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    Leuk Res. 2008 Feb;32(2):335-8. Epub 2007 Jun 22.

    Detection of clonality in lymphoproliferations using PCR of the antigen receptor genes: does size matter?

    Vargas RL, Felgar RE, Rothberg PG.

    Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA.

    Comment in:

    A biopsy of a nasal mass that had morphologic and immunostaining features consistent with a B-cell lymphoma was studied for clonality using PCR of the IgH gene. An unexpectedly low molecular weight DNA fragment of approximately 140bp (acceptable size limit: 250-295bp) was obtained using FR2 and JH primers. The sequence of this DNA was consistent with a clonal IgH rearrangement followed by a deletion that removed most of the downstream portion of the V segment. Thus, the biopsy contained a monoclonal population of B-lymphocytes, consistent with a diagnosis of lymphoma. This work illustrates that bands outside of the size range expected from PCR of the antigen receptor genes may still be consistent with a monoclonal result.

    PMID: 17588658 [PubMed - indexed for MEDLINE]

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