| Contents | 6 |
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| Preface to the Second Edition | 10 |
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| Preface to the First Edition | 11 |
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| Acknowledgments | 13 |
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| List of Abbreviations | 14 |
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| List of Case Studies | 16 |
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| 1 Approach to flow cytometry: General considerations | 19 |
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| 1.1 Reasons for the necessity of proper data analysis | 20 |
| 1.2 General aspects of FCM data analysis and interpretation | 22 |
| 1.3 Other applications of FCM in hematopathology | 25 |
| 1.4 Maturation and differentiation of hematopoietic elements: An overview based on the immunologic markers currently in use in the FCM laboratory | 27 |
| 2 FCM immunophenotyping and DNA analysis: Practical aspects that can affect data analysis and interpretation | 31 |
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| 2.1 Sample selection | 31 |
| 2.1.1 Liquid specimens | 32 |
| 2.1.2 Solid tissue specimens | 33 |
| 2.2 Preparing nucleated cell suspensions | 34 |
| 2.3 Cell yield and viability | 34 |
| 2.4 Sample staining | 34 |
| 2.4.1 Surface antigens | 35 |
| 2.4.2 Intracellular antigens | 35 |
| 2.4.3 DNA content | 36 |
| 2.5 Data acquisition | 37 |
| 2.5.1 Calibration | 37 |
| 2.5.2 Color compensation | 37 |
| 2.5.3 List mode data collection | 38 |
| 2.5.4 Exclusion of nonviable cells | 39 |
| 2.6 Antibody panel design | 40 |
| 2.6.1 Antibody selection | 41 |
| 2.6.2 Fluorochrome conjugation | 44 |
| 2.7 Comprehensive antibody panels | 49 |
| 2.7.1 Disease-oriented antibody panels | 49 |
| 2.7.2 Antibody panels oriented by specimen type | 50 |
| 2.8 Tailored panels and add-on testing | 52 |
| 2.9 FCM immunophenotyping data representation | 55 |
| 2.9.1 Analysis panels | 55 |
| 2.9.2 Color display | 56 |
| 2.10 Approach to DNA data analysis | 59 |
| 2.10.1 DNA ploidy | 60 |
| 2.10.2 S-phase | 60 |
| 3 FCM data analysis on nearly homogeneous samples | 67 |
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| 3.1 FCM parameters | 68 |
| 3.1.1 Forward scatter | 68 |
| 3.1.2 Side scatter | 71 |
| 3.1.3 Fluorescence | 72 |
| 3.2 Fluorescence dynamic range | 89 |
| 3.3 Strategy to the visual review of FCM immunophenotyping data | 89 |
| 3.4 Common SSC/CD45 patterns | 91 |
| 3.4.1 Assessment of the blast population | 91 |
| 3.4.2 Immature neoplastic cells with downregulated CD45 | 99 |
| 3.4.3 SSC/CD45 in mature lymphoid disorders | 101 |
| 3.5 Other dot plot patterns useful in acute leukemia diagnosis | 104 |
| 3.5.1 Useful antigenic features in AML | 104 |
| 3.5.2 Precursor B-ALL versus bone marrow B-cell progenitors | 116 |
| 3.5.3 Useful antigenic features in precursor T-lymphoma/leukemia | 117 |
| 3.6 Evaluation of mature lymphoid malignancies | 124 |
| 3.6.1 Assessment of surface light chain expression | 124 |
| 3.6.2 Assessment of pan B-cell antigens | 126 |
| 3.6.3 Useful antigenic features in mature B-cell malignancies | 130 |
| 3.6.4 Identification of abnormal mature T-cells | 149 |
| 3.6.5 Useful antigenic features in mature T-cell malignancies | 168 |
| 3.7 Assessing the biological behavior of mature lymphoid neoplasms | 184 |
| 3.8 Dot plot patterns in histiocytic proliferations and nonhematopoietic malignancies | 190 |
| Plates | 192 |
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| 4 FCM data analysis on heterogeneous specimens | 209 |
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| 4.1 Identifying normal FCM samples | 209 |
| 4.2 Abnormal heterogeneous samples with a detectable immature neoplastic population | 254 |
| 4.2.1 Blasts of lymphoid lineage | 255 |
| 4.2.2 Blasts of myeloid lineage | 256 |
| 4.3 Minimal residual disease | 267 |
| 4.4 Abnormal heterogeneous samples with detectable mature neoplastic populations | 267 |
| 4.4.1 Abnormal mature B-cells | 272 |
| 4.4.2 Abnormal mature T-cells and NK cells | 279 |
| 4.4.3 Abnormal plasma cells present | 289 |
| 4.5 Abnormal blood or bone marrow samples with no detectable neoplastic cells | 294 |
| 4.5.1 Altered cellular composition and abnormal SSC | 296 |
| 4.5.2 Abnormal antigenic maturation in myeloid or erythroid precursors | 307 |
| 4.6 Coexisting malignancies | 319 |
| 5 FCM interpretation and reporting | 322 |
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| 5.1 Immature hematopoietic malignancies | 322 |
| 5.1.1 ALL/lymphoblastic lymphoma | 323 |
| 5.1.2 Myeloid malignancies | 325 |
| 5.1.3 Acute leukemias with a multilineage antigenic pro.le | 333 |
| 5.2 Mature lymphoid malignancies | 333 |
| 5.2.1 B-cell LPD/NHL | 335 |
| 5.2.2 Plasma cell dyscrasias | 351 |
| 5.2.3 T-cell LPD/NHL | 353 |
| 5.3 FCM reporting | 366 |
| Suggested reading | 367 |
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| Using the case studies | 373 |
| Limited warranty and disclaimer | 373 |
| Appendix: Using the case studies CD-ROM | 373 |
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| Index | 374 |