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The Power of Flow Cytometry in the Cytopathologic Diagnosis of Lymphoid Lesions

Sewell, Willliam A. ; Al-Abbadi, Mousa A. ; Geddie, Willliam R. ; Jorgensen, Jeffrey L. ; Kloboves-Prevodnik, Veronika ; Mansour, Ahmad T. and Porwit, Anna LU (2026) In Acta Cytologica p.1-10
Abstract

Abstract – Background: Cytological examination of a fine-needle aspirate (FNA) is a minimally invasive modality that is increasingly used in the diagnosis of lymphoma. Flow cytometry and other ancillary tests make an important contribution to the diagnostic value of FNAs of lymphoid lesions. This review follows the recent publication of the first edition of the WHO Reporting System for Lymph Node, Spleen, and Thymus Cytopathology. This WHO volume provides a framework for assessment of cytopathological samples and presents in detail the contribution of ancillary studies, including flow cytometry. Summary: The current review is designed to complement the WHO volume. It presents criteria for adequacy of FNA specimens assessed by flow... (More)

Abstract – Background: Cytological examination of a fine-needle aspirate (FNA) is a minimally invasive modality that is increasingly used in the diagnosis of lymphoma. Flow cytometry and other ancillary tests make an important contribution to the diagnostic value of FNAs of lymphoid lesions. This review follows the recent publication of the first edition of the WHO Reporting System for Lymph Node, Spleen, and Thymus Cytopathology. This WHO volume provides a framework for assessment of cytopathological samples and presents in detail the contribution of ancillary studies, including flow cytometry. Summary: The current review is designed to complement the WHO volume. It presents criteria for adequacy of FNA specimens assessed by flow cytometry and includes strategies to determine the degree of blood contamination of FNA samples. Evidence for the contribution of flow cytometry to the diagnostic value of FNA is reviewed. The role of TRBC1 and TRBC2 in the assessment of T-cell populations is presented. Strengths of flow cytometry, along with its limitations, are presented. Key Messages: Provided these limitations are properly understood, the inclusion of flow cytometry as an ancillary modality makes a substantial contribution to FNA assessment.

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author
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organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Cytopathology, Fine-needle aspiration, Flow cytometry, Immunophenotyping
in
Acta Cytologica
pages
10 pages
publisher
Karger
external identifiers
  • pmid:41505355
  • scopus:105031945676
ISSN
0001-5547
DOI
10.1159/000550290
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2026 S. Karger AG, Basel
id
76c5db5d-ab83-4c24-acc2-5bf7d7df4e7c
date added to LUP
2026-05-06 13:25:38
date last changed
2026-08-14 03:36:26
@article{76c5db5d-ab83-4c24-acc2-5bf7d7df4e7c,
  abstract     = {{<p>Abstract – Background: Cytological examination of a fine-needle aspirate (FNA) is a minimally invasive modality that is increasingly used in the diagnosis of lymphoma. Flow cytometry and other ancillary tests make an important contribution to the diagnostic value of FNAs of lymphoid lesions. This review follows the recent publication of the first edition of the WHO Reporting System for Lymph Node, Spleen, and Thymus Cytopathology. This WHO volume provides a framework for assessment of cytopathological samples and presents in detail the contribution of ancillary studies, including flow cytometry. Summary: The current review is designed to complement the WHO volume. It presents criteria for adequacy of FNA specimens assessed by flow cytometry and includes strategies to determine the degree of blood contamination of FNA samples. Evidence for the contribution of flow cytometry to the diagnostic value of FNA is reviewed. The role of TRBC1 and TRBC2 in the assessment of T-cell populations is presented. Strengths of flow cytometry, along with its limitations, are presented. Key Messages: Provided these limitations are properly understood, the inclusion of flow cytometry as an ancillary modality makes a substantial contribution to FNA assessment.</p>}},
  author       = {{Sewell, Willliam A. and Al-Abbadi, Mousa A. and Geddie, Willliam R. and Jorgensen, Jeffrey L. and Kloboves-Prevodnik, Veronika and Mansour, Ahmad T. and Porwit, Anna}},
  issn         = {{0001-5547}},
  keywords     = {{Cytopathology; Fine-needle aspiration; Flow cytometry; Immunophenotyping}},
  language     = {{eng}},
  pages        = {{1--10}},
  publisher    = {{Karger}},
  series       = {{Acta Cytologica}},
  title        = {{The Power of Flow Cytometry in the Cytopathologic Diagnosis of Lymphoid Lesions}},
  url          = {{http://dx.doi.org/10.1159/000550290}},
  doi          = {{10.1159/000550290}},
  year         = {{2026}},
}