INTRODUCTION: Hairy cell leukemia (HCL) is an uncommon B cell lymphoproliferative disorder. The object of the present audit was to assess whether the investigation and management of HCL in University College Hospital Galway (UCHG) complies with the British Committee for Standards in Haematology (BCSH) guidelines. METHODS: Following a review of the records in our Haematology Department, 18 cases of HCL were identified between January 2006 and October 2014. RESULTS: Blood film examination had been performed in all cases. Flow cytometry of liquid material had been undertaken in 89 % (n = 16) of cases, of which only 31 % (n = 5) included all four hairy cell panel markers (CD11c, CD25, CD103, CD123). Although all initial trephine biopsies included CD20, none analyzed DBA44. Only 65 % (n = 11) of treated patients had a post-treatment bone marrow biopsy preformed. CONCLUSION: This audit highlights areas of improvement in the diagnosis and management of HCL in UCHG, which do not currently adhere to the BCSH recommendations.
INTRODUCTION:Hairy cell leukemia (HCL) is an uncommon B cell lymphoproliferative disorder. The object of the present audit was to assess whether the investigation and management of HCL in University College Hospital Galway (UCHG) complies with the British Committee for Standards in Haematology (BCSH) guidelines. METHODS: Following a review of the records in our Haematology Department, 18 cases of HCL were identified between January 2006 and October 2014. RESULTS: Blood film examination had been performed in all cases. Flow cytometry of liquid material had been undertaken in 89 % (n = 16) of cases, of which only 31 % (n = 5) included all four hairy cell panel markers (CD11c, CD25, CD103, CD123). Although all initial trephine biopsies included CD20, none analyzed DBA44. Only 65 % (n = 11) of treated patients had a post-treatment bone marrow biopsy preformed. CONCLUSION: This audit highlights areas of improvement in the diagnosis and management of HCL in UCHG, which do not currently adhere to the BCSH recommendations.
Entities:
Keywords:
Hairy cell leukemia; Hairy cell leukemia assessment of treatment response; Hairy cell leukemia diagnosis and management; Hairy cell leukemia guidelines; Hairy cell panel markers; University Hospital Galway
Authors: Farhad Ravandi; Jeffrey L Jorgensen; Susan M O'Brien; Srdan Verstovsek; Charles A Koller; Stefan Faderl; Francis J Giles; Alessandra Ferrajoli; William G Wierda; Shirley Odinga; Xuelin Huang; Deborah A Thomas; Emil J Freireich; Dan Jones; Michael J Keating; Hagop M Kantarjian Journal: Blood Date: 2006-02-23 Impact factor: 22.113
Authors: F Maloisel; L Benboubker; M Gardembas; B Coiffier; M Divine; C Sebban; M Blanc; J-F Abgrall; P Lederlin; J-L Harousseau; A-M Blaise; B Grosbois; P Morice; C Ghandour; S Castaigne Journal: Leukemia Date: 2003-01 Impact factor: 11.528