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IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS RPCI LFC

IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

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IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS. 0. 256. 512. 768. 1024. 0. 1. 2. 3. 4. 10. 0. 10. 1. 10. 2. 10. 3. 10. 4. 10. 10. 10. 10. 10. 0. 256. 512. 768. 1024. SSC ->. HLADr ->. SSC ->. HLADr ->. /6/05133061. /6/05133061. /7/06064121. /7/06064121. - PowerPoint PPT Presentation

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Page 1: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

IMMUNOPHENOTYPING LEUKEMIAS AND

LYMPHOMASRPCI

LFC

Page 2: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

0 256 512 768 1024

/7/06064121SSC ->

0 256 512 768 1024

/6/05133061SSC ->

CD45 Gating Strategy

NORMAL BONE MARROW LEUKEMIC (TALL) BONE MARROW

10 10 10 10 100 1 2 3 4

/6/05133061HLADr ->

10 10 10 10 100 1 2 3 4

/7/06064121HLADr ->

A B C D

erythrocytes and platelets

granulocytes monocytes and B-cells

Page 3: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

HLADr

CD

45

HLADr

CD

45

HLADr

CD

45

A

B

C

CD45 EXPRESSION BY ACUTE B-LINEAGE LEUKEMIA

Page 4: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->R5

5 6

7 810 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 4

CD14

CD45 HLADr

CD14

B LINEAGE ACUTE LEUKEMIA

HLADr

CD45

HLADr

CD45

CD45

CD14

HLADr

CD14

Page 5: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 810 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 4

CD19

CD5 CD10

CD19

CD10

CD5

CD10

CD5

CD5

CD19

CD10

CD19

10 1 10 2 10 3 10 4

1

10

2

10

34

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

B LINEAGE ACUTE LEUKEMIA

Page 6: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

CD34

CD5 CD19

CD34

CD19

CD5

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->R5

5 6

7 810 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 4

CD19

CD5

CD5

CD34

CD19

CD34

B LINEAGE ACUTE LEUKEMIA

Page 7: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 810 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 4

CD11c

CD20 CD22

CD11c

CD22

CD20

CD22

CD20

CD22

CD11c

CD22

CD11c

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

B LINEAGE ACUTE LEUKEMIA

Page 8: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 810 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 4

CD13

CD33 CD19

CD13

B LINEAGE ACUTE LEUKEMIA

CD19

CD33

CD19

CD33

CD33

CD13

CD19

CD13

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

1

310 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

5

7 8

Page 9: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

CD19

CD10

CD19

CD20

CD45

CD22

HLADr

CD34

Page 10: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 410 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->R5

5 6

7 8

CD14

CD45 HLADr

CD14

HLADr

CD45

HLADr

CD45

CD45

CD14

HLADr

CD14

T LINEAGE ACUTE LEUKEMIA

Page 11: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

1-Heig

ht -->

R55 6

7 810 1 10 2 10 3 10 4

FL1-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

R11 2

3 4

CD4

CD4

T LINEAGE ACUTE LEUKEMIA

10 1 10 2 10 3 10 4

FL1 -->

10

1

10

2

10

3

10

4

R11 2

3 410 1 10 2 10 3 10 4

FL3 -->

10

1

10

2

10

3

10

4

FL

1 --

>

5

7 810 1 10 2 10 3 10 4

FL3 -->

10

1

10

2

10

3

10

4

CD8

CD3

CD3

CD4

CD8

CD4

CD3 CD8 CD8

CD3

Page 12: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL1 -->

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

FL3 -->

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

FL3 -->

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 410 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 8

CD19

CD7 CD2

CD19

CD2

CD7

CD2

CD7

CD7

CD19

CD2

CD19

T LINEAGE ACUTE LEUKEMIA

Page 13: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 410 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 8

CD19

CD5 CD10

CD19

CD10

CD5

CD10

CD5

CD5

CD19

CD10

CD19

10 1 10 2 10 3 10 4

1

10

2

10

34

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

T LINEAGE ACUTE LEUKEMIA

Page 14: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 810 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

CD34

CD5 CD19

CD34

CD19

CD5

CD19

CD5

CD5

CD34

CD19

CD34

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4T LINEAGE ACUTE LEUKEMIA

Page 15: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

1-Heig

ht -->

R55 6

7 810 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

10 1 10 2 10 3 10 4

FL1-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

R11 2

3 4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

CD14

CD45 HLADr

CD14

ACUTE MYELOID LEUKEMIA

HLADr

CD45

HLADr

CD45

CD45

CD14

HLADr

CD14

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

Page 16: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

10 1 10 2 10 3 10 4

FL1-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

R11 2

3 410 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

1-Heig

ht -->

R55 6

7 8

ACUTE MYELOID LEUKEMIA

CD33

CD11b

CD11b

CD13

CD33

CD13

CD13

CD11b CD33 CD33

CD11b

CD13

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

Page 17: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

1-Heig

ht -->

R55 6

7 810 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

10 1 10 2 10 3 10 4

FL1-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

R11 2

3 4

10 1 10 2 10 3 10 4

FL1 -->

10 1

10 2

10 3

10 4

FL

2 -->

R11 2

3 410 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

2 -->

10 1 10 2 10 3 10 4

FL3 -->

10 1

10 2

10 3

10 4

FL

1 -->

R55 6

7 8

ACUTE MYELOID LEUKEMIA

CD56

CD15

CD15

CD34

CD56

CD34

CD34

CD15 CD56 CD56

CD15

CD34

Page 18: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL1-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

R11 2

3 410 1 10 2 10 3 10 4

FL3-Height -->10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

1-Heig

ht -->

R55 6

7 8

ACUTE MYELOID LEUKEMIA

CD2

CD7

CD7

CD13

CD2

CD13

CD13

CD7 CD2 CD2

CD7

CD13

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

Page 19: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

FL3-Height -->

10 1

10 2

10 3

10 4

FL

1-Heig

ht -->

R55 6

7 810 1 10 2 10 3 10 4

FL3-Height -->10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

10 1 10 2 10 3 10 4

FL1-Height -->

10 1

10 2

10 3

10 4

FL

2-Heig

ht -->

R11 2

3 4

ACUTE MYELOID LEUKEMIA

HLADr

CD38

CD38

CD34

HLADr

CD34

CD34

CD38 HLADr HLADr

CD38

CD34

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

10 1 10 2 10 3 10 4

10

1

10

2

10

3

10

4

8

Page 20: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

Fluorescence One Height -->

10

1

10

2

10

3

10

4

Fluorescence Two Height -->

R1

1 2

3 410 1 10 2 10 3 10 4

Fluorescence Three Height -->

10

1

10

2

10

3

10

4

Fluorescence One Height -->

R5

5 6

7 810 1 10 2 10 3 10 4

Fluorescence One Height -->

10

1

10

2

10

3

10

4

Fluorescence Two Height -->

R1

1 2

3 4

10 1 10 2 10 3 10 4

FL1-Height -->

10

1

10

2

10

3

10

4

FL2-Height --> R1

1 2

3 410 1 10 2 10 3 10 4

FL3-Height -->

10

1

10

2

10

3

10

4

FL1-Height --> R5

5 6

7 810 1 10 2 10 3 10 4

FL1-Height -->

10

1

10

2

10

3

10

4

FL2-Height --> R1

1 2

3 4

A

D E

B

F

C

CD19

CD19

CD20

CD22

LAMBDA

LAMBDA

CD22

CD20CD5

KAPPA

KAPPA

CD5

Typical B-cell Lymphoma

Page 21: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

10 1 10 2 10 3 10 4

Fluorescence Three Height -->

10

1

10

2

10

3

10

4

Fluorescence Two Height -->

10 1 10 2 10 3 10 4

Fluorescence One Height -->

10

1

10

2

10

3

10

4

Fluorescence Two Height -->

R1

1 2

3 410 1 10 2 10 3 10 4

Fluorescence Three Height -->

10

1

10

2

10

3

10

4

Fluorescence Two Height -->

10 1 10 2 10 3 10 4

CD19 -->

10

1

10

2

10

3

10

4

CD13 -->

10 1 10 2 10 3 10 4

FL3-Height -->

10

1

10

2

10

3

10

4

FL2-Height -->

10 1 10 2 10 3 10 4

Fluorescence One Height -->

10

1

10

2

10

3

10

4

Fluorescence Two Height -->

R1

1 2

3 410 1 10 2 10 3 10 4

FL3-Height -->

10

1

10

2

10

3

10

4

FL2-Height -->

10 1 10 2 10 3 10 4

CD19 -->

10

1

10

2

10

3

10

4

CD13 -->

A B C D

E F G H

CD19

CD19

CD19

CD13

CD19

CD13

CD19

CD19

CD2

CD2 CD7 CD10

CD7 CD10

CD19

CD19

T, CD10, and Myeloid Antigen Coexpression

in B-cell lymphoma

Page 22: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

Lymphoma

10 1 10 2 10 3 10 4

KAPPA -->

10

1

10

2

10

3

10

4

LAMBDA -->R1

1 2

3 410 1 10 2 10 3 10 4

CD19 -->

10

1

10

2

10

3

10

4

LAMBDA -->

10 1 10 2 10 3 10 4

CD19 -->

10

1

10

2

10

3

10

4

KAPPA -->

R5

5 6

7 8

10 1 10 2 10 3 10 4

KAPPA -->

10

1

10

2

10

3

10

4

LAMBDA -->R1

1 2

3 410 1 10 2 10 3 10 4

CD19 -->

10

1

10

2

10

3

10

4

LAMBDA -->

10 1 10 2 10 3 10 4

CD19 -->

10

1

10

2

10

3

10

4

KAPPA -->

R5

5 6

7 8

CD2

CD2CD8

CD8CD3

CD3

CD7

CD7

CD4

CD4

CD4

CD4

A

FED

CB

Reactive Lymph Node

Typical T-cell Lymphoma or Reactive Lymph Node:

Page 23: IMMUNOPHENOTYPING LEUKEMIAS AND LYMPHOMAS

Problem Case

A B C

D E FKappa CD19 CD19

CD33 CD19 CD19

CD13

Kappa

Lambda

Lambda

CD33

CD13