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LEUC<br />

9771<br />

LCMS<br />

3287<br />

5 50.0-99.9 Strongly positive<br />

6 > or =100 Strongly positive Reference values<br />

apply to all ages.<br />

Clinical References: Homburger HA: Allergic diseases. In Clinical Diagnosis and Management by<br />

Laboratory Methods. 21st edition. Edited by McPherson RA, Pincus MR. WB Saunders, Publ, New York,<br />

Chapter 53, Part VI, pp. 961-971, 2007<br />

Leucine Aminopeptidase<br />

Reference Values:<br />

1.0-3.3 U/mL<br />

<strong>Test</strong> Performed by: Quest Diagnostics†Nichols Institute<br />

33608 Ortega Highway<br />

San Juan Capistrano, CA 92690<br />

Leukemia/Lymphoma Immunophenotyping by Flow Cytometry<br />

Clinical Information: Diagnostic hematopathology has become an increasingly complex<br />

subspecialty, particularly with neoplastic disorders of blood and bone marrow. While morphologic<br />

assessment of blood smears, bone marrow smears, and tissue sections remains the cornerstone of<br />

lymphoma and leukemia diagnosis and classification, immunophenotyping is a very valuable and<br />

important complementary tool. Immunophenotyping hematopoietic specimens can help resolve many<br />

differential diagnostic problems posed by the clinical or morphologic features. This test is appropriate for<br />

hematopoietic specimens only. If your specimen is a solid tissue, order LLPT/19499<br />

Leukemia/Lymphoma Immunophenotyping by Flow Cytometry, Tissue.<br />

Useful For: Evaluating lymphocytoses of undetermined etiology Identifying B- and T-cell<br />

lymphoproliferative disorders involving blood and bone marrow Distinguishing acute lymphoblastic<br />

leukemia (ALL) from acute myeloid leukemia (AML) Immunologic subtyping of ALL Distinguishing<br />

reactive lymphocytes and lymphoid hyperplasia from malignant lymphoma Distinguishing between<br />

malignant lymphoma and acute leukemia Phenotypic subclassification of B- and T-cell chronic<br />

lymphoproliferative disorders, including chronic lymphocytic leukemia, mantle cell lymphoma, and hairy<br />

cell leukemia Recognizing AML with minimal morphologic or cytochemical evidence of differentiation<br />

Recognizing monoclonal plasma cells<br />

Interpretation: Report will include a morphologic description, a summary of the procedure, the<br />

percent positivity of selected antigens, and an interpretive conclusion based on the correlation of the<br />

clinical history with the morphologic features and immunophenotypic results.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

This test will be processed as a laboratory consultation. An interpretation of the immunophenotypic<br />

findings and correlation with the morphologic features will be provided by a hematopathologist for every<br />

case.<br />

Clinical References: 1. Hanson CA, Kurtin PJ, Katzman JA, et al: Immunophenotypic analysis of<br />

peripheral blood and bone marrow in the staging of B-cell malignant lymphoma. Blood<br />

1999;94:3889-3896 2. Hanson CA: Acute leukemias and myelodysplastic syndromes. In Clinical<br />

Laboratory Medicine. Edited by KD McClatchey. Baltimore, MD, Williams & Wilkins, Inc, 1994, pp<br />

939-969 3. Morice WG, Leibson PJ, Tefferi A: Natural killer cells and the syndrome of chronic natural<br />

killer cell lymphocytosis. Leuk Lymphoma 2001;41(3-4):277-284 4. Langerak, van Den Beemd,<br />

Wolvers-Tettero, et al: Molecular and flow cytometric analysis of the Vbeta repertoire for clonality<br />

assessment in mature TCR alpha beta T-cell proliferations. Blood 2001;98(1):165-173<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1105

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