for cellular analysis.
Purpose:
- To analyze the immunophenotype of diffuse large B-cell lymphoma (DLBCL) using flow cytometry.
- To evaluate the utility of flow cytometry in assessing B-cell clonality and proliferative potential in DLBCL.
Summary:
- Flow cytometry analysis of DLBCL revealed phenotypes often resembling marginal zone lymphoma cells.
- Studying cells with maximal light diffusion provided more precise clonality and proliferative potential assessment.
- The proliferative index in 33 DLBCL cases ranged from 10-60%.
Impact:
- Flow cytometry enables reliable identification of B-cell clonality in most DLBCL cases.
- This technique allows for a more precise evaluation of the tumor's proliferative capacity.
- Enhanced diagnostic capabilities for DLBCL management and research.
Aim:
To analyse immunophenotype of diffuse large B-cell lymphoma (DLBCL) with flow cytometry.
Material And Methods:
Combinations of antibodies against the following antigens were used: CD3/ CD19/CD45, CD5/CD19/CD38, CD19/CD10/CD23, CD4/CD8/CD3, kappa/lambda/CD19, CD25/CD20/FMC7; CD43/CD22/CD20; CD79a/Ki-67/CD3; cytoplasmic kappa/lambda. The analysis was made on flow fluorimeter FacsCalibur using computer program CellQuest (Beckton Dickenson, USA).
Results:
Specific coexpression of markers is not detectable in DLBCL, in the greatest degree the phenotype corresponds to lymphoma from the cells of the marginal zone. The study of cells with maximal direct light diffusion provides more precise assessment of clonality and proliferative potential of tumor cells than the analysis of the whole lymphocytic polygon. The proliferative index in 33 cases of DLBCL varied in the range 10-60%.
Conclusion:
Flow cytometry in most DLBCL cases allows identification of B-cell clonality, more precise assessment of a proliferative potential of the tumor.
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