Transcript
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


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