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November 17, 2011American Journal of Clinical PathologyOpen Access

Simplified Flow Cytometric Assessment in Mycosis Fungoides and Sézary Syndrome

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Authors

AHAlexandra C. HristovEVEric C. VonderheidMBMichael J. Borowitz

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Overview

Cohort study reveals abnormal T-cell counts correlate with disease severity in mycosis fungoides and Sézary syndrome, indicating flow cytometry aids prognosis.

Key Points

  • To assess the diagnostic and prognostic value of a simplified flow cytometric panel measuring CD3, CD4, CD26, and CD7 in mycosis fungoides and Sézary syndrome.
  • Analyzed peripheral blood samples from 109 subjects: 69 with mycosis fungoides/Sézary syndrome, 31 hospitalized controls, and 9 with inflammatory skin disease.
  • Identified quantitative abnormalities (>15% CD26- or CD7- T cells) and phenotypic abnormalities (CD26- or CD7- with aberrant CD3, CD4, or CD7 expression) across a median follow-up of 82 months.
  • Abnormal T-cell populations were detected in 46% of patients with mycosis fungoides/Sézary syndrome (32/69) and correlated significantly with clinical disease extent.
  • Quantitative abnormalities occurred more frequently than phenotypic abnormalities, and CD4+/CD26- cells were more common and better correlated with disease extent than CD4+/CD7- cells.
  • Progressive increases in circulating abnormal T cells were associated with worsening clinical disease.

Cite This Study

Hristov et al. (2011) studied this question.

synapsesocial.com/papers/6a02a32f67f6ea5cc875509ehttps://doi.org/10.1309/ajcp09otjoyavzzk
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1AJCC Cancer Staging Manual2010 · 6,057 citations
  2. 2The relevance of the CD4+ CD26- subset in the identification of circulating Sézary cells2001 · 200 citations
  3. 3Joint British Association of Dermatologists and U.K. Cutaneous Lymphoma Group guidelines for the management of primary cutaneous T-cell lymphomas2003 · 242 citations