[Bone marrow immunophenotyping for the diagnosis of multiple myeloma: practical aspects]

Insights

Flow cytometric immunophenotyping rapidly identifies malignant plasma cells in multiple myeloma. This method aids in determining cell phenotype and distinguishing between transformed and normal plasma cells for clinical application.

Area of Science:

  • Hematology
  • Immunology
  • Cell Biology

Context:

  • Multiple myeloma is a plasma cell malignancy.
  • Accurate diagnosis and characterization are crucial.
  • Flow cytometry offers rapid cellular analysis.

Purpose:

  • To present an immunophenotyping strategy for multiple myeloma.
  • To detail an algorithm for verifying transformed plasma cells.
  • To highlight practical and clinical aspects of the assay.

Summary:

  • Utilizes three-color monoclonal antibodies (CD35, CD14, CD38, CD138, CD19).
  • Establishes a method to identify malignant plasma cell clones.
  • Differentiates transformed from normal plasma cells.

Impact:

  • Facilitates timely diagnosis of multiple myeloma.
  • Provides detailed phenotypic information for treatment decisions.
  • Enhances the clinical utility of flow cytometry in plasma cell disorders.