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Vol. 47. Núm. S3.
HEMO 2025 / III Simpósio Brasileiro de Citometria de Fluxo
(Outubro 2025)
Vol. 47. Núm. S3.
HEMO 2025 / III Simpósio Brasileiro de Citometria de Fluxo
(Outubro 2025)
6
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POST-TRANSPLANT DOUBLE-POSITIVE T-CELL LYMPHOMA
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Maria Daniela Holthausen Perico, Renata da Silva Kalfeltz, Andressa de Oliveira Martin Wagner, Anise Osório Ferri, Franciani Turra Costella Delagnello, Liziani Crestani Bortoluzzi, Paula Gomes Back Prim
Hematology and Hemotherapy Center of Santa Catarina (HEMOSC), Cell Markers Laboratory, Florianopolis, SC, Brazil
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Vol. 47. Núm S3

HEMO 2025 / III Simpósio Brasileiro de Citometria de Fluxo

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Male patient, 54 years old, post-transplant immune profile, bone marrow transplantation for B-cell Non-Hodgkin's-Lymphoma in 2019 - Peripheral blood sample with white blood count 1,800 cells post-transplant immune profile - marked (42%) Double-Positive proliferation. Panel design, Immunophenotyping and Gating Strategy: Triage of all the samples was analyzed in the LST tube. The TCRCBeta 1 tube was designed based on EuroFlow’s Orientation Tube for Immunodeficiencies (PIDOT), using CD3, CD4, CD8 and CD45 as “backbones”, CD27 and CD45RA to discriminate T-cell subsets, CD16 and CD56 to exclude NK cells, and including TCRCBeta1 in the PE channel. Results: 57% T Cells: *42% Double-positive CD3+ CD7(-) CD27(-) CD45RA+ TCRCBeta1+100% (monoclonal); *7.5% TCD4+ EM CD45RA(-) CD27(-) TCRCBeta1+ 38% (polyclonal); *7.5% TCD8+ EM CD45RA(-) CD27(-) TCRCBeta1+ 38% (polyclonal). Immunophenotype: CD45+ CD3+ CD4+ CD8+ CD26-/+ CD45RA+ CD2+ CD5+ CD11C+ CD57-/+ TCD ALPHA-BETA+ TCRCBETA1+. Negative expression: CD7, CD28, CD45RO, CD25, CD30, TCRGAMA/DELTA, CCR7, CD56, CD16, TCL1. The abnormal Double-positive T-cell population was subsequently detected with a bone marrow sample. The diagnostic conclusion was T-cell Lymphoma, NOS.

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Hematology, Transfusion and Cell Therapy
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