Study on characteristics of immunophenotyping in acute leukemia patients at 108 Military Central Hospital

  • Lý Tuấn Khải Bệnh viện Trung ương Quân đội 108
  • Hồ Xuân Trường Bệnh viện Trung ương Quân đội 108
  • Trương Thị Minh Nguyệt Bệnh viện Trung ương Quân đội 108
  • Vương Thị Trường Bệnh viện Trung ương Quân đội 108
  • Chử Thị Thu Hường Bệnh viện Trung ương Quân đội 108
  • Nguyễn Văn Tuệ Bệnh viện Trung ương Quân đội 108
  • Đinh Duy Nhàn Bệnh viện Trung ương Quân đội 108
  • Phạm Văn Tiệp Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Immune markers, acute leukemia, flow cytometry method

Abstract

Objective: To describe the features of immunophenotyping in acute leukemia patients who were newly diagnosed in the Department of Hematology, 108 Military Central Hospital from 2016 to 2020. Subject and method: 155 patients were diagnosed as acute leukemia (101 male, 54 female), each patient was aspirated about 0.5 - 1.5ml of bone marrow fluid and peripheral blood to perform complete blood count and myelogram and immunophenotyings were perform by 4 colors FACS Calibur flow cytometry analysis system of Becton Dickinson (USA). Result: The proportions of patients with acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL) were 74.19% and 25.81%, respectively. In AML patients, myeloblast population cells were positive with CD33, CD117, CD13 and MPO; monoblast population was positive with CD4, CD14, and CD64; erythroblast population was positive with CD71, Glycophorin A; megakaryoblast was positive for CD41. ALL-B patients were positive for CD19, Cy79a and some were positive for CD10; ALL-T patients were positive for CD3, CD4, CD5, CD7 and CyCD3. Conclusion: Characteristics of immunophenotyping in acute leukemia in patients at 108 Military Central Hospital from January 2016 to November 2020 was mainly myeloid linage leukemia, in addition, it could also be classified to specifically cell linage and there was both B and T cell linage leukemia.

Article Details

References

1. Bộ Y tế (2015) Lơ xê mi cấp. Hướng dẫn chẩn đoán, điều trị một số bệnh lý Huyết học, tr. 6-13.
2. Weir EG and Borowitz MJ (2001) Flow cytometry in the diagnosis of acute leukemia. Semin Hematol 38(2): 124-138.
3. Đỗ Trung Phấn (2003) Leukemia cấp: Phân loại, chẩn đoán, điều trị. Bệnh lý tế bào nguồn tạo máu, tr. 266-270.
4. Brunning RD, Matutes E, Harris NL, Flandrin G, Vardiman J, Bennett J.and Head D (2001) Pathology and genetics of tumours of haematopoietic and lymphoid tissues. World Health Organisation Classification of Tumours. IARC Press: 77-81.
5. Charles NJ and Boyer DF (2017) Mixed-phenotype acute leukemia: Diagnostic criteria and pitfalls. Arch Pathol Lab Med 14(11): 1462-1468.
6. Andrea CS, Maggie G, Marcus V, Christopher N and Rashid-Kolvear F (2019) The incidence of acute myeloid leukemia in Calgary, Alberta, Canada: A retrospective cohort study. BMC Public Health 18: 94.
7. Shrestha S, Shrestha J, Pun CB et al (2013) Immunophenotypic study of acute leukemia by flow cytometry at BPKMCH. Journal of Pathology of Nepal 3.
8. Johansson U, Bloxham D, Couzens S et al (2014) Guidelines on the use of multicolour flow cytometry in the diagnosis of haematological neoplasms. British Committee for Standards in Haematology. Br J Haematol 165(4): 455-488.
9. Galera PK, Jiang C and Braylan R (2019) Immunophenotyping of acute myeloid leukemia. Methods Mol Biol 2032: 281-296.
10. Terwilliger T and Abdul-Hay M (2017) Acute lymphoblastic leukemia: A comprehensive review and 2017 update. Blood cancer journal 7(6): 577-577.
11. DiGiuseppe JA and Wood BL (2019) Applications of Flow cytometric immunophenotyping in the diagnosis and posttreatment monitoring of B and T lymphoblastic leukemia/lymphoma. Cytometry B Clin Cytom 96(4): 256-265.