Cytogenetic abnormalities in benign lymphoid hyperplasia: a dual-parameter study using chromosome analysis and flow

J Grace1, B E Hall, M Lew

  • 1Kanematsu Laboratories, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

Insights

Benign reactive lymphoid tissue can exhibit abnormal chromosome populations and DNA content. Further analysis combining cytogenetics and flow cytometry (FCM) is crucial for accurate identification.

Area of Science:

  • Hematology
  • Cytogenetics
  • Immunology

Background:

  • Benign reactive hyperplasia in lymphoid tissues can present with chromosomal abnormalities.
  • Early detection of such abnormalities is critical, even in clinically well patients.

Purpose of the Study:

  • To investigate the presence and nature of chromosomal abnormalities in benign reactive lymphoid hyperplasia.
  • To evaluate the utility of cytogenetic analysis and flow cytometry (FCM) in identifying these abnormalities.

Main Methods:

  • Prospective study of 20 lymphoid tissue samples (18 lymph nodes, 2 tonsils).
  • Cytogenetic analysis of mitogen-stimulated cells.
  • DNA content measurement using flow cytometry (FCM).
  • Surface membrane immunoglobulin studies.

Main Results:

  • Clonal chromosome abnormalities were detected in 9 of 20 samples.
  • Abnormal DNA content by FCM was found in 10 of 20 samples.
  • Monoclonal surface immunoglobulin was detected in 5 of 15 samples.
  • No direct correlation found between immunoglobulin studies and cytogenetic/FCM analyses.

Conclusions:

  • Aneuploidy is a common finding in reactive lymphoid tissue.
  • Integrated use of cytogenetics and FCM is necessary for comprehensive identification of abnormalities.
  • The study highlights the complexity of chromosomal changes in non-malignant lymphoid proliferation.