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Published in: Clinical and Translational Oncology 5/2016

01-05-2016 | Brief Research Article

Bone marrow trephine biopsy involvement by lymphoma: pattern of involvement and concordance with flow cytometry, in 10 years from a single institution

Authors: M. A. Cabezas-Quintario, P. Gomez, V. Yuste-Del Pozo, A. L. Valencia-Mesa, G. Sosa, P. Ricard, A. I. Hijas-Gómez, F. Pinedo, M. Arguelles

Published in: Clinical and Translational Oncology | Issue 5/2016

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Abstract

Purpose

To evaluate the features of bone marrow (BM) biopsy involvement by lymphoma, pattern of infiltration, morphological analysis and flow cytometry were reviewed at all lymphoma patients over a period of 10 years.

Methods/patients

413 cases were included in the study if BM biopsy slides were available. Only 356 patients had both BM trephine biopsy and flow cytometry.

Results

The most frequent subtype was diffuse large B cell (31.2 %), followed by follicular lymphoma (18.9 %). The predominant pattern was mixed (nodular-interstitial) (9.2 %). Morphological marrow infiltration was found in 138 cases, and flow cytometry identified 117 cases with BM involvement. A concordance between the two methods was detected in 305 cases (85.7 %). There was discordance in 51 cases (14.3 %): morphology positive/FC negative in 33 cases and morphology negative/FC positive in 18.

Conclusions

Flow cytometry is slightly more useful in detecting involvement when the BM is affected, but this finding is not conclusive.
Literature
1.
go back to reference Dee JW, Valdivieso M, Drewinko B. Comparison of the efficacies of closed trephine needle biopsy, aspirated paraffin-embedded clot section, and smear preparation in the diagnosis of bone-marrow involvement by lymphoma. Am J Clin Pathol. 1976;65(2):183–94.CrossRefPubMed Dee JW, Valdivieso M, Drewinko B. Comparison of the efficacies of closed trephine needle biopsy, aspirated paraffin-embedded clot section, and smear preparation in the diagnosis of bone-marrow involvement by lymphoma. Am J Clin Pathol. 1976;65(2):183–94.CrossRefPubMed
2.
go back to reference Campo E, Swerdlow SH, Harris NL, Pileri S, Stein H, Jaffe E. The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications. Blood. 2011;117:5019–32.CrossRefPubMedPubMedCentral Campo E, Swerdlow SH, Harris NL, Pileri S, Stein H, Jaffe E. The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications. Blood. 2011;117:5019–32.CrossRefPubMedPubMedCentral
3.
go back to reference Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SS, Stein H, Thiele J, Vardiman JW. WHO classification of tumours of haematopoietic and lymphoid tissues. 4th ed. Lyon, France: IARC; 2008. ISBN 13 9789283224310, ISBN 10 9283224310 Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SS, Stein H, Thiele J, Vardiman JW. WHO classification of tumours of haematopoietic and lymphoid tissues. 4th ed. Lyon, France: IARC; 2008. ISBN 13 9789283224310, ISBN 10 9283224310
4.
go back to reference Federico M, Bellei M, Marcheselli L, Luminari S, Lopez-Guillermo A, Vitolo U, et al. Follicular lymphoma international prognostic index 2: a new prognostic index for follicular lymphoma developed by the international follicular lymphoma prognostic factor project. J Clin Oncol. 2009;27:4555–62.CrossRefPubMed Federico M, Bellei M, Marcheselli L, Luminari S, Lopez-Guillermo A, Vitolo U, et al. Follicular lymphoma international prognostic index 2: a new prognostic index for follicular lymphoma developed by the international follicular lymphoma prognostic factor project. J Clin Oncol. 2009;27:4555–62.CrossRefPubMed
5.
go back to reference Berget E, Helgeland L, Liseth K, Løkeland T, Molven A, Vintermyr OK. Prognostic value of bone marrow involvement by clonal immunoglobulin gene rearrangements in follicular lymphoma. J Clin Pathol. 2014;67(12):1072–7.CrossRefPubMedPubMedCentral Berget E, Helgeland L, Liseth K, Løkeland T, Molven A, Vintermyr OK. Prognostic value of bone marrow involvement by clonal immunoglobulin gene rearrangements in follicular lymphoma. J Clin Pathol. 2014;67(12):1072–7.CrossRefPubMedPubMedCentral
6.
go back to reference Canioni D, Brice P, Lepage E, Chababi M, Meignin V, Salles B, et al. Bone marrow histological patterns can predict survival of patients with grade 1 or 2 follicular lymphoma: a study from the Groupe d’Etude des Lymphomes Folliculaires. Br J Haematol. 2004;126:364–71.CrossRefPubMed Canioni D, Brice P, Lepage E, Chababi M, Meignin V, Salles B, et al. Bone marrow histological patterns can predict survival of patients with grade 1 or 2 follicular lymphoma: a study from the Groupe d’Etude des Lymphomes Folliculaires. Br J Haematol. 2004;126:364–71.CrossRefPubMed
7.
go back to reference Palacio C, Acebedo G, Navarrete M, Ruiz-Marcellan C, Sanchez C, Blanco A, et al. Flow cytometry in the bone marrow evaluation of follicular and diffuse large B-cell lymphomas. Haematologica. 2001;86:934–40.PubMed Palacio C, Acebedo G, Navarrete M, Ruiz-Marcellan C, Sanchez C, Blanco A, et al. Flow cytometry in the bone marrow evaluation of follicular and diffuse large B-cell lymphomas. Haematologica. 2001;86:934–40.PubMed
8.
go back to reference Arber DA, George TI. Bone marrow biopsy involvement by non-Hodgkin´s lymphoma: frequency of lymphoma types, patterns, blood involvement, and discordance with other sites in 450 specimens. Am J Surg Pathol. 2005;29:1549–57.CrossRefPubMed Arber DA, George TI. Bone marrow biopsy involvement by non-Hodgkin´s lymphoma: frequency of lymphoma types, patterns, blood involvement, and discordance with other sites in 450 specimens. Am J Surg Pathol. 2005;29:1549–57.CrossRefPubMed
9.
go back to reference Sovani V, Harvey C, Haynes A, McMillan A, Clark D, O´Connor S. Bone marrow trephine biopsy involvement by lymphoma: review of histopathological features in 511 specimens and correlation with diagnostic biopsy, aspirate and peripheral blood findings. J Clin Pathol. 2014;67:389–95.CrossRefPubMed Sovani V, Harvey C, Haynes A, McMillan A, Clark D, O´Connor S. Bone marrow trephine biopsy involvement by lymphoma: review of histopathological features in 511 specimens and correlation with diagnostic biopsy, aspirate and peripheral blood findings. J Clin Pathol. 2014;67:389–95.CrossRefPubMed
10.
11.
go back to reference Perea G, Altés A, Bellido M, Aventín A, Bordes R, Ayats R, et al. Clinical utility of bone marrow flow cytometry in B-cell non-Hodgkin lymphomas (B-NHL). Histopathology. 2004;45:268–74.CrossRefPubMed Perea G, Altés A, Bellido M, Aventín A, Bordes R, Ayats R, et al. Clinical utility of bone marrow flow cytometry in B-cell non-Hodgkin lymphomas (B-NHL). Histopathology. 2004;45:268–74.CrossRefPubMed
12.
Metadata
Title
Bone marrow trephine biopsy involvement by lymphoma: pattern of involvement and concordance with flow cytometry, in 10 years from a single institution
Authors
M. A. Cabezas-Quintario
P. Gomez
V. Yuste-Del Pozo
A. L. Valencia-Mesa
G. Sosa
P. Ricard
A. I. Hijas-Gómez
F. Pinedo
M. Arguelles
Publication date
01-05-2016
Publisher
Springer Milan
Published in
Clinical and Translational Oncology / Issue 5/2016
Print ISSN: 1699-048X
Electronic ISSN: 1699-3055
DOI
https://doi.org/10.1007/s12094-015-1393-9

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