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. 1996 Dec;15(5):427-30.
doi: 10.1002/(SICI)1097-0339(199612)15:5<427::AID-DC14>3.0.CO;2-P.

Combined cytomorphologic and immunophenotypic approach to evaluation of effusions for lymphomatous involvement

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Combined cytomorphologic and immunophenotypic approach to evaluation of effusions for lymphomatous involvement

C H Dunphy. Diagn Cytopathol. 1996 Dec.

Abstract

Combining cytomorphology and immunophenotypic data in evaluation of effusions for lymphomatous involvement is reliable, non-invasive, and expeditious. In this study, 30 effusion specimens from 30 patients with clinically suspected or previously diagnosed non-Hodgkin's lymphoma (NHL) were evaluated cytomorphologically and by flow cytometric immunophenotyping with a large panel of monoclonal antibodies. Of 11 patients with a previous diagnosis of NHL, 50% had cytomorphologic and immunophenotypic evidence of lymphomatous involvement of effusion specimens; therefore, flow cytometric immunophenotyping is recommended in these cases since there may be substantial therapeutic impact. In addition, 69% of the effusions positive for lymphomatous involvement represented newly diagnosed NHL; in 36% of these cases, tissue biopsy was not necessary since they were either high-grade (lymphoblastic or small, non-cleaved cell type) or of the small lymphocytic lymphoma cell type.

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