Application of BIOMED-2 clonality assays to formalin-fixed paraffin embedded follicular lymphoma specimens: Superior performance of the IGK assays compared to IGH for suboptimal specimens

作者: Anna Margrét Halldórsdóttir , Barbara A. Zehnbauer , W. Richard Burack

DOI: 10.1080/10428190701377022

关键词: Follicular lymphomaLymphomaImmunoglobulin Gene RearrangementPathologyMolecular biologyMolecular geneticsGene rearrangementDNA extractionPolymerase chain reactionBiologyChronic lymphocytic leukemiaCancer researchOncologyHematology

摘要: The BIOMED-2 PCR-based immunoglobulin gene rearrangement assays have quickly become the most commonly used laboratory method for detection of B-cell clonality. Therefore, reliability these under various conditions has increasingly important. When studying paired cases follicular lymphoma (FL) from individual patients, we to assess clonality in 40 formalin-fixed paraffin-embedded (FFPE) specimens 19 patients diagnosed with FL. IGH failed give a clonal result 26/40 (65%) specimens, while IGK only 3/40 (8%) specimens. high failure rate this set FFPE lymphomas cannot be explained by systematic problems DNA extraction or amplification because same resulted low (3/32, 9%) small lymphocytic lymphoma/chronic leukemia and fresh frozen FL (1/6, 17%). Furthermore, second validation 13 was 9/13 (69%). assay did not perform well on may superior assessing when no fresh/frozen tissue is available.

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