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Bone Marrow

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Handbook of Practical Immunohistochemistry

Abstract

This chapter provides an overview of immunohistochemical markers used frequently in assessing bone marrow diseases. These disease entities include: lymphoid and myeloid leukemias, both acute and chronic, lymphoproliferative disorders, T and B cell neoplasms/lymphomas, myeloproliferative neoplasms, myelodysplastic syndromes, mast cell disease, plasma cell dyscrasias and metastatic tumors to the bone marrow.

There is quite a bit of overlap between the markers used in the bone marrow workup for lymphoid diseases and lymphoma (Chap. 30), thus a review of that chapter might be helpful in the workup of lymphoproliferative disorders.

Also the marrow can be the site for metastatic tumors. The workup of metastatic disease to the marrow is the same as in any other site (Chap. 11) with the exception of markers that are rendered useless by the decalcification process.

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References

  1. Arber DA, Jenkins KA. Paraffin section immunophenotyping of acute leukemias in bone marrow specimens. Am J Clin Pathol. 1996;106(4):462–8.

    CAS  PubMed  Google Scholar 

  2. Aumann K, Lassmann S, Schopflin A, May AM, Wohrle FU, Zeiser R, Waller CF, Hauschke D, Werner M, Brummer T. Hum Pathol. 2011;42(5):719–26.

    Article  CAS  PubMed  Google Scholar 

  3. Beck RC, Tubbs RR, Hussein M, Pettay J, Hsi ED. Automated colorimetric in situ hybridization (CISH) detection of immunoglobulin (Ig) light chain mRNA expression in plasma cell (PC) dyscrasias and non-Hodgkin lymphoma. Diagn Mol Pathol. 2003;12(1):14–20.

    Article  CAS  PubMed  Google Scholar 

  4. Bedekovics J, Rejto L, Telek B, Kiss A, Hevessy Z, Ujfalusi A, Mehes G. Identification of NPMc + acute myeloid leukemia in bone marrow smears. Appl Immunohistochem Mol Morphol. 2013;21(1):73–8.

    CAS  PubMed  Google Scholar 

  5. Bene MC. Immunophenotyping of acute leukaemias. Immunol Lett. 2005;98(1):9–21.

    Article  CAS  PubMed  Google Scholar 

  6. Ben-Ezra JM, King BE, Harris AC, Todd WM, Kornstein MJ. Staining for Bcl-2 protein helps to distinguish benign from malignant lymphoid aggregates in bone marrow biopsies. Mod Pathol. 1994;7(5):560–4.

    CAS  PubMed  Google Scholar 

  7. Dai Q, Ren Y. Cytoplasmic expression of nucleophosmin 1 as a marker for diagnosing residual disease of acute myeloid leukemia. Appl Immunohistochem Molecul Morphol. 2013;21(3):205–11.

    CAS  Google Scholar 

  8. Dunphy CH, O'Malley DP, Perkins SL, Chang CC. Analysis of immunohistochemical markers in bone marrow sections to evaluate for myelodysplastic syndromes and acute myeloid leukemias. Appl Immunohistochem Mol Morphol. 2007;15(2):154–9.

    Article  CAS  PubMed  Google Scholar 

  9. Ferrando AA. SOX11 is a mantle cell lymphoma oncogene. Blood. 2013;121(12):2169–70.

    Article  CAS  PubMed  Google Scholar 

  10. Gualco G, Weiss LM, Bacchi CE. MUM1/IRF4: A review. Appl Immunohistochem Mol Morphol. 2010;18(4):301–10.

    Article  CAS  PubMed  Google Scholar 

  11. Hans CP, Finn WG, Singleton TP, Schnitzer B, Ross CW. Usefulness of anti-CD117 in the flow cytometric analysis of acute leukemia. Am J Clin Pathol. 2002;117(2):301–5.

    Article  CAS  PubMed  Google Scholar 

  12. Harrington AM, Hari P, Kroft SH. Utility of CD56 immunohistochemical studies in follow-up plasma cell myeloma. Am J Clin Pathol. 2009;132(1):60–6.

    Article  CAS  PubMed  Google Scholar 

  13. Horny HP, Campbell M, Steinke B, Kaiserling E. Acute myeloid leukemia: immunohistologic findings in paraffin-embedded bone marrow biopsy specimens. Hum Pathol. 1990;21(6):648–55.

    Article  CAS  PubMed  Google Scholar 

  14. Horny HP, Sotlar K, Valent P. Diagnostic value of histology and immunohistochemistry in myelodysplastic syndromes. Leuk Res. 2007;31(12):1609–16.

    Article  CAS  PubMed  Google Scholar 

  15. Hussong JW, Rodgers GM, Shami PJ. Evidence of increased angiogenesis in patients with acute myeloid leukemia. Blood. 2000;95(1):309–13.

    CAS  PubMed  Google Scholar 

  16. Johrens K, Stein H, Anagnostopoulos I. T-bet transcription factor detection facilitates the diagnosis of minimal hairy cell leukemia infiltrates in bone marrow trephines. Am J Surg Pathol. 2007;31(8):1181–5.

    Article  PubMed  Google Scholar 

  17. Klco JM, Kulkarni S, Kreisel FH, Nguyen TD, Hassan A, Frater JL. Immunohistochemical analysis of monocytic leukemias: usefulness of CD14 and Krüppel-like factor 4, a novel monocyte marker. Am J Clin Pathol. 2011;135(5):720–30.

    Article  CAS  PubMed  Google Scholar 

  18. Krause JR, Penchansky L, Knisely AS. Morphological diagnosis of parvovirus B19 infection. A cytopathic effect easily recognized in air-dried, formalin-fixed bone marrow smears stained with hematoxylin-eosin or Wright-Giemsa. Arch Pathol Lab Med. 1992;116(2):178–80.

    CAS  PubMed  Google Scholar 

  19. Krishnan C, George TI, Arber DA. Bone marrow metastases: a survey of nonhematologic metastases with immunohistochemical study of metastatic carcinomas. Appl Immunohistochem Mol Morphol. 2007;15(1):1–7.

    Article  PubMed  Google Scholar 

  20. Krober SM, Greschniok A, Kaiserling E, Horny HP. Acute lymphoblastic leukaemia: correlation between morphological/immunohistochemical and molecular biological findings in bone marrow biopsy specimens. Mod Pathol. 2000;53(2):83–7.

    Article  CAS  Google Scholar 

  21. Kubic VL, Brunning RD. Immunohistochemical evaluation of neoplasms in bone marrow biopsies using monoclonal antibodies reactive in paraffin-embedded tissue. Mod Pathol. 1989;2(6):618–29.

    CAS  PubMed  Google Scholar 

  22. Loyson SA, Rademakers LH, Joling P, Vroom TM, van den Tweel JG. Immunohistochemical analysis of decalcified paraffin-embedded human bone marrow biopsies with emphasis on MHC class I and CD34 expression. Histopathology. 1997;31(5):412–9.

    Article  CAS  PubMed  Google Scholar 

  23. Mozos A, Royo C, Hartmann E, De Jong D, Baro C, Valera A, Fu K, Weisenburger DD, Delabie J, Chuang SS, Jaffe ES, Ruiz-Marcellan C, Dave S, Rimsza L, Braziel R, Gascoyne RD, Sole F, Lopez-Guillermo A, Colomer D, Staudt LM, Rosenwald A, Ott G, Jares P, Campo E. SOX11 expression is highly specific for mantle cell lymphoma and identifies the cyclin D1-negative subtype. [Erratum appears in Haematologica. 2010 Sep;95(0):1620]. Haematologica. 2009;94(11):1555–62.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  24. Ngo N, Lampert IA, Naresh KN. Bone marrow trephine findings in acute myeloid leukaemia with multilineage dysplasia. Br J Haematol. 2008;140(3):279–86.

    Article  PubMed  Google Scholar 

  25. Orazi A, Chiu R, O’Malley DP, Czador M, Allen SL, An C, Vance GH. Chronic myelomonocytic leukemia: The role of bone marrow biopsy immunohistology. Mod Pathol. 2006;19(12):1536–45.

    Article  CAS  PubMed  Google Scholar 

  26. Pileri SA, Ascani S, Milani M, et al. Acute leukaemia immunophenotyping in bone-marrow routine sections. Br J Haematol. 1999;105(2):394–401.

    Article  CAS  PubMed  Google Scholar 

  27. Sherman MJ, Hanson CA, Hoyer JD. An assessment of the usefulness of immunohistochemical stains in the diagnosis of hairy cell leukemia. Am J Clin Pathol. 2011;136(3):390–9.

    Article  PubMed  Google Scholar 

  28. Sotlar K, Cerny-Reiterer S, Petat-Dutter K, Hessel H, Berezowska S, Mullauer L, Valent P, Horny HP. Aberrant expression of CD30 in neoplastic mast cells in high-grade mastocytosis. Mod Pathol. 2011;24(4):585–95.

    Article  CAS  PubMed  Google Scholar 

  29. Swerdlow H, Campo E, Harris N, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. 4h ed. Lyon: International Agency for Research on Cancer; 2008. p. 439. Accessed 1 Oct 2009.

    Google Scholar 

  30. Takahashi Y, Murai C, Shibata S, et al. Human parvovirus B19 as a causative agent for rheumatoid arthritis. Proc Natl Acad Sci U S A. 1998;95(14):8227–32.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Tandon B, Peterson L, Gao J, Nelson B, Ma S, Rosen S, Chen YH. Nuclear overexpression of lymphoid-enhancer-binding factor 1 identifies chronic lymphocytic leukemia/small lymphocytic lymphoma in small B-cell lymphomas. Mod Pathol. 2011;24(11):1433–43.

    Article  CAS  PubMed  Google Scholar 

  32. Thiele J, Zirbes TK, Kvasnicka HM, Fischer R. Focal lymphoid aggregates (nodules) in bone marrow biopsies: differentiation between benign hyperplasia and malignant lymphoma–a practical guideline. J Clin Pathol. 1999;52(4):294–300.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  33. Torlakovic EE, Naresh KN, Brunning RD. Bone marrow IHC. Chicago, IL: American Society for Clinical Pathology Press; 2009. P. 274. Accessed 26 Oct 2009.

    Google Scholar 

  34. Toth B, Wehrmann M, Kaiserling E, Horny HP. Immunophenotyping of acute lymphoblastic leukaemia in routinely processed bone marrow biopsy specimens. J Clin Pathol. 1999;52(9):688–92.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  35. Tsunoda K, Satoh T, Akasaka K, Ishikawa Y, Ishida Y, Masuda T, Akasaka T. Blastic plasmacytoid dendritic cell neoplasm: report of two cases. J Clin Exp Hematopathol. 2012;52(1):23–9.

    Article  Google Scholar 

  36. Ungari M, Pellegrini W, Borlenghi E, Marocolo D, Ubiali A, Agazzi C, Pich A, Franco V, Facchetti F. [LAT (linker for activation of T cells): a useful marker for megakaryocyte evaluation on bone marrow biopsies]. Pathologica. 2002;94(6):325–330.

    Google Scholar 

  37. Warden DW, Ondrejka S, Lin J, Durkin L, Bodo J, Hsi ED. Phospho-ERK(THR202/Tyr214) is overexpressed in hairy cell leukemia and is a useful diagnostic marker in bone marrow trephine sections. Am J Surg Pathol. 2013;37(2):305–8.

    Article  PubMed  Google Scholar 

  38. West KP, Warford A, Fray L, Allen M, Campbell AC, Lauder I. The demonstration of B-cell, T-cell and myeloid antigens in paraffin sections. J Pathol. 1986;150(2):89–101.

    Article  CAS  PubMed  Google Scholar 

  39. Garciac C, Gardner D, Reichard KK. CD163: a specific immunohistochemical marker for acute myeloid leukemia with monocytic differentiation. Appl Immunohistochem Mol Morphol. 2008;16(5):417–21.

    Article  Google Scholar 

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Correspondence to R. Patrick Dorion MD .

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Dorion, R.P., Zhang, X.(. (2015). Bone Marrow. In: Lin, F., Prichard, J. (eds) Handbook of Practical Immunohistochemistry. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1578-1_31

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  • DOI: https://doi.org/10.1007/978-1-4939-1578-1_31

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