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Differentiation of lymphocytic-plasmacytic enteropathy and small cell lymphoma in cats using histology-guided mass spectrometry.


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

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Publications

Differentiation of lymphocytic-plasmacytic enteropathy and small cell lymphoma in cats using histology-guided mass spectrometry.

Marsilio Sina S   Newman Shelley J SJ   Estep James Scot JS   Giaretta Paula R PR   Lidbury Jonathan A JA   Warry Emma E   Flory Andi A   Morley Paul S PS   Smoot Katy K   Seeley Erin H EH   Powell Matthew J MJ   Suchodolski Jan S JS   Steiner Jörg M JM  

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]

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