Immunophenotyping and differential diagnosis of hairy cell leukemia

Estella Matutes1

  • 1Department of Haemato-Oncology, The Royal Marsden Hospital and Institute of Cancer Research, 203 Fulham Road, London, SW3 6JJ, UK. estella.matutes@icr.ac.uk

Insights

Hairy cell leukemia (HCL) and its variant share characteristics with mature activated memory B cells. Immunophenotyping helps diagnose, monitor, and differentiate these B-cell malignancies.

Area of Science:

  • Hematology
  • Immunology
  • Oncology

Background:

  • Hairy cell leukemia (HCL) and HCL-variant cells exhibit a distinct immunophenotype.
  • These cells resemble mature activated memory B cells.
  • Similarities exist in histology and membrane marker expression, including Ig heavy-chain and B-cell activation markers like CD103.

Purpose of the Study:

  • To highlight the immunophenotypic distinctions between HCL and HCL-variant.
  • To emphasize the role of immunophenotyping in diagnosing and managing these conditions.
  • To differentiate HCL and HCL-variant from other B-cell malignancies.

Main Methods:

  • Immunophenotyping analysis of HCL and HCL-variant cells.
  • Comparison of cell morphology and clinical course.
  • Evaluation of membrane marker expression.

Main Results:

  • HCL and HCL-variant cells possess a unique immunophenotype.
  • Despite shared markers (e.g., CD103), differences in clinical course, morphology, and immunophenotype are observed.
  • Immunophenotyping is crucial for accurate diagnosis and treatment assessment.

Conclusions:

  • Immunophenotyping is essential for diagnosing HCL and HCL-variant.
  • It aids in monitoring therapeutic response.
  • It distinguishes these disorders from other B-cell malignancies.

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