Evidence map›Paper›PMID 20126346›Full record

ArticleClinics (Sao Paulo, Brazil)2010

Polymerase chain reaction-based clonality analysis of cutaneous B-cell lymphoproliferative processes.

Claudia Z Melotti, Maria Fernanda Carriel Amary, Miriam Nacagami Sotto, Timothy Diss, Jose Antonio Sanches

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Article in Clinics (Sao Paulo, Brazil), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. PCR Analysis of IgH and TCR-γ Gene Rearrangements as a Confirmatory Diagnostic Tool for Lymphoproliferative Disorders.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2015
    Article
  3. Article
  4. Article
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Claudia Z MelottiDepartment of Dermatology, Faculdade de Medicina da Universidade de São Paulo - São Paulo/SP, Brazil. claudia@coriumdermatologia.com.br
Maria Fernanda Carriel Amary
Miriam Nacagami Sotto
Timothy Diss
Jose Antonio Sanches

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe differential diagnosis of B-cell lymphoproliferative processes remains a challenge for pathologists, dermatologists and oncologists, despite advances in histology, immunohistochemistry and molecular biology.

objectiveEvaluate aid and limitations of clonality analysis in the diagnosis of primary cutaneous B-cell lymphomas and B-cell pseudolymphomas.

methodsThis study included 29 cases of B-cell lymphoproliferative processes classified as primary cutaneous B-cell lymphomas (13), B-cell pseudolymphomas (6) and inconclusive cases (10) using histology and immunohistochemistry. The clonality analysis was performed by polymerase chain reaction analysis of immunoglobulin light chain and heavy chain rearrangements.

resultsDNA quality was shown to be generally poor; eight samples were inadequate for polymerase chain reaction analysis. The results showed monoclonality in eight of the primary cutaneous B-cell lymphomas and polyclonality in four of the B-cell pseudolymphomas. In addition, monoclonality was shown in two of the inconclusive cases by histology and immunohistochemistry, demonstrating the utility of polymerase chain reaction as an ancillary diagnostic tool for primary cutaneous B-cell lymphomas. DISCUSSION: The low quality DNA extracted from these cases demanded the use of an IgH protocol that yielded small fragments and IgK. Both methods used together improved detection.

conclusionUse of the two protocols, immunoglobulin heavy chain FR3-trad and immunoglobulin light chain-Kappa Biomed protocols for clonality analysis improved diagnostic accuracy.

Indexed as

Diagnosis, DifferentialHumansImmunoglobulin Heavy ChainsImmunoglobulin kappa-ChainsImmunohistochemistryLymphoma, B-CellPolymerase Chain ReactionPseudolymphomaSkin DiseasesSkin NeoplasmsImmunoglobulin Heavy ChainsImmunoglobulin kappa-ChainsB-cellClonalityCutaneous lymphomaGene rearrangementLymphoproliferative processesPolymerase chain reaction

Identifiers

PMID20126346
PMCPMC2815283

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