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Rapid diagnosis and characterization of acute promyelocytic leukaemia in routine laboratory practice.
Lock, R J; Virgo, P F; Kitchen, C; Evely, R S.
Afiliación
  • Lock RJ; Immunology and Immunogenetics, North Bristol NHS Trust, Southmead Hospital, Bristol, UK. robert.lock@northbristol.swest.nhs.uk
Clin Lab Haematol ; 26(2): 101-6, 2004 Apr.
Article en En | MEDLINE | ID: mdl-15053803
The rapid diagnosis of the t(15;17)(q22;q21) promyelocytic leukaemia is important in the early introduction of targeted therapy with all-trans retinoic acid plus chemotherapy. It has been noted that these are usually myeloperoxidase (MPO)-positive and HLA-DR-negative with homogenous expression of CD33 and heterogeneous expression of CD13. We evaluated the use of immunophenotyping, morphology and cytogenetics in our own practice. Cascade testing, using cytoplasmic MPO expression in a high percentage of blast cells in bone marrow as the primary screen and PML (promyelocytic leukaemia protein) expression as the secondary confirmatory test, allowed rapid identification of the cases with t(15;17). This approach allows early instigation of appropriate therapy.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factores de Transcripción / Proteínas Nucleares / Antígenos de Diferenciación Mielomonocítica / Leucemia Promielocítica Aguda / Antígenos HLA-DR / Antígenos CD / Peroxidasa / Antígenos CD13 / Proteínas de Neoplasias Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Child / Female / Humans / Male Idioma: En Revista: Clin Lab Haematol Año: 2004 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factores de Transcripción / Proteínas Nucleares / Antígenos de Diferenciación Mielomonocítica / Leucemia Promielocítica Aguda / Antígenos HLA-DR / Antígenos CD / Peroxidasa / Antígenos CD13 / Proteínas de Neoplasias Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Child / Female / Humans / Male Idioma: En Revista: Clin Lab Haematol Año: 2004 Tipo del documento: Article Pais de publicación: Reino Unido