Detection of bcl-2/JH rearrangement in follicular and diffuse lymphoma: concordant results of peripheral blood and bone marrow analysis at diagnosis
1993

Detection of bcl-2/JH Rearrangement in Lymphoma

Sample size: 71 publication Evidence: moderate

Author Information

Author(s): R. Yuan, P. Dowling, E. Zuccal, H. Diggelmann, F. Cavalli

Primary Institution: Ospedale San Giovanni, Bellinzona, Switzerland

Hypothesis

Can PCR detect t(14;18) breakpoints in non-Hodgkin's lymphoma patients' blood and bone marrow?

Conclusion

PCR analysis can detect t(14;18) breakpoints in a significant number of lymphoma patients, even when bone marrow histology appears negative.

Supporting Evidence

  • 86% of follicular lymphoma patients with positive bone marrow had detectable t(14;18) breakpoints.
  • 58% of patients with negative bone marrow were PCR-positive for t(14;18).
  • Concordance between peripheral blood and bone marrow PCR results was high, with 55 out of 56 patients showing the same results.

Takeaway

Doctors can find cancer markers in the blood and bone marrow of lymphoma patients, which helps in understanding the disease better.

Methodology

DNA samples from patients were analyzed using PCR to detect t(14;18) breakpoints.

Limitations

The study's findings may not apply after treatment, as results can diverge between blood and bone marrow.

Participant Demographics

Patients included 33 with follicular lymphoma and 38 with intermediate-grade NHL.

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