Siba El Hussein, MD Profile picture
Guest editor @Cancers_MDPI contribute here➡️ https://t.co/LxEbwiFktU | Google scholar https://t.co/Ewe7eFhYRf | @ASCP_Chicago 40 under forty | @uvmvermont

Nov 30, 2020, 5 tweets

(1/5) AML with NPM1 mutation ⬇️

Characteristically prominent nuclear invaginations imparting a “cup-like” or “fish-mouth” morphology, with very strong MPO positivity 🔬

@KirillLyapichev @sanamloghavi

#hemepath #hemepathMDA #PathTwitter

(2/5) Cytoplasmic staining of NPM1 protein by IHC is predic­tive of NPM1 mutations

#hemepath #hemepathMDA #PathTwitter

(3/5) This is because NPM1 mutations cause loss of the nucleolar localization signal and addition of a nuclear export signal, leading to increased protein export from
the nucleus and aberrant accumulation in the cytoplasm

#hemepath #hemepathMDA #PathTwitter

(4/5) On flow cytometry analysis, AML with mutated NPM1 is characterized by high CD33 expression and variable
(often low) CD13 expression

#hemepath #hemepathMDA #PathTwitter

(5/5) In addition, KIT (CD117) and CD123 expression is commonly seen and HLA-DR is
often negative

#hemepath #hemepathMDA #PathTwitter

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