The cell representations are listed below:
B cells
CD19= 7%
CD20= 7%
CD10= 0%
HLA-DR= 10%
CD19/CD5 dual + = 0%
Kappa=6%
Lambda=3%
Interpretation of the above data (refer to the decision tree to assist with the interpretation of the case):
- There is a normal ratio of kappa to lambda.
- The B cells do not express CD5 (a B cell that expresses CD5 is abnormal because CD5 is normally a T cell marker).
- CD10 is not present on the B cells.
- Conclusion: B cells are normal and mature.
T cells
CD2= 91%
CD5= 90%
CD7= 91%
CD3= 88%
- The pan T cell markers are within a few percentage points of one another, which translates to the sample having all markers that should be present and no values being skewed toward one marker.
- CD4 plus CD8 equals the total CD3 (55 + 33 = 88). Therefore, there is good representation of both T helper and cytotoxic T cells (a neoplastic process could have predominantly one or the other or dual positive CD4 and CD8).
- Conclude: T cells are normal and mature.
Final Conclusion:
This is a normal peripheral blood lymphocyte population with no indication of a neoplastic process. The B cells that are present, though a small percentage of the total lymphocytes, have no abnormal markers. Most lymphocytes in this sample are T cells, which are also normal. The CD markers that should be there are present, and there is a good representation of both helper and cytotoxic T cells.
