Fish is superior to PCR in detecting t(14;18)(q32;q21)-IgH/bcl-2 in follicular lymphoma using paraffin-embedded tissue samples

Detection of t(14;18)(q32;q21)-IgH/bcl-2, which is present in 70% to 95% of follicular lymphomas (FLs), might aid in diagnosing FL. The efficacy of routine polymerase chain reaction (PCR) and fluorescence in situ hybridization (FISH) techniques in detecting t(14;18) in paraffin-embedded tissue sampl...

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Veröffentlicht in:American journal of clinical pathology 2005-09, Vol.124 (3), p.421-429
Hauptverfasser: EINERSON, Richard R, KURTIN, Paul J, DAYHARSH, Gerald A, KIMLINGER, Teresa K, REMSTEIN, Ellen D
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container_title American journal of clinical pathology
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creator EINERSON, Richard R
KURTIN, Paul J
DAYHARSH, Gerald A
KIMLINGER, Teresa K
REMSTEIN, Ellen D
description Detection of t(14;18)(q32;q21)-IgH/bcl-2, which is present in 70% to 95% of follicular lymphomas (FLs), might aid in diagnosing FL. The efficacy of routine polymerase chain reaction (PCR) and fluorescence in situ hybridization (FISH) techniques in detecting t(14;18) in paraffin-embedded tissue samples was compared on 5 normal tonsils and 28 FLs demonstrated to be t(14;18)+ by previous karyotyping. There was technical failure in 14 (50%) of the FLs by PCR, likely due to B-5 fixation, and 4 (14%) of FLs by FISH, likely due to advanced specimen age. In the remaining successful cases, 5 (36%) of 14 were positive by PCR and 24 (100%) of 24 were positive by FISH. All 5 normal tonsils were negative by both methods. FISH is superior to PCR for detecting t(14;18) from paraffin-embedded tissue samples because it is more sensitive and equally specific.
doi_str_mv 10.1309/BLH8MMK85UBQ4K6R
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Biological and medical sciences
Chromosomes, Human, Pair 14
Chromosomes, Human, Pair 18
Gene Rearrangement
Hematologic and hematopoietic diseases
Humans
Immunoglobulin Heavy Chains - genetics
In Situ Hybridization, Fluorescence - methods
Investigative techniques, diagnostic techniques (general aspects)
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, Follicular - genetics
Medical sciences
Paraffin Embedding
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Polymerase Chain Reaction - methods
Proto-Oncogene Proteins c-bcl-2 - genetics
Translocation, Genetic
title Fish is superior to PCR in detecting t(14;18)(q32;q21)-IgH/bcl-2 in follicular lymphoma using paraffin-embedded tissue samples
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