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Molecular monitoring of low grade non-Hodgkins lymphoma by gene amplification.

机译:通过基因扩增对低级非霍奇金淋巴瘤进行分子监测。

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摘要

Molecular monitoring by the polymerase chain reaction was used to detect and follow minimal disease in working formulation category B and C on non-Hodgkin's lymphoma. Rearrangement of the bcl-2 gene served as the target for gene amplification. Thirty patients were studied. Bone marrow histology was compared to PCR analysis of bone marrow aspirate and blood. PCR upstaged disease status in approximately 50% of patients. Results are shown from a patient whose disease was followed with PCR during chemotherapy from initial remission to relapse. We conclude that PCR of bone marrow and blood can be used to upstage disease status in low grade lymphoma and PCR of blood may be used to monitor response to treatment with obvious patient benefit. The general approach of molecular monitoring provides a means for appraising therapies in the setting of subclinical disease.
机译:通过聚合酶链反应进行的分子监测被用于检测和追踪非霍奇金淋巴瘤的B和C类制剂中的最小疾病。 bcl-2基因的重排用作基因扩增的目标。研究了30例患者。将骨髓组织学与骨髓穿刺液和血液的PCR分析进行比较。 PCR使大约50%的患者的疾病状况升级。从患者的病情显示了结果,该病患者在化疗期间从最初的缓解期到复发均接受了PCR跟踪。我们得出的结论是,骨髓和血液PCR可以用于低级淋巴瘤的疾病进展,血液PCR可以用于监测对患者明显受益的治疗反应。分子监测的一般方法为评估亚临床疾病的治疗方法提供了一种手段。

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