Phenotypic characteristics differentially expressed by each of the neoplastic B-populations found in B-CLPD with 2 or more B-cell clones
Case no. . | Diagnosis . | Morphology: no. of major lymphocyte populations . | Phenotype of population 1 (% from the total leukocytes; compatible diagnosis) . | Phenotype of population 2 (% from the total leukocytes; compatible diagnosis) . |
---|---|---|---|---|
1 | typCLL | 3 | CD19+ FMC7- CD5+ CD22- CD23+d CD11c-/+het slg- (28%; B-CLL) | CD19++ FMC7++ CD5- CD22+ CD23- CD11c- k+ (6.7%; LPL) |
2 | typCLL | 2 | CD19+ FMC7+d CD5+ CD22+d CD23+ CD25+d (39%; B-CLL) | CD19++ FMC7++ CD5- CD22+ CD23- CD25- (6%; SMZL) |
3 | typCLL | 2 | FSC/SSClo CD25+d slg- (25%; B-CLL) | FSC/SSCint CD25+ λ+d (29%; B-CLL) |
4 | typCLL | 3 | CD23+ κ+d (50%; B-CLL) | CD23- λ+ (9%; MALT) |
5 | typCLL | 1 | κ+d (34%; B-CLL) | λ+ (13%; B-CLL) |
6 | typCLL | 2 | FSC/SSClo FMC7+d CD5+ CD22+d CD23+ CD25+ CD11c+het slg- (15%; B-CLL) | FSC/SSCint FMC7+ CD5++ CD22+ CD23- CD25- CD11c- λ+d (12%; MCL) |
7 | typCLL | 2 | FSC/SSClo CD19+d FMC7+d CD5+ CD22+d CD23+ CD25+d CD11c- λ+d (24%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22++ CD23- CD25- CD11c++ κ+d (22%; SMZL) |
8 | typCLL | 1 | FSC/SSClo CD5+ CD11c- λ+d (9%; B-CLL) | FSC/SSCint CD5++ CD11c+ κ+d (10%; B-CLL) |
9 | typCLL | 1 | κ+ (25%; B-CLL) | λ+ (8%; B-CLL) |
10 | typCLL | 2 | CD5++ κ+d (63%; B-CLL) | CD5+ λ+ (2%; B-CLL) |
11 | typCLL | 2 | κ+d (72%; B-CLL) | λ+ (7%; B-CLL) |
12 | typCLL | NA | κ+ (2.4%; B-CLL) | λ+ (38%; B-CLL) |
13 | typCLL | 2 | FSC/SSClo CD5++ CD25- CD11c+d (36%; B-CLL) | FSC/SSCint CD5+++ CD25+d CC11c+ (37%; B-CLL) |
14 | typCLL | 2 | CD5- CD11c- (31%; B-CLL) | CD5+ CD11c+ (7%; B-CLL) |
15 | typCLL | 2 | λ+ (48%; B-CLL) | κ+ (6%; B-CLL) |
16 | typCLL | 3 | CD19+ FMC7- (18%; B-CLL) | CD19++ FMC7+ (44%; B-CLL) |
17 | typCLL | NA | λ+d (38%; B-CLL) | κ+d (8%; B-CLL) |
18 | typCLL | NA | FSC/SSClo CD5++ CD25+d λ+ (39%; B-CLL) | FSC/SSCint CD5+++ CD25+ κ+d (16%; B-CLL) |
19 | typCLL | NA | κ+ (8%; B-CLL) | λ+ (20%; B-CLL) |
20 | typCLL | NA | FMC7++ CD5- CD22+ CD23- CD25- κ++ (9.7%; LPL) | FMC7- CD5++ CD22+d CD23++ CD25+ λ++ (55%; B-CLL) |
21 | typCLL | 2 | FSC/SSClo CD19+ FMC7- CD5++ CD22+d CD23+ CD25+ CD11c-/+het λ+ (36%; B-CLL) | FSC/SSCint CD19++ FMC7+ CD5+ CD22+ CD23- CD25- CD11c+ κ++ (8%; MCL) |
22 | typCLL | 2 | FMC7- CD5+++ CD22+d CD23+ κ+ (28%; B-CLL) | FMC7++ CD5++ CD22+ CD23- κ++ (8.5%; MCL) |
23 | typCLL | NA | FSC/SSClo CD19+ CD5+ CD22- CD23+d CD25- λ+d (10%; B-CLL) | FSC/SSCint CD19++ CD5++ CD22+d CD23+ CD25+ κ+d (45%; B-CLL) |
24 | typCLL | NA | κ+ (31%; B-CLL) | λ+ (42%; B-CLL) |
25 | atypCLL | 2 | FSC/SSClo CD19+d FMC7- CD5+ CD23+ slg- (3%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD23+d κ+ (9%; LPL) |
26 | atypCLL | 2 | FSC/SSClo CD19+ FMC7+d CD5+ CD23+ CD25+ κ+ (23.2%; B-CLL) | FSC/SSCint CD19++ FMC7++ CD5+d CD23+d CD25- κ++ (62.8%; B-CLL) |
27 | atypCLL | ≥3 | CD5- CD23- CD11c- λ+ (7.4%; LPL) | CD5+ CD23+ CD11c++ κ+d (2.3%; B-CLL) |
28 | atypCLL | NA | FSC/SSClo CD19+d FMC7+d CD5++ CD22+d CD23++ CD25++ κ+ (10%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5+ CD22+ CD23+ CD25+ λ++ (15%; MALT) |
29 | atypCLL | 2 | CD19+ FMC7- CD5+d CD22+d CD23+ κ+d (60%; B-CLL) | CD19++ FMC7+ CD5- CD22+ CD23- λ+ (7%; FL) |
30 | atypCLL | 2 | CD5++ κ+d (16%; B-CLL) | CD5+ κ+ (42%; MCL) |
31 | atypCLL | 2 | λ+ (56%; B-CLL) | κ+d (8%; B-CLL) |
32 | atypCLL | 3 | FSC/SSClo CD19+d FMC7- CD5+ CD22+d CD103- CD11c- slg- (3.8%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22+ CD103+ CD11c+ λ+ (25.4%; HCL) |
33 | atypCLL | NA | κ+ (4%; MALT) | λ+ (20%; MALT) |
34 | HCL | 2 | FSC/SSClo CD103- CD25- CD11c++ λ+ (3.7%; SMZL) | FSC/SSCint CD103+ CD25+ CD11c+++ κ+ (4.5%; HCL) |
35 | HCL | NA | FSC/SSClo CD19+d FMC7- CD5+ CD22+d CD23+ CD103- CD25+d CD11c-/+het κ+d (0.8%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22+ CD23- CD103+ CD25- CD11c++ κ+ (1.1%; HCL) |
36 | HCL | 1 | CD19+ FMC7-/+het CD11c+d κ+ (30.5%; MALT) | CD19++ FMC7+++ CD11c++ κ+d (6.3%; HCLv) |
37 | HCL | 2 | CD103+ (22%; SMZL) | CD103++ (5%; HCL) |
38 | LPL | NA | CD19+ FMC7+ CD5+ CD22+d CD23+ CD25++ CD11c- (6.5%; B-CLL) | CD19++ FMC7++ CD5- CD22+ CD23- CD25- CD11c-/+het (38%; LPL) |
39 | LPL | NA | λ+d (21%; B-CLL) | λ++ (0.6%; LPL) |
40 | LPL | 3 | FSC/SSClo FMC7- CD5+ κ++ (1.5%; MCL) | FSC/SSCint FMC7+ CD5- λ++ (4.7%; LCL) |
41 | LPL | 2 | λ+ (46%; LPL) | κ+ (6%; LPL) |
42 | SMZL | 2 | FSC/SSClo CD19+d FMC7+d CD5+ CD22+d CD23+ CD25+ slg- (0.6%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22+ CD23- CD25- λ+d (3.7%; SMZL) |
43 | SMZL | 2 | CD5+ (60%; MALT) | CD5- (6%; SMZL) |
44 | SMZL | 2 | κ++ (29%; SMZL) | λ++ (25%; SMZL) |
45 | FL | NA | CD5+ CD22+d CD23- κ++ (57%; MCL) | CD5- CD22+ CD23-/+het κ+ (9%; FL) |
46 | FL | 2 | FSC/SSClo CD5- CD23- CD103- CD25- CD11c- λ+ (6%; FL) | FSC/SSCint CD5+ CD23+ CD103+ CD25+ CD11c+++ κ+ (47%; LCL) |
47 | FL | NA | κ+ (4.5%; FL) | λ+ (2.2%; FL) |
48 | MCL | 2 | FSC/SSClo CD19+ FMC7+ CD22+ CD23+ κ+ (12%; MALT) | FSC/SSCint CD19+d FMC7++ CD22+d CD23- λ+ (66%; MCL) |
49 | MCL | NA | FSC/SSClo FMC7+hom CD5+d κ+d (11%; MCL) | FSC/SSCint FMC7+het CD5+ κ+ (22%; MCL) |
50 | LCL | NA | FSC/SSClo CD22+d CD10- CD11c- κ+d (23%; B-CLL) | FSC/SSCint CD22+ CD10+d CD11c+ slg- (12%; LCL) |
51 | LCL | 2 | FSC/SSClo CD19+d FMC7- CD22- CD25- CD11c- κ+d (60%; LPL) | FSC/SSCint CD19+ FMC7+het CD22+d CD25+d CD11c+d κ+ (14%; LCL) |
52 | Unclassifiable | 2 | FSC/SSClo FMC7+d CD5+ CD22+d CD23+ CD25+ λ+ (42%; B-CLL) | FSC/SSCint FMC7++ CD5- CD22+ CD23- CD25- κ+ (36%; SMZL) |
53 | Unclassifiable | 2 | CD5- CD23- λ+ (18%; LPL) | CD5++ CD23+ κ+d (3.5%; B-CLL) |
Case no. . | Diagnosis . | Morphology: no. of major lymphocyte populations . | Phenotype of population 1 (% from the total leukocytes; compatible diagnosis) . | Phenotype of population 2 (% from the total leukocytes; compatible diagnosis) . |
---|---|---|---|---|
1 | typCLL | 3 | CD19+ FMC7- CD5+ CD22- CD23+d CD11c-/+het slg- (28%; B-CLL) | CD19++ FMC7++ CD5- CD22+ CD23- CD11c- k+ (6.7%; LPL) |
2 | typCLL | 2 | CD19+ FMC7+d CD5+ CD22+d CD23+ CD25+d (39%; B-CLL) | CD19++ FMC7++ CD5- CD22+ CD23- CD25- (6%; SMZL) |
3 | typCLL | 2 | FSC/SSClo CD25+d slg- (25%; B-CLL) | FSC/SSCint CD25+ λ+d (29%; B-CLL) |
4 | typCLL | 3 | CD23+ κ+d (50%; B-CLL) | CD23- λ+ (9%; MALT) |
5 | typCLL | 1 | κ+d (34%; B-CLL) | λ+ (13%; B-CLL) |
6 | typCLL | 2 | FSC/SSClo FMC7+d CD5+ CD22+d CD23+ CD25+ CD11c+het slg- (15%; B-CLL) | FSC/SSCint FMC7+ CD5++ CD22+ CD23- CD25- CD11c- λ+d (12%; MCL) |
7 | typCLL | 2 | FSC/SSClo CD19+d FMC7+d CD5+ CD22+d CD23+ CD25+d CD11c- λ+d (24%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22++ CD23- CD25- CD11c++ κ+d (22%; SMZL) |
8 | typCLL | 1 | FSC/SSClo CD5+ CD11c- λ+d (9%; B-CLL) | FSC/SSCint CD5++ CD11c+ κ+d (10%; B-CLL) |
9 | typCLL | 1 | κ+ (25%; B-CLL) | λ+ (8%; B-CLL) |
10 | typCLL | 2 | CD5++ κ+d (63%; B-CLL) | CD5+ λ+ (2%; B-CLL) |
11 | typCLL | 2 | κ+d (72%; B-CLL) | λ+ (7%; B-CLL) |
12 | typCLL | NA | κ+ (2.4%; B-CLL) | λ+ (38%; B-CLL) |
13 | typCLL | 2 | FSC/SSClo CD5++ CD25- CD11c+d (36%; B-CLL) | FSC/SSCint CD5+++ CD25+d CC11c+ (37%; B-CLL) |
14 | typCLL | 2 | CD5- CD11c- (31%; B-CLL) | CD5+ CD11c+ (7%; B-CLL) |
15 | typCLL | 2 | λ+ (48%; B-CLL) | κ+ (6%; B-CLL) |
16 | typCLL | 3 | CD19+ FMC7- (18%; B-CLL) | CD19++ FMC7+ (44%; B-CLL) |
17 | typCLL | NA | λ+d (38%; B-CLL) | κ+d (8%; B-CLL) |
18 | typCLL | NA | FSC/SSClo CD5++ CD25+d λ+ (39%; B-CLL) | FSC/SSCint CD5+++ CD25+ κ+d (16%; B-CLL) |
19 | typCLL | NA | κ+ (8%; B-CLL) | λ+ (20%; B-CLL) |
20 | typCLL | NA | FMC7++ CD5- CD22+ CD23- CD25- κ++ (9.7%; LPL) | FMC7- CD5++ CD22+d CD23++ CD25+ λ++ (55%; B-CLL) |
21 | typCLL | 2 | FSC/SSClo CD19+ FMC7- CD5++ CD22+d CD23+ CD25+ CD11c-/+het λ+ (36%; B-CLL) | FSC/SSCint CD19++ FMC7+ CD5+ CD22+ CD23- CD25- CD11c+ κ++ (8%; MCL) |
22 | typCLL | 2 | FMC7- CD5+++ CD22+d CD23+ κ+ (28%; B-CLL) | FMC7++ CD5++ CD22+ CD23- κ++ (8.5%; MCL) |
23 | typCLL | NA | FSC/SSClo CD19+ CD5+ CD22- CD23+d CD25- λ+d (10%; B-CLL) | FSC/SSCint CD19++ CD5++ CD22+d CD23+ CD25+ κ+d (45%; B-CLL) |
24 | typCLL | NA | κ+ (31%; B-CLL) | λ+ (42%; B-CLL) |
25 | atypCLL | 2 | FSC/SSClo CD19+d FMC7- CD5+ CD23+ slg- (3%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD23+d κ+ (9%; LPL) |
26 | atypCLL | 2 | FSC/SSClo CD19+ FMC7+d CD5+ CD23+ CD25+ κ+ (23.2%; B-CLL) | FSC/SSCint CD19++ FMC7++ CD5+d CD23+d CD25- κ++ (62.8%; B-CLL) |
27 | atypCLL | ≥3 | CD5- CD23- CD11c- λ+ (7.4%; LPL) | CD5+ CD23+ CD11c++ κ+d (2.3%; B-CLL) |
28 | atypCLL | NA | FSC/SSClo CD19+d FMC7+d CD5++ CD22+d CD23++ CD25++ κ+ (10%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5+ CD22+ CD23+ CD25+ λ++ (15%; MALT) |
29 | atypCLL | 2 | CD19+ FMC7- CD5+d CD22+d CD23+ κ+d (60%; B-CLL) | CD19++ FMC7+ CD5- CD22+ CD23- λ+ (7%; FL) |
30 | atypCLL | 2 | CD5++ κ+d (16%; B-CLL) | CD5+ κ+ (42%; MCL) |
31 | atypCLL | 2 | λ+ (56%; B-CLL) | κ+d (8%; B-CLL) |
32 | atypCLL | 3 | FSC/SSClo CD19+d FMC7- CD5+ CD22+d CD103- CD11c- slg- (3.8%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22+ CD103+ CD11c+ λ+ (25.4%; HCL) |
33 | atypCLL | NA | κ+ (4%; MALT) | λ+ (20%; MALT) |
34 | HCL | 2 | FSC/SSClo CD103- CD25- CD11c++ λ+ (3.7%; SMZL) | FSC/SSCint CD103+ CD25+ CD11c+++ κ+ (4.5%; HCL) |
35 | HCL | NA | FSC/SSClo CD19+d FMC7- CD5+ CD22+d CD23+ CD103- CD25+d CD11c-/+het κ+d (0.8%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22+ CD23- CD103+ CD25- CD11c++ κ+ (1.1%; HCL) |
36 | HCL | 1 | CD19+ FMC7-/+het CD11c+d κ+ (30.5%; MALT) | CD19++ FMC7+++ CD11c++ κ+d (6.3%; HCLv) |
37 | HCL | 2 | CD103+ (22%; SMZL) | CD103++ (5%; HCL) |
38 | LPL | NA | CD19+ FMC7+ CD5+ CD22+d CD23+ CD25++ CD11c- (6.5%; B-CLL) | CD19++ FMC7++ CD5- CD22+ CD23- CD25- CD11c-/+het (38%; LPL) |
39 | LPL | NA | λ+d (21%; B-CLL) | λ++ (0.6%; LPL) |
40 | LPL | 3 | FSC/SSClo FMC7- CD5+ κ++ (1.5%; MCL) | FSC/SSCint FMC7+ CD5- λ++ (4.7%; LCL) |
41 | LPL | 2 | λ+ (46%; LPL) | κ+ (6%; LPL) |
42 | SMZL | 2 | FSC/SSClo CD19+d FMC7+d CD5+ CD22+d CD23+ CD25+ slg- (0.6%; B-CLL) | FSC/SSCint CD19+ FMC7++ CD5- CD22+ CD23- CD25- λ+d (3.7%; SMZL) |
43 | SMZL | 2 | CD5+ (60%; MALT) | CD5- (6%; SMZL) |
44 | SMZL | 2 | κ++ (29%; SMZL) | λ++ (25%; SMZL) |
45 | FL | NA | CD5+ CD22+d CD23- κ++ (57%; MCL) | CD5- CD22+ CD23-/+het κ+ (9%; FL) |
46 | FL | 2 | FSC/SSClo CD5- CD23- CD103- CD25- CD11c- λ+ (6%; FL) | FSC/SSCint CD5+ CD23+ CD103+ CD25+ CD11c+++ κ+ (47%; LCL) |
47 | FL | NA | κ+ (4.5%; FL) | λ+ (2.2%; FL) |
48 | MCL | 2 | FSC/SSClo CD19+ FMC7+ CD22+ CD23+ κ+ (12%; MALT) | FSC/SSCint CD19+d FMC7++ CD22+d CD23- λ+ (66%; MCL) |
49 | MCL | NA | FSC/SSClo FMC7+hom CD5+d κ+d (11%; MCL) | FSC/SSCint FMC7+het CD5+ κ+ (22%; MCL) |
50 | LCL | NA | FSC/SSClo CD22+d CD10- CD11c- κ+d (23%; B-CLL) | FSC/SSCint CD22+ CD10+d CD11c+ slg- (12%; LCL) |
51 | LCL | 2 | FSC/SSClo CD19+d FMC7- CD22- CD25- CD11c- κ+d (60%; LPL) | FSC/SSCint CD19+ FMC7+het CD22+d CD25+d CD11c+d κ+ (14%; LCL) |
52 | Unclassifiable | 2 | FSC/SSClo FMC7+d CD5+ CD22+d CD23+ CD25+ λ+ (42%; B-CLL) | FSC/SSCint FMC7++ CD5- CD22+ CD23- CD25- κ+ (36%; SMZL) |
53 | Unclassifiable | 2 | CD5- CD23- λ+ (18%; LPL) | CD5++ CD23+ κ+d (3.5%; B-CLL) |
+ indicates antigen expression at normal levels; -, absence of expression; het, heterogeneous antigen expression; ++, strong antigen expression; d, dim antigen expression; SSClo, low scatter; SSCint, intermediate scatter; +++, very strong antigen expression; HCLv, HCL variant; and hom, homogeneous antigen expression. Other abbreviations are explained in Table 1.