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Contribution of immunoglobulin lambda light chain gene rearrangement analysis in the diagnosis of B-cell neoplasms.

Authors:
Anna L Paterson Hesham El-Daly Livia Raso-Barnett Ming-Qing Du Olivier Giger Elizabeth Soilleux Thomas Roberts Yuanxue Huang Hani Bibawi Baljinder Matharu Anthony Bench Mike A Scott Hongxiang Liu

Br J Haematol 2019 04 25;185(2):261-265. Epub 2019 Jan 25.

Haematopathology and Oncology Diagnostics Service, Addenbrooke's Hospital, Cambridge University NHS Foundation Trust, Cambridge, UK.

Identification of clonal IGH, IGK and IGL gene rearrangements offers diagnostic adjunct in suspected B-cell neoplasms. However, many centres omit IGL analysis as its value is uncertain. A review of 567 cases with IGH, IGK and IGL rearrangement assessed using BIOMED-2 assays showed clonal immunoglobulin gene rearrangement in 54% of cases, of which 24% had a clonal IGL rearrangement. In two cases, the clonal rearrangement was detected exclusively by IGL analysis. This finding demonstrates the added value of IGL analysis for clonality assessment, especially in suspected B-cell neoplasms in which a clonal IGH and/or IGK rearrangement is not detected or is equivocal.

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http://dx.doi.org/10.1111/bjh.15762DOI Listing
April 2019

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