Ontology highlight
ABSTRACT: Background
Differentiation of lymphocytic-plasmacytic enteropathy (LPE) from small cell lymphoma (SCL) in cats can be challenging.Hypothesis/objective
Histology-guided mass spectrometry (HGMS) is a suitable method for the differentiation of LPE from SCL in cats.Animals
Forty-one cats with LPE and 52 cats with SCL.Methods
This is a retrospective clinicopathologic study. Duodenal tissue samples of 17 cats with LPE and 22 cats with SCL were subjected to HGMS, and the acquired data were used to develop a linear discriminate analysis (LDA) machine learning algorithm. The algorithm was subsequently validated using a separate set of 24 cats with LPE and 30 cats with SCL. Cases were classified as LPE or SCL based on a consensus by an expert panel consisting of 5-7 board-certified veterinary specialists. Histopathology, immunohistochemistry, and clonality testing were available for all cats. The panel consensus classification served as a reference for the calculation of test performance parameters.Results
Relative sensitivity, specificity, and accuracy of HGMS were 86.7% (95% confidence interval [CI]: 74.5%-98.8%), 91.7% (95% CI: 80.6%-100%), and 88.9% (95% CI: 80.5%-97.3%), respectively. Comparatively, the clonality testing had a sensitivity, specificity, and accuracy of 85.7% (95% CI: 72.8%-98.7%), 33.3% (95% CI: 14.5%-52.2%), and 61.5% (95% CI: 48.3%-74.8%) relative to the panel decision.Conclusions and clinical importance
Histology-guided mass spectrometry was a reliable technique for the differentiation of LPE from SCL in duodenal formalin-fixed paraffin-embedded samples of cats and might have advantages over tests currently considered state of the art.
SUBMITTER: Marsilio S
PROVIDER: S-EPMC7096630 | biostudies-literature | 2020 Mar
REPOSITORIES: biostudies-literature
Journal of veterinary internal medicine 20200226 2
<h4>Background</h4>Differentiation of lymphocytic-plasmacytic enteropathy (LPE) from small cell lymphoma (SCL) in cats can be challenging.<h4>Hypothesis/objective</h4>Histology-guided mass spectrometry (HGMS) is a suitable method for the differentiation of LPE from SCL in cats.<h4>Animals</h4>Forty-one cats with LPE and 52 cats with SCL.<h4>Methods</h4>This is a retrospective clinicopathologic study. Duodenal tissue samples of 17 cats with LPE and 22 cats with SCL were subjected to HGMS, and the ...[more]