Hairy cell leukemia laboratory tests: Difference between revisions
Line 7: | Line 7: | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
Laboratory findings consistent with the diagnosis of [[hairy cell leukemia]] include:<ref name="pmid7519510">{{cite journal |vauthors=Frassoldati A, Lamparelli T, Federico M, Annino L, Capnist G, Pagnucco G, Dini E, Resegotti L, Damasio EE, Silingardi V |title=Hairy cell leukemia: a clinical review based on 725 cases of the Italian Cooperative Group (ICGHCL). Italian Cooperative Group for Hairy Cell Leukemia |journal=Leuk. Lymphoma |volume=13 |issue=3-4 |pages=307–16 |date=April 1994 |pmid=7519510 |doi=10.3109/10428199409056295 |url=}}</ref><ref name="pmid717940">{{cite journal |vauthors=Golomb HM, Catovsky D, Golde DW |title=Hairy cell leukemia: a clinical review based on 71 cases |journal=Ann. Intern. Med. |volume=89 |issue=5 Pt 1 |pages=677–83 |date=November 1978 |pmid=717940 |doi= |url=}}</ref> | Laboratory findings consistent with the diagnosis of [[hairy cell leukemia]] include:<ref name="GreverAbdel-Wahab20174">{{cite journal|last1=Grever|first1=Michael R.|last2=Abdel-Wahab|first2=Omar|last3=Andritsos|first3=Leslie A.|last4=Banerji|first4=Versha|last5=Barrientos|first5=Jacqueline|last6=Blachly|first6=James S.|last7=Call|first7=Timothy G.|last8=Catovsky|first8=Daniel|last9=Dearden|first9=Claire|last10=Demeter|first10=Judit|last11=Else|first11=Monica|last12=Forconi|first12=Francesco|last13=Gozzetti|first13=Alessandro|last14=Ho|first14=Anthony D.|last15=Johnston|first15=James B.|last16=Jones|first16=Jeffrey|last17=Juliusson|first17=Gunnar|last18=Kraut|first18=Eric|last19=Kreitman|first19=Robert J.|last20=Larratt|first20=Loree|last21=Lauria|first21=Francesco|last22=Lozanski|first22=Gerard|last23=Montserrat|first23=Emili|last24=Parikh|first24=Sameer A.|last25=Park|first25=Jae H.|last26=Polliack|first26=Aaron|last27=Quest|first27=Graeme R.|last28=Rai|first28=Kanti R.|last29=Ravandi|first29=Farhad|last30=Robak|first30=Tadeusz|last31=Saven|first31=Alan|last32=Seymour|first32=John F.|last33=Tadmor|first33=Tamar|last34=Tallman|first34=Martin S.|last35=Tam|first35=Constantine|last36=Tiacci|first36=Enrico|last37=Troussard|first37=Xavier|last38=Zent|first38=Clive S.|last39=Zenz|first39=Thorsten|last40=Zinzani|first40=Pier Luigi|last41=Falini|first41=Brunangelo|title=Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia|journal=Blood|volume=129|issue=5|year=2017|pages=553–560|issn=0006-4971|doi=10.1182/blood-2016-01-689422}}</ref><ref name="pmid7519510">{{cite journal |vauthors=Frassoldati A, Lamparelli T, Federico M, Annino L, Capnist G, Pagnucco G, Dini E, Resegotti L, Damasio EE, Silingardi V |title=Hairy cell leukemia: a clinical review based on 725 cases of the Italian Cooperative Group (ICGHCL). Italian Cooperative Group for Hairy Cell Leukemia |journal=Leuk. Lymphoma |volume=13 |issue=3-4 |pages=307–16 |date=April 1994 |pmid=7519510 |doi=10.3109/10428199409056295 |url=}}</ref><ref name="pmid717940">{{cite journal |vauthors=Golomb HM, Catovsky D, Golde DW |title=Hairy cell leukemia: a clinical review based on 71 cases |journal=Ann. Intern. Med. |volume=89 |issue=5 Pt 1 |pages=677–83 |date=November 1978 |pmid=717940 |doi= |url=}}</ref> | ||
=== Complete Blood Count === | === Complete Blood Count === | ||
Line 21: | Line 21: | ||
===Blood Smear=== | ===Blood Smear=== | ||
* Hairy cells with thread-like [[cytoplasmic]] extensions | * Hairy cells with thread-like [[cytoplasmic]] extensions<ref name="GreverAbdel-Wahab20173">{{cite journal|last1=Grever|first1=Michael R.|last2=Abdel-Wahab|first2=Omar|last3=Andritsos|first3=Leslie A.|last4=Banerji|first4=Versha|last5=Barrientos|first5=Jacqueline|last6=Blachly|first6=James S.|last7=Call|first7=Timothy G.|last8=Catovsky|first8=Daniel|last9=Dearden|first9=Claire|last10=Demeter|first10=Judit|last11=Else|first11=Monica|last12=Forconi|first12=Francesco|last13=Gozzetti|first13=Alessandro|last14=Ho|first14=Anthony D.|last15=Johnston|first15=James B.|last16=Jones|first16=Jeffrey|last17=Juliusson|first17=Gunnar|last18=Kraut|first18=Eric|last19=Kreitman|first19=Robert J.|last20=Larratt|first20=Loree|last21=Lauria|first21=Francesco|last22=Lozanski|first22=Gerard|last23=Montserrat|first23=Emili|last24=Parikh|first24=Sameer A.|last25=Park|first25=Jae H.|last26=Polliack|first26=Aaron|last27=Quest|first27=Graeme R.|last28=Rai|first28=Kanti R.|last29=Ravandi|first29=Farhad|last30=Robak|first30=Tadeusz|last31=Saven|first31=Alan|last32=Seymour|first32=John F.|last33=Tadmor|first33=Tamar|last34=Tallman|first34=Martin S.|last35=Tam|first35=Constantine|last36=Tiacci|first36=Enrico|last37=Troussard|first37=Xavier|last38=Zent|first38=Clive S.|last39=Zenz|first39=Thorsten|last40=Zinzani|first40=Pier Luigi|last41=Falini|first41=Brunangelo|title=Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia|journal=Blood|volume=129|issue=5|year=2017|pages=553–560|issn=0006-4971|doi=10.1182/blood-2016-01-689422}}</ref> | ||
* Positive TRAP stain | * Positive TRAP stain | ||
===Immunohistochemistry=== | ===Immunohistochemistry=== | ||
* On immunohistochemistry, characteristic findings of hairy cell leukemia include: | * On immunohistochemistry, characteristic findings of hairy cell leukemia include:<ref name="GreverAbdel-Wahab20172">{{cite journal|last1=Grever|first1=Michael R.|last2=Abdel-Wahab|first2=Omar|last3=Andritsos|first3=Leslie A.|last4=Banerji|first4=Versha|last5=Barrientos|first5=Jacqueline|last6=Blachly|first6=James S.|last7=Call|first7=Timothy G.|last8=Catovsky|first8=Daniel|last9=Dearden|first9=Claire|last10=Demeter|first10=Judit|last11=Else|first11=Monica|last12=Forconi|first12=Francesco|last13=Gozzetti|first13=Alessandro|last14=Ho|first14=Anthony D.|last15=Johnston|first15=James B.|last16=Jones|first16=Jeffrey|last17=Juliusson|first17=Gunnar|last18=Kraut|first18=Eric|last19=Kreitman|first19=Robert J.|last20=Larratt|first20=Loree|last21=Lauria|first21=Francesco|last22=Lozanski|first22=Gerard|last23=Montserrat|first23=Emili|last24=Parikh|first24=Sameer A.|last25=Park|first25=Jae H.|last26=Polliack|first26=Aaron|last27=Quest|first27=Graeme R.|last28=Rai|first28=Kanti R.|last29=Ravandi|first29=Farhad|last30=Robak|first30=Tadeusz|last31=Saven|first31=Alan|last32=Seymour|first32=John F.|last33=Tadmor|first33=Tamar|last34=Tallman|first34=Martin S.|last35=Tam|first35=Constantine|last36=Tiacci|first36=Enrico|last37=Troussard|first37=Xavier|last38=Zent|first38=Clive S.|last39=Zenz|first39=Thorsten|last40=Zinzani|first40=Pier Luigi|last41=Falini|first41=Brunangelo|title=Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia|journal=Blood|volume=129|issue=5|year=2017|pages=553–560|issn=0006-4971|doi=10.1182/blood-2016-01-689422}}</ref> | ||
:* [[Annexin A1]] +ve | :* [[Annexin A1]] +ve | ||
:* [[CD20]] +ve | :* [[CD20]] +ve | ||
Line 32: | Line 32: | ||
===Flow Cytometry=== | ===Flow Cytometry=== | ||
* On flow cytometry, characteristic findings of hairy cell leukemia include: | * On flow cytometry, characteristic findings of hairy cell leukemia include:<ref name="GreverAbdel-Wahab2017">{{cite journal|last1=Grever|first1=Michael R.|last2=Abdel-Wahab|first2=Omar|last3=Andritsos|first3=Leslie A.|last4=Banerji|first4=Versha|last5=Barrientos|first5=Jacqueline|last6=Blachly|first6=James S.|last7=Call|first7=Timothy G.|last8=Catovsky|first8=Daniel|last9=Dearden|first9=Claire|last10=Demeter|first10=Judit|last11=Else|first11=Monica|last12=Forconi|first12=Francesco|last13=Gozzetti|first13=Alessandro|last14=Ho|first14=Anthony D.|last15=Johnston|first15=James B.|last16=Jones|first16=Jeffrey|last17=Juliusson|first17=Gunnar|last18=Kraut|first18=Eric|last19=Kreitman|first19=Robert J.|last20=Larratt|first20=Loree|last21=Lauria|first21=Francesco|last22=Lozanski|first22=Gerard|last23=Montserrat|first23=Emili|last24=Parikh|first24=Sameer A.|last25=Park|first25=Jae H.|last26=Polliack|first26=Aaron|last27=Quest|first27=Graeme R.|last28=Rai|first28=Kanti R.|last29=Ravandi|first29=Farhad|last30=Robak|first30=Tadeusz|last31=Saven|first31=Alan|last32=Seymour|first32=John F.|last33=Tadmor|first33=Tamar|last34=Tallman|first34=Martin S.|last35=Tam|first35=Constantine|last36=Tiacci|first36=Enrico|last37=Troussard|first37=Xavier|last38=Zent|first38=Clive S.|last39=Zenz|first39=Thorsten|last40=Zinzani|first40=Pier Luigi|last41=Falini|first41=Brunangelo|title=Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia|journal=Blood|volume=129|issue=5|year=2017|pages=553–560|issn=0006-4971|doi=10.1182/blood-2016-01-689422}}</ref> | ||
:* [[CD19]] +ve | :* [[CD19]] +ve | ||
:* [[CD11c]] +ve | :* [[CD11c]] +ve |
Revision as of 17:31, 16 November 2018
Hairy cell leukemia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Hairy cell leukemia laboratory tests On the Web |
American Roentgen Ray Society Images of Hairy cell leukemia laboratory tests |
Risk calculators and risk factors for Hairy cell leukemia laboratory tests |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
Laboratory findings consistent with the diagnosis of hairy cell leukemia include abnormal complete blood count, immunohistochemistry, and flow cytometry. The presence of hairy cells with thread-like cytoplasmic extensions on blood smear is a key diagnostic feature among patients with hairy cell leukemia.
Laboratory Findings
Laboratory findings consistent with the diagnosis of hairy cell leukemia include:[1][2][3]
Complete Blood Count
- Anemia - Decreased hemoglobin concentration[4]
- Thrombocytopenia - Decreased platelets count
- Decreased WBC count
- Neutropenia
- Elevated BUN(Blood urea nitrogen)
- Abnormal liver function tests
- Hypergammaglobulinemia may be positive in small percentage of patients with hairy cell leukemia
- Leukocytosis
- Monocytopenia
Blood Smear
- Hairy cells with thread-like cytoplasmic extensions[5]
- Positive TRAP stain
Immunohistochemistry
- On immunohistochemistry, characteristic findings of hairy cell leukemia include:[6]
- Annexin A1 +ve
- CD20 +ve
- CD25 +ve
- CD103 +ve
Flow Cytometry
- On flow cytometry, characteristic findings of hairy cell leukemia include:[7]
References
- ↑ Grever, Michael R.; Abdel-Wahab, Omar; Andritsos, Leslie A.; Banerji, Versha; Barrientos, Jacqueline; Blachly, James S.; Call, Timothy G.; Catovsky, Daniel; Dearden, Claire; Demeter, Judit; Else, Monica; Forconi, Francesco; Gozzetti, Alessandro; Ho, Anthony D.; Johnston, James B.; Jones, Jeffrey; Juliusson, Gunnar; Kraut, Eric; Kreitman, Robert J.; Larratt, Loree; Lauria, Francesco; Lozanski, Gerard; Montserrat, Emili; Parikh, Sameer A.; Park, Jae H.; Polliack, Aaron; Quest, Graeme R.; Rai, Kanti R.; Ravandi, Farhad; Robak, Tadeusz; Saven, Alan; Seymour, John F.; Tadmor, Tamar; Tallman, Martin S.; Tam, Constantine; Tiacci, Enrico; Troussard, Xavier; Zent, Clive S.; Zenz, Thorsten; Zinzani, Pier Luigi; Falini, Brunangelo (2017). "Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia". Blood. 129 (5): 553–560. doi:10.1182/blood-2016-01-689422. ISSN 0006-4971.
- ↑ Frassoldati A, Lamparelli T, Federico M, Annino L, Capnist G, Pagnucco G, Dini E, Resegotti L, Damasio EE, Silingardi V (April 1994). "Hairy cell leukemia: a clinical review based on 725 cases of the Italian Cooperative Group (ICGHCL). Italian Cooperative Group for Hairy Cell Leukemia". Leuk. Lymphoma. 13 (3–4): 307–16. doi:10.3109/10428199409056295. PMID 7519510.
- ↑ Golomb HM, Catovsky D, Golde DW (November 1978). "Hairy cell leukemia: a clinical review based on 71 cases". Ann. Intern. Med. 89 (5 Pt 1): 677–83. PMID 717940.
- ↑ Somasundaram V, Purohit A, Aggarwal M, Manivannan P, Mishra P, Seth T, Tyagi S, Mahapatra M, Pati HP, Saxena R (2014). "Hairy cell leukemia: A decade long experience of North Indian Hematology Center". Indian J Med Paediatr Oncol. 35 (4): 271–5. doi:10.4103/0971-5851.144988. PMC 4264273. PMID 25538404.
- ↑ Grever, Michael R.; Abdel-Wahab, Omar; Andritsos, Leslie A.; Banerji, Versha; Barrientos, Jacqueline; Blachly, James S.; Call, Timothy G.; Catovsky, Daniel; Dearden, Claire; Demeter, Judit; Else, Monica; Forconi, Francesco; Gozzetti, Alessandro; Ho, Anthony D.; Johnston, James B.; Jones, Jeffrey; Juliusson, Gunnar; Kraut, Eric; Kreitman, Robert J.; Larratt, Loree; Lauria, Francesco; Lozanski, Gerard; Montserrat, Emili; Parikh, Sameer A.; Park, Jae H.; Polliack, Aaron; Quest, Graeme R.; Rai, Kanti R.; Ravandi, Farhad; Robak, Tadeusz; Saven, Alan; Seymour, John F.; Tadmor, Tamar; Tallman, Martin S.; Tam, Constantine; Tiacci, Enrico; Troussard, Xavier; Zent, Clive S.; Zenz, Thorsten; Zinzani, Pier Luigi; Falini, Brunangelo (2017). "Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia". Blood. 129 (5): 553–560. doi:10.1182/blood-2016-01-689422. ISSN 0006-4971.
- ↑ Grever, Michael R.; Abdel-Wahab, Omar; Andritsos, Leslie A.; Banerji, Versha; Barrientos, Jacqueline; Blachly, James S.; Call, Timothy G.; Catovsky, Daniel; Dearden, Claire; Demeter, Judit; Else, Monica; Forconi, Francesco; Gozzetti, Alessandro; Ho, Anthony D.; Johnston, James B.; Jones, Jeffrey; Juliusson, Gunnar; Kraut, Eric; Kreitman, Robert J.; Larratt, Loree; Lauria, Francesco; Lozanski, Gerard; Montserrat, Emili; Parikh, Sameer A.; Park, Jae H.; Polliack, Aaron; Quest, Graeme R.; Rai, Kanti R.; Ravandi, Farhad; Robak, Tadeusz; Saven, Alan; Seymour, John F.; Tadmor, Tamar; Tallman, Martin S.; Tam, Constantine; Tiacci, Enrico; Troussard, Xavier; Zent, Clive S.; Zenz, Thorsten; Zinzani, Pier Luigi; Falini, Brunangelo (2017). "Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia". Blood. 129 (5): 553–560. doi:10.1182/blood-2016-01-689422. ISSN 0006-4971.
- ↑ Grever, Michael R.; Abdel-Wahab, Omar; Andritsos, Leslie A.; Banerji, Versha; Barrientos, Jacqueline; Blachly, James S.; Call, Timothy G.; Catovsky, Daniel; Dearden, Claire; Demeter, Judit; Else, Monica; Forconi, Francesco; Gozzetti, Alessandro; Ho, Anthony D.; Johnston, James B.; Jones, Jeffrey; Juliusson, Gunnar; Kraut, Eric; Kreitman, Robert J.; Larratt, Loree; Lauria, Francesco; Lozanski, Gerard; Montserrat, Emili; Parikh, Sameer A.; Park, Jae H.; Polliack, Aaron; Quest, Graeme R.; Rai, Kanti R.; Ravandi, Farhad; Robak, Tadeusz; Saven, Alan; Seymour, John F.; Tadmor, Tamar; Tallman, Martin S.; Tam, Constantine; Tiacci, Enrico; Troussard, Xavier; Zent, Clive S.; Zenz, Thorsten; Zinzani, Pier Luigi; Falini, Brunangelo (2017). "Consensus guidelines for the diagnosis and management of patients with classic hairy cell leukemia". Blood. 129 (5): 553–560. doi:10.1182/blood-2016-01-689422. ISSN 0006-4971.