Mantle cell lymphoma laboratory findings: Difference between revisions
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{{ Mantle cell lymphoma }} | {{Mantle cell lymphoma }} | ||
{{CMG}}; {{AE}} {{Akram}} {{AS}} | {{CMG}}; {{AE}} {{Akram}} {{AS}} | ||
==Overview== | ==Overview== | ||
Laboratory tests for mantle cell lymphoma include [[complete blood count]] (CBC), | Laboratory tests for mantle cell lymphoma include [[complete blood count]] (CBC), [[comprehensive metabolic panel]], [[LDH]] levels, [[Hepatitis B/Laboratory Tests|Hepatitis B]] testing if treatment with [[rituximab]] is planned, [[uric acid]] levels, [[beta-2-microglobulin]], pregnancy testing in woman of child-bearing age, [[flow cytometry]], [[immunohistochemistry]], [[genetic testing]] and [[FISH]]. | ||
==Laboratory tests== | ==Laboratory tests== | ||
Laboratory tests for mantle cell lymphoma include:<ref | Laboratory tests for mantle cell lymphoma include:<ref>https://www.nccn.org/professionals/physician_gls/pdf/b-cell.pdf</ref> | ||
* [[Complete blood count]] (CBC) with differential count | * [[Complete blood count]] (CBC) with differential count | ||
* | :* [[Pancytopenia]] or a [[leukemic]] presentation with extensive [[leukocytosis]].<ref>{{Cite journal | ||
* [[ | | author = [[Ana Ferrer]], [[Itziar Salaverria]], [[Francesc Bosch]], [[Neus Villamor]], [[Maria Rozman]], [[Silvia Bea]], [[Eva Gine]], [[Armando Lopez-Guillermo]], [[Elias Campo]] & [[Emili Montserrat]] | ||
| title = Leukemic involvement is a common feature in mantle cell lymphoma | |||
| journal = [[Cancer]] | |||
| volume = 109 | |||
| issue = 12 | |||
| pages = 2473–2480 | |||
| year = 2007 | |||
| month = June | |||
| doi = 10.1002/cncr.22715 | |||
| pmid = 17477385 | |||
}}</ref> | |||
* [[Comprehensive metabolic panel]]<ref>{{Cite journal | |||
| author = [[Julie M. Vose]] | |||
| title = Mantle cell lymphoma: 2017 update on diagnosis, risk-stratification, and clinical management | |||
| journal = [[American journal of hematology]] | |||
| volume = 92 | |||
| issue = 8 | |||
| pages = 806–813 | |||
| year = 2017 | |||
| month = August | |||
| doi = 10.1002/ajh.24797 | |||
| pmid = 28699667 | |||
}}</ref> | |||
* [[LDH]] levels<ref>{{Cite journal | |||
| author = [[Julie M. Vose]] | |||
| title = Mantle cell lymphoma: 2017 update on diagnosis, risk-stratification, and clinical management | |||
| journal = [[American journal of hematology]] | |||
| volume = 92 | |||
| issue = 8 | |||
| pages = 806–813 | |||
| year = 2017 | |||
| month = August | |||
| doi = 10.1002/ajh.24797 | |||
| pmid = 28699667 | |||
}}</ref>: Normal range is 100–190 U/L | |||
* [[Hepatitis B/Laboratory Tests|Hepatitis B]] testing if treatment with [[rituximab]] is planned<ref>{{Cite journal | |||
| author = [[Arturo Ciccullo]], [[F. R. Ponziani]], [[E. Maiolo]], [[F. Pallavicini]] & [[M. Pompili]] | |||
| title = Late reactivation of hepatitis B virus after rituximab-containing chemotherapy for mantle cell lymphoma: a case report | |||
| journal = [[Infection]] | |||
| year = 2018 | |||
| month = October | |||
| doi = 10.1007/s15010-018-1242-1 | |||
| pmid = 30368733 | |||
}}</ref> | |||
* [[Uric acid]] levels: Normal range is 2.4-6.0 mg/dL in females and 3.4-7.0 mg/dL in males. | |||
* [[Beta-2-microglobulin]]<ref>{{Cite journal | |||
| author = [[Julie M. Vose]] | |||
| title = Mantle cell lymphoma: 2017 update on diagnosis, risk-stratification, and clinical management | |||
| journal = [[American journal of hematology]] | |||
| volume = 92 | |||
| issue = 8 | |||
| pages = 806–813 | |||
| year = 2017 | |||
| month = August | |||
| doi = 10.1002/ajh.24797 | |||
| pmid = 28699667 | |||
}}</ref>: Normal range is 0-3 µg/mL. | |||
* Pregnancy testing in woman of child-bearing age | |||
* [[Flow cytometry]] | * [[Flow cytometry]] | ||
* Immunohistochemistry | * [[Immunohistochemistry]]<ref>{{Cite journal | ||
* [[Genetic testing]] | | author = [[Francesco Bertoni]], [[Emanuele Zucca]] & [[Finbarr E. Cotter]] | ||
:* | | title = Molecular basis of mantle cell lymphoma | ||
:* | | journal = [[British journal of haematology]] | ||
| volume = 124 | |||
* [[FISH]] (fluorescence in situ hybridization) | | issue = 2 | ||
* [[ | | pages = 130–140 | ||
| year = 2004 | |||
| month = January | |||
| pmid = 14687022 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Chan Yoon Cheah]], [[John F. Seymour]] & [[Michael L. Wang]] | |||
| title = Mantle Cell Lymphoma | |||
| journal = [[Journal of clinical oncology : official journal of the American Society of Clinical Oncology]] | |||
| volume = 34 | |||
| issue = 11 | |||
| pages = 1256–1269 | |||
| year = 2016 | |||
| month = April | |||
| doi = 10.1200/JCO.2015.63.5904 | |||
| pmid = 26755518 | |||
}}</ref> | |||
:* [[CD19]], [[CD20]], [[CD22]], [[CD43]], [[CD79a]], [[CD5]], and [[FMC7]] typically are positive, whereas [[CD23]], [[CD10]], [[CD200]], and [[BCL6]] are usually negative | |||
:* Overexpression of [[Cyclin D1]] | |||
:* [[SOX11]] expression | |||
* [[Genetic testing]]<ref>{{Cite journal | |||
| author = [[Jordi Camps]], [[Itziar Salaverria]], [[Maria J. Garcia]], [[Esther Prat]], [[Silvia Bea]], [[Jessica C. Pole]], [[Lluis Hernandez]], [[Javier Del Rey]], [[Juan Cruz Cigudosa]], [[Marta Bernues]], [[Carlos Caldas]], [[Dolors Colomer]], [[Rosa Miro]] & [[Elias Campo]] | |||
| title = Genomic imbalances and patterns of karyotypic variability in mantle-cell lymphoma cell lines | |||
| journal = [[Leukemia research]] | |||
| volume = 30 | |||
| issue = 8 | |||
| pages = 923–934 | |||
| year = 2006 | |||
| month = August | |||
| doi = 10.1016/j.leukres.2005.11.013 | |||
| pmid = 16448697 | |||
}}</ref> | |||
:* [[Chromosomal translocation|Translocation]] t(11;14)(q13;q32) in virtually all cases | |||
:* [[Mutation]] or deletions of ''[[ATM]] gene'' | |||
* [[FISH]] ([[fluorescence in situ hybridization]]): | |||
** [[FISH]] can be used to detect the [[Chromosomal translocation|translocation]] t(11;14), which is found in most of [[MCL]] patients.<ref>{{Cite journal | |||
| author = [[Tsieh Sun]], [[Mary Lowery Nordberg]], [[James D. Cotelingam]], [[Diana M. Veillon]] & [[John Ryder]] | |||
| title = Fluorescence in situ hybridization: method of choice for a definitive diagnosis of mantle cell lymphoma | |||
| journal = [[American journal of hematology]] | |||
| volume = 74 | |||
| issue = 1 | |||
| pages = 78–84 | |||
| year = 2003 | |||
| month = September | |||
| doi = 10.1002/ajh.10356 | |||
| pmid = 12949897 | |||
}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Latest revision as of 20:42, 7 January 2019
Mantle cell lymphoma Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ali Akram, M.B.B.S.[2] Sowminya Arikapudi, M.B,B.S. [3]
Overview
Laboratory tests for mantle cell lymphoma include complete blood count (CBC), comprehensive metabolic panel, LDH levels, Hepatitis B testing if treatment with rituximab is planned, uric acid levels, beta-2-microglobulin, pregnancy testing in woman of child-bearing age, flow cytometry, immunohistochemistry, genetic testing and FISH.
Laboratory tests
Laboratory tests for mantle cell lymphoma include:[1]
- Complete blood count (CBC) with differential count
- Pancytopenia or a leukemic presentation with extensive leukocytosis.[2]
- Comprehensive metabolic panel[3]
- LDH levels[4]: Normal range is 100–190 U/L
- Hepatitis B testing if treatment with rituximab is planned[5]
- Uric acid levels: Normal range is 2.4-6.0 mg/dL in females and 3.4-7.0 mg/dL in males.
- Beta-2-microglobulin[6]: Normal range is 0-3 µg/mL.
- Pregnancy testing in woman of child-bearing age
- Flow cytometry
- Immunohistochemistry[7][8]
- Translocation t(11;14)(q13;q32) in virtually all cases
- Mutation or deletions of ATM gene
- FISH (fluorescence in situ hybridization):
- FISH can be used to detect the translocation t(11;14), which is found in most of MCL patients.[10]
References
- ↑ https://www.nccn.org/professionals/physician_gls/pdf/b-cell.pdf
- ↑ Ana Ferrer, Itziar Salaverria, Francesc Bosch, Neus Villamor, Maria Rozman, Silvia Bea, Eva Gine, Armando Lopez-Guillermo, Elias Campo & Emili Montserrat (2007). "Leukemic involvement is a common feature in mantle cell lymphoma". Cancer. 109 (12): 2473–2480. doi:10.1002/cncr.22715. PMID 17477385. Unknown parameter
|month=
ignored (help) - ↑ Julie M. Vose (2017). "Mantle cell lymphoma: 2017 update on diagnosis, risk-stratification, and clinical management". American journal of hematology. 92 (8): 806–813. doi:10.1002/ajh.24797. PMID 28699667. Unknown parameter
|month=
ignored (help) - ↑ Julie M. Vose (2017). "Mantle cell lymphoma: 2017 update on diagnosis, risk-stratification, and clinical management". American journal of hematology. 92 (8): 806–813. doi:10.1002/ajh.24797. PMID 28699667. Unknown parameter
|month=
ignored (help) - ↑ Arturo Ciccullo, F. R. Ponziani, E. Maiolo, F. Pallavicini & M. Pompili (2018). "Late reactivation of hepatitis B virus after rituximab-containing chemotherapy for mantle cell lymphoma: a case report". Infection. doi:10.1007/s15010-018-1242-1. PMID 30368733. Unknown parameter
|month=
ignored (help) - ↑ Julie M. Vose (2017). "Mantle cell lymphoma: 2017 update on diagnosis, risk-stratification, and clinical management". American journal of hematology. 92 (8): 806–813. doi:10.1002/ajh.24797. PMID 28699667. Unknown parameter
|month=
ignored (help) - ↑ Francesco Bertoni, Emanuele Zucca & Finbarr E. Cotter (2004). "Molecular basis of mantle cell lymphoma". British journal of haematology. 124 (2): 130–140. PMID 14687022. Unknown parameter
|month=
ignored (help) - ↑ Chan Yoon Cheah, John F. Seymour & Michael L. Wang (2016). "Mantle Cell Lymphoma". Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 34 (11): 1256–1269. doi:10.1200/JCO.2015.63.5904. PMID 26755518. Unknown parameter
|month=
ignored (help) - ↑ Jordi Camps, Itziar Salaverria, Maria J. Garcia, Esther Prat, Silvia Bea, Jessica C. Pole, Lluis Hernandez, Javier Del Rey, Juan Cruz Cigudosa, Marta Bernues, Carlos Caldas, Dolors Colomer, Rosa Miro & Elias Campo (2006). "Genomic imbalances and patterns of karyotypic variability in mantle-cell lymphoma cell lines". Leukemia research. 30 (8): 923–934. doi:10.1016/j.leukres.2005.11.013. PMID 16448697. Unknown parameter
|month=
ignored (help) - ↑ Tsieh Sun, Mary Lowery Nordberg, James D. Cotelingam, Diana M. Veillon & John Ryder (2003). "Fluorescence in situ hybridization: method of choice for a definitive diagnosis of mantle cell lymphoma". American journal of hematology. 74 (1): 78–84. doi:10.1002/ajh.10356. PMID 12949897. Unknown parameter
|month=
ignored (help)