2,389 results match your criteria: "Clinical Pathology: Hematopathology"

Gastric cancer (GC) is a leading cause of cancer-related mortality and is characterized by significant heterogeneity, highlighting the need for further studies aimed at personalized treatment strategies. Tumor angiogenesis is critical for tumor development and metastasis, yet its role in molecular subtyping and prognosis prediction remains underexplored. This study aims to identify angiogenesis-related subtypes and develop a prognostic model for GC patients.

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  • There is limited knowledge about the risk of central nervous system (CNS) involvement in high-grade B-cell lymphoma, not otherwise specified (HGBL NOS), prompting a study that assessed baseline CNS involvement, recurrence rates, and management strategies in patients treated from 2016 to 2021.
  • In the study of 160 adults, 7% exhibited baseline CNS involvement, which was linked to MYC rearrangement and certain sites of involvement, but did not significantly impact overall survival outcomes compared to those without CNS involvement.
  • The risk of CNS recurrence within three years was found to be 11%, with patients showing initial CNS involvement facing a much higher risk (48.5%), while various other factors such as blood involvement and
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Complete loss of lineage defining antigens in two cases of B-cell malignancies following CAR-T therapy.

J Hematop

December 2024

Department of Laboratory Medicine and Pathology, University of Washington, Seattle 1959 NE Pacific Street, Box 357110, Seattle, WA, 98195, USA.

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Approximately 80% of pediatric tumors occur in low- and middle-income countries (LMIC), where diagnostic tools essential for treatment decisions are often unavailable or incomplete. Development of cost-effective molecular diagnostics will help bridge the cancer diagnostic gap and ultimately improve pediatric cancer outcomes in LMIC settings. We investigated the feasibility of using nanopore whole transcriptome sequencing on formalin-fixed paraffin embedded (FFPE)-derived RNA and a composite machine learning model for pediatric solid tumor diagnosis.

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  • Inactivation of the A20 gene is linked to a specific form of lymphoma and is studied in patients with haploinsufficiency of A20 (HA20), revealing immune system impacts.
  • In a study of 34 HA20 patients, researchers found that the loss of one A20 gene copy leads to an increase in self-reactive lymphocyte receptors, often seen in lymphomas.
  • The immune changes are driven by a feedback loop involving tumor necrosis factor (TNF), A20, and NF-κB, and can potentially be reversed by anti-TNF treatment, but may still lead to lymphoma development.
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Flow cytometry assay modifications: Recommendations for method validation based on CLSI H62 guidelines.

Cytometry B Clin Cytom

August 2024

Division of Hematopathology, Department of Pathology and Laboratory Medicine, Mayo Clinic, Rochester, Minnesota, USA.

The Clinical and Laboratory Standards Institute (CLSI) H62-Validation of Assays Performed by Flow Cytometry guideline, released in 2021, provides recommendations for platform workflow and quality system essentials, instrument setup and standardization, assay development and optimization and fit-for-purpose analytical method validation. In addition, CLSI H62 includes some recommendations for the validation strategies after a validated flow cytometric method has been modified. This manuscript builds on those recommendations and discusses the impact of different types of assay modifications on assay performance.

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  • Anti-HER2 therapies like trastuzumab emtansine (T-DM1) and trastuzumab deruxtecan (T-DXd) have improved outcomes for patients with HER2+ metastatic breast cancer, but resistance to these treatments poses a significant challenge without established follow-up therapies.
  • The study examined genetic changes in breast cancer patients after anti-HER2 therapy and developed resistant cancer cell lines to explore mechanisms of resistance and identify potential targets to boost the effectiveness of T-DXd.
  • It was discovered that resistance might occur due to reduced HER2 expression and increased activity of DNA repair genes, suggesting that targeting DNA repair pathways could enhance the efficacy of T-DXd in resistant cases.
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Progression or relapse in the central nervous system (CNS) remains a rare but mostly fatal event for patients with diffuse large B-cell lymphoma (DLBCL). In a retrospective analysis of 5189 patients treated within 19 prospective German and French phase 2/3 trials, we identified 159 patients experiencing a CNS event (relapse: 62%, progression: 38%). Intracerebral, meningeal, intraspinal, or combined involvement was reported in 44%, 31%, 3%, and 22% of patients, respectively.

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Low-grade histiocytic sarcoma with aggressive clinical behaviour: an unusual case with novel genetic mutations identified by whole genome sequencing.

Pathology

December 2024

Department of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Center for Cancer Research, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

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A Novel JAK2 Fusion in T-Cell Prolymphocytic Leukemia.

Genes Chromosomes Cancer

June 2024

Hematopathology Service, Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

T-cell prolymphocytic leukemia (T-PLL) is a rare and aggressive mature T-cell malignancy characterized by marked lymphocytosis, B symptoms, lymphadenopathy, and hepatosplenomegaly. There is no standard treatment approach, and in the absence of an allogeneic transplant, the prognosis remains poor. The disease-defining cytogenetic abnormality in T-PLL is the juxtaposition of the TCL1-family oncogene to the TCR gene enhancer locus primarily due to an inversion of chromosome 14, that is, inv(14).

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Lymphoplasmacytic lymphoma (LPL) is an incurable low-grade lymphoma with no standard therapy. Nine asymptomatic patients treated with a first-in-human, neoantigen DNA vaccine experienced no dose limiting toxicities (primary endpoint, NCT01209871). All patients achieve stable disease or better, with one minor response, and median time to progression of 72+ months.

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Immunochemotherapy has been the mainstay of treatment for newly diagnosed diffuse large B-cell lymphoma (ndDLBCL) yet is inadequate for many patients. In this work, we perform unsupervised clustering on transcriptomic features from a large cohort of ndDLBCL patients and identify seven clusters, one called A7 with poor prognosis, and develop a classifier to identify these clusters in independent ndDLBCL cohorts. This high-risk cluster is enriched for activated B-cell cell-of-origin, low immune infiltration, high MYC expression, and copy number aberrations.

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In children, therapy-related hematologic neoplasms (t-HN) are uncommon. Many are driven by genetic events independent of clonal hematopoiesis. We sought to understand the clinical and genetic factors of pediatric t-HN in a large independent cohort.

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  • Deficient DNA mismatch repair (dMMR) serves as a biomarker indicating a better response to PD-1 blockade immunotherapy in solid tumors, including diffuse large B-cell lymphoma (DLBCL).
  • In a study involving a large cohort of DLBCL patients, genetic dMMR was found infrequently and linked to a more favorable immune microenvironment but did not show a strong prognostic impact.
  • Additionally, while phenotypic dMMR was also rare, its presence correlated with increased T cell activity, suggesting that PD-1 T cells may selectively target tumor cell subsets with dMMR, which has implications for the efficacy of immunotherapy in DLBCL.
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Intrasinusoidal bone marrow involvement is an infrequent histological pattern observed in a limited number of B and T cell lymphomas. Mantle cell lymphoma is a biologically and prognostically heterogeneous B cell lymphoma that frequently involves the bone marrow, with interstitial, nodular-paratrabecular, or diffuse patterns. Intrasinusoidal bone marrow involvement has been described only anecdotally in this lymphoma.

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  • After a relapse two years later, he was switched to baricitinib, achieving remission again before RA recurred and he discovered a tumor in his kidney at age 72.
  • Following surgical removal of the tumor, which was identified as renal cell carcinoma (RCC), the patient reported joint pain relief but ultimately died from systemic metastases about 10 weeks later, with the RA and RCC linked as a paraneoplastic syndrome.
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1q jumping translocation (JT) is rare and its molecular profiles in myeloid malignancies are not well-known. This study evaluated gene mutations in 1q-JT cohorts (0.38%) from hematological malignant specimens that underwent genetic analysis at the Johns Hopkins Hospital (n = 11,908) and the MD Anderson Cancer Center.

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Hematology Laboratory in the Digital and Automation Age.

Clin Lab Med

September 2024

Hematology and Coagulation Laboratories, Department of Laboratory Medicine, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, SK B2-408, Boston, MA 02115, USA. Electronic address:

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Applications of Flow Cytometry in Diagnosis and Evaluation of Red Blood Cell Disorders.

Clin Lab Med

September 2024

Department of Pathology, University of Utah, 15 N. Medical Drive East, Suite 1100, Salt Lake City, UT 84112, USA; Hematopathology, ARUP Laboratories, Salt Lake City, UT, USA; Applied Artificial Intelligence and Bioinformatics, ARUP Laboratories, Salt Lake City, UT, USA; Hematologic Flow Cytometry, ARUP Laboratories, Salt Lake City, UT, USA. Electronic address:

Clinical flow cytometry plays a vital role in the diagnosis and monitoring of various red blood cell disorders. The high throughput, precision, and automation potential of this technique allows for cost-effective and timely analysis compared to older and more manual test methods. Flow cytometric analysis serves as the gold standard diagnostic method for multiple hematological disorders, especially in clinical scenarios where an assay needs to have high sensitivity, high specificity, and a short turnaround time.

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Advances and Progress in Automated Urine Analyzers.

Clin Lab Med

September 2024

Department of Pathology, Division of Hematopathology, University of Virginia Health, 1215 Lee street, Charlottesville, VA 22903, USA. Electronic address:

The clinical analysis of urine has classically focused on conventional chemical-based urinalysis and urine microscopy. Contemporary advances in both analysis subsets have started to employ new technologies such as automated image analysis, flow cytometry, and mass spectrometry. In addition to new detection technologies, current analyzers have incorporated more advanced imaging, automated sample handing, and machine learning analyses into their workflow.

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Nodular lymphocyte predominant Hodgkin lymphoma was termed "nodular lymphocyte predominant B-cell lymphoma" in the International Consensus Classification (ICC), to emphasize clinical and biological differences from classic Hodgkin lymphoma (CHL). The abbreviation "NLP" represents both terms in the ICC and World Health Organization classifications. Variations in the growth pattern, originally reported as Fan patterns A-F, are designated as either grade 1 or grade 2 in the ICC.

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Transient stress lymphocytosis (TSL) is an under-recognized phenomenon associated with an acute stressful event such as physical trauma or various emergency medical conditions. Lymphocytosis generally resolves within several hours to days of the stressor. While most reports of TSL predominantly involve adult patients, it has only rarely been reported in pediatric patients.

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  • * The International Society on Thrombosis and Haemostasis developed a comprehensive clinical practice guideline to assist patients, caregivers, and healthcare professionals in making informed treatment decisions for congenital hemophilia A and B.
  • * A diverse panel of experts prioritized 13 key clinical questions regarding treatment strategies, utilizing the GRADE approach for systematic evidence review, and sought public feedback on their recommendations.
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