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Correlation Between Bone Marrow Blasts Counts With Flow Cytometry and Morphological Analysis in Myelodysplastic Syndromes

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초록

Dear Editor, Determination of the percentage of blasts in the bone marrow (BM) is one of the critical factors in diagnosing MDS. Flow cytometry (FCM) of BM cells has been introduced as an important co-criterion for diagnosing MDS [1-3]. However, FCM has not been well accepted because of the lack of consensus of the criteria to define a phenotypic myeloblast and the appropriate denominator for calculation. Moreover, BM samples contain variable amounts of peripheral blood mixed with immature cells, thereby complicating interpretation. The present study was designed to choose reagent combinations to identify blasts by FCM in MDS patients, to determine which cell mass as the denominator in the process of counting the percentages of blasts, and to reveal whether the aspirates with high proportions of mature neutrophils should be normalized based on the proportion of dim CD16 maturing myeloid cells.

Abstract

Dear Editor, Determination of the percentage of blasts in the bone marrow (BM) is one of the critical factors in diagnosing MDS. Flow cytometry (FCM) of BM cells has been introduced as an important co-criterion for diagnosing MDS [1-3]. However, FCM has not been well accepted because of the lack of consensus of the criteria to define a phenotypic myeloblast and the appropriate denominator for calculation. Moreover, BM samples contain variable amounts of peripheral blood mixed with immature cells, thereby complicating interpretation. The present study was designed to choose reagent combinations to identify blasts by FCM in MDS patients, to determine which cell mass as the denominator in the process of counting the percentages of blasts, and to reveal whether the aspirates with high proportions of mature neutrophils should be normalized based on the proportion of dim CD16 maturing myeloid cells.

참고문헌 (10)

  1. Cazzola M, "Classification and prognostic evaluation of myelodysplastic syndromes", Semin Oncol, 38, pp.627~634 (2011)
  2. van de Loosdrecht AA, "Cutting edge: flow cytometry in myelodysplastic syndromes", J Natl Compr Canc Netw, 11, pp.892~902 (2013)
  3. Porwit A, "Revisiting guidelines for integration of flow cytometry results in the WHO classification of myelodysplastic syndromes-proposal from the International", European LeukemiaNet Working Group for Flow Cytometry in MDS, 2014, pp.9, 1793~1798
  4. van Lochem EG, "Immunophenotypic differentiation patterns of normal hematopoiesis in human bone marrow: reference patterns for age-related changes and disease-induced shifts", Cytometry B Clin Cytom, 60, pp.1~13 (2004)
  5. Stetler-Stevenson M, "Diagnostic utility of flow cytometric immunophenotyping in myelodysplastic syndrome", Blood, 98, pp.979~987 (2001)
  6. Pirruccello SJ, "Myeloblast phenotypic changes in myelodysplasia. CD34 and CD117 expression abnormalities are common", Am J Clin Pathol, 125, pp.884~894 (2006)
  7. Bellos F, "Flow cytometry in the diagnosis of myelodysplastic syndromes and the value of myeloid nuclear differentiation antigen", Cytometry B Clin Cytom, 92, pp.200~206 (2017)
  8. Matarraz S, "The immunophenotype of different immature, myeloid and B-cell lineage-committed CD34+ hematopoietic cells allows discrimination between normal", reactive and myelodysplastic syndrome precursors, 2008, pp.22, 1175~1183
  9. Orfao A, "Immunophenotyping of acute leukemias and myelodysplastic syndromes", Cytometry A, 58, pp.62~71 (2004)
  10. Matarraz S, "Bone marrow cells from myelodysplastic syndromes show altered immunophenotypic profiles that may contribute to the diagnosis and prognostic stratification of the disease: a pilot study on a series of 56 patients", Cytometry B Clin Cytom, 78, pp.154~168 (2010)

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