The importance of immunophenotyping by flow cytometry in distinction between hematogones and B lymphoblasts

Aline B. Wohlfahrt, Laura Hannel, Liliane Z. Oliveira, Pâmela B. Soares, José Edson P. Silva
2015 Jornal Brasileiro de Patologia e Medicina Laboratorial  
Hematogones are normal B-lineage lymphoid precursors in the bone marrow. B lymphoblasts are immature neoplastic cells present in patients with precursor B-cell acute lymphoblastic leukemia (B-ALL). Hematogones and B lymphoblasts share characteristics, such as morphological similarity often indistinct and expression of the same antigens in immunophenotypic analysis. Increased numbers of hematogones in patients with B-ALL during regeneration of bone marrow after treatment for leukemia, in cases
more » ... disease relapse or marrow transplantation, may be subject to questions about the nature and prognosis of this immature cell. This article presents information about the morphological and immunophenotypic characteristics of B lymphoid precursors and verifies the relevance of immunophenotyping by flow cytometry (FC) in the distinction between those cells. This differentiation is essential to establish a correct prognosis and assist in medical decision about the most appropriate therapeutic scheme.
doi:10.5935/1676-2444.20150002 fatcat:pffqrncqqjh6lpeya4gjjb46wu