Reliable detection of clonal IgH/Bcl2 MBR rearrangement in follicular lymphoma: methodology and clinical significance

被引:14
|
作者
Iqbal, S
Jenner, MJR
Summers, KE
Davies, AJ
Matthews, J
Norton, AJ
Calaminici, M
Rohatiner, AZ
Fitzgibbon, J
Lister, TA
Goff, LK
机构
[1] St Bartholomews Hosp, Ctr Res UK Med Oncol Unit, London, England
[2] St Bartholomews Hosp, Dept Haematol, London, England
[3] St Bartholomews Hosp, Dept Med Oncol, London, England
[4] St Bartholomews Hosp, Dept Histopathol, London, England
关键词
follicular lymphoma; major breakpoint region; RQ-PCR;
D O I
10.1046/j.1365-2141.2003.04796.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prognostic significance of IgH/Bcl2 rearrangement in follicular lymphoma (FL) remains contentious; polymerase chain reaction (PCR) methodology and tissue source variability may account for some inconsistencies. As IgH/Bcl2 major breakpoint region (MBR) sequences may be found in normal blood, an MBR+ result by conventional PCR in blood/bone marrow may not indicate FL. To establish tumour MBR status, 190 lymphoid tissue samples with histologically evident FL (and therefore >1% tumour cells) were examined by real-time quantifiable PCR; 50% (95/190) had clonal MBR IgH/Bcl2 (MBR was considered clonal when >1%). Overall survival (median = 11.5 years) of MBR+ and MBR- patients was not significantly different.
引用
收藏
页码:325 / 328
页数:4
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