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Suner L, Sourdeau E, Ranaweera T, Tarfi S, Ronez E, Trichet C, Chapuis N, Lefebvre T, Debliquis A, Boyer T, Sandrine G, Mestrallet F, Broutier H, Dindinaud E, Rault E, Reinhard-Chegaray AS, Delhommeau F, Bardet V. Clinical and biological characteristics of patients presenting with carcinocythaemia: A retrospective, multicentre study by the French-speaking Cellular Hematology Group (GFHC). Br J Haematol 2024. [PMID: 39183701 DOI: 10.1111/bjh.19728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2024] [Accepted: 08/13/2024] [Indexed: 08/27/2024]
Affiliation(s)
- Ludovic Suner
- Sorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, SIRIC CURAMUS, Hôpital Saint-Antoine, Service d'Hématologie Biologique, Paris, France
| | - Elise Sourdeau
- Sorbonne Université, Service d'Hématologie Biologique, Hôpital Pitié-Salpêtrière, APHP, Paris, France
| | - Thimali Ranaweera
- Hematology and Immunology Department, Henri Mondor University Hospital, Assistance Publique-Hôpitaux de Paris, UPEC, Créteil, France
| | - Sihem Tarfi
- Hematology and Immunology Department, Henri Mondor University Hospital, Assistance Publique-Hôpitaux de Paris, UPEC, Créteil, France
| | - Emilie Ronez
- Service d'Hématologie-Immunologie-Transfusion, CHU Ambroise Paré, INSERM UMR 1184, AP-HP, Université Versailles Saint-Quentin -Université Paris Saclay, Boulogne Billancourt, France
| | - Catherine Trichet
- Service d'Hématologie Biologique, Hôpital Beaujon, AP-HP Nord Université de Paris, Clichy, France
| | - Nicolas Chapuis
- Assistance Publique-Hôpitaux de Paris, Centre-Université Paris Cité, Service d'hématologie Biologique, Hôpital Cochin, Paris, France
| | - Thomas Lefebvre
- Laboratoire d'Hématologie, Hôpitaux Civils de Colmar, Colmar, France
| | - Agathe Debliquis
- Laboratoire d'Hématologie, Groupe Hospitalier de la région Mulhouse Sud Alsace, Mulhouse, France
| | - Thomas Boyer
- Service d'Hematologie Biologique, CHU Amiens, Amiens, France
| | - Girard Sandrine
- Service d'Hématologie Biologique, Centre de Biologie et de Pathologie Est, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - Fanélie Mestrallet
- Service d'Hématologie Biologique, Centre de Biologie et de Pathologie Est, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - Hélène Broutier
- Laboratoire d'Hématologie, Grand Hôpital de l'Est Francilien, Meaux, France
| | | | | | | | - Francois Delhommeau
- Sorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, SIRIC CURAMUS, Hôpital Saint-Antoine, Service d'Hématologie Biologique, Paris, France
| | - Valérie Bardet
- Service d'Hématologie-Immunologie-Transfusion, CHU Ambroise Paré, INSERM UMR 1184, AP-HP, Université Versailles Saint-Quentin -Université Paris Saclay, Boulogne Billancourt, France
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2
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Briers M, Mylemans M, Tousseyn T, Lai LM, Tajdar M, Van Laer C. Automated feathered edge blood smear analysis: early diagnosis of carcinocythemia in a case of disseminated intravascular coagulation with multi-organ failure. Lab Med 2024:lmae068. [PMID: 39158956 DOI: 10.1093/labmed/lmae068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2024] Open
Abstract
Carcinocythemia, known as the presence of circulating tumor cells in the peripheral blood, is difficult to detect when the carcinoma cells are minimally present. We describe a case of a 56-year-old patient presenting with disseminated intravascular coagulation (DIC) and multiple organ failure. Despite initial suspicion of sepsis, a peripheral blood smear showed the presence of atypical cells, mainly located at the feathered edge, leading to a presumptive diagnosis of carcinocythemia of unknown primary origin. The presence of a high-fluorescent cell population detected by our hematology analyzer (Sysmex XN-9100) and immunohistochemical staining with pancytokeratin AE1/AE3 confirmed the carcinoma cell origin. The patient died 4 days after referral to our hospital. Postmortem examination revealed a pleomorphic lobular breast carcinoma (triple-negative, androgen receptor-negative). Given the clinical acuity of patients with carcinocythemia, early diagnosis is essential to guide management. This case underscores the importance of optimizing current workflows relying on complex flagging algorithms and enhanced digital imaging to aid in the early detection of such rare condition. When patients present with DIC of unknown origin and high fluorescent signals are detected on the hematology analyzer, carcinocythemia should actively be ruled out by extensive microscopic peripheral blood examination.
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Affiliation(s)
- Marth Briers
- Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium
| | - Marnix Mylemans
- Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium
| | - Thomas Tousseyn
- Department of Pathology, University Hospitals Leuven, Leuven, Belgium
| | - Lo Man Lai
- Department of Pathology, University Hospitals Leuven, Leuven, Belgium
| | - Mercedeh Tajdar
- Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium
- Department of Microbiology, Immunology and Transplantation, University of Leuven, Leuven, Belgium
| | - Christine Van Laer
- Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium
- Department of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, University of Leuven, Leuven, Belgium
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3
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Tassin T, Lebecque B. Cytopenias revealing a case of carcinocythemia with bone marrow metastasis. Am J Hematol 2024; 99:461-462. [PMID: 37792605 DOI: 10.1002/ajh.27118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 09/11/2023] [Accepted: 09/19/2023] [Indexed: 10/06/2023]
Affiliation(s)
- Thomas Tassin
- Centre Hospitalier Universitaire de Clermont-Ferrand, Hématologie (Biologie), CHU Estaing, Clermont-Ferrand, France
| | - Benjamin Lebecque
- Centre Hospitalier Universitaire de Clermont-Ferrand, Hématologie (Biologie), CHU Estaing, Clermont-Ferrand, France
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4
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Farkh C, Debus J, Andrieu V, Gay J. Massive circulating metastatic cells: A case of carcinocythemia. Clin Case Rep 2024; 12:e8471. [PMID: 38333654 PMCID: PMC10849992 DOI: 10.1002/ccr3.8471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 10/02/2023] [Accepted: 11/11/2023] [Indexed: 02/10/2024] Open
Abstract
Importance of careful differential diagnosis to make the distinction between carcinocythemia and acute leukemia or lymphoma.
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Affiliation(s)
- Carine Farkh
- Laboratoire Hématologie, AP‐HPHôpital Bichat‐Claude BernardParisFrance
| | - Jérome Debus
- Laboratoire Hématologie, AP‐HPHôpital Bichat‐Claude BernardParisFrance
| | - Valérie Andrieu
- Laboratoire Hématologie, AP‐HPHôpital Bichat‐Claude BernardParisFrance
| | - Juliette Gay
- Laboratoire Hématologie, AP‐HPHôpital Bichat‐Claude BernardParisFrance
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5
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Vanrenterghem M, Mylemans M, Tousseyn T, Boeckx N. Carcinocythemia in metastatic breast cancer detected by high fluorescent signals on an automated Sysmex XN-9100 hematological cell counter. Int J Lab Hematol 2023; 45:625-627. [PMID: 37278112 DOI: 10.1111/ijlh.14112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 05/25/2023] [Indexed: 06/07/2023]
Affiliation(s)
| | - Marnix Mylemans
- Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium
| | - Thomas Tousseyn
- Department of Pathology, University Hospitals Leuven, Leuven, Belgium
| | - Nancy Boeckx
- Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium
- Department of Oncology, KU Leuven, Leuven, Belgium
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Pathak A, Panda D, Tejwani N, Mehta A. Cancer Cell Leukemia (Carcinocythemia): A rare Presentation of most Common Neoplasm in Females. Indian J Hematol Blood Transfus 2023; 39:350-352. [PMID: 37006967 PMCID: PMC10064370 DOI: 10.1007/s12288-022-01591-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 09/26/2022] [Indexed: 11/28/2022] Open
Affiliation(s)
- Amardeep Pathak
- Department of Transfusion Medicine, Rajiv Gandhi Cancer Institute and Research Center, Rohini, Delhi India
| | - Devasis Panda
- Department of Laboratory Medicine, Rajiv Gandhi Cancer Institute and Research Center, Rohini, Delhi India
| | - Narender Tejwani
- Department of Laboratory Medicine, Rajiv Gandhi Cancer Institute and Research Center, Rohini, Delhi India
| | - Anurag Mehta
- Department of Laboratory Medicine, Rajiv Gandhi Cancer Institute and Research Center, Rohini, Delhi India
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7
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Vila L, Chassagne-Clement C, Foucher B. Circulating breast carcinoma cells mimicking a hematological disease. Int J Lab Hematol 2022; 44:1009-1010. [PMID: 35730721 DOI: 10.1111/ijlh.13918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Accepted: 05/31/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Liliana Vila
- Département de Biopathologie, Centre Léon Bérard, Lyon, France.,HCL Laboratoire d'Hématologie, Lyon, France
| | | | - Barbara Foucher
- Hôpital d'Instruction des Armées Sainte Anne, Toulon, France
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8
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Jain P, Wang XI. Carcinocythemia-Cancer cell leukemia. Am J Hematol 2021; 96:397-398. [PMID: 32520403 DOI: 10.1002/ajh.25902] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 06/04/2020] [Indexed: 01/19/2023]
Affiliation(s)
- Preetesh Jain
- Division of Cancer Medicine The University of Texas, MD Anderson Cancer Center Houston Texas USA
| | - Xiaohong Iris Wang
- Department of Hemato‐Pathology Lyndon B Johnson (LBJ) Hospital Houston Texas USA
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Rakislova N, Cuatrecasas M, Molina A, Rodrigo M, Moreira L, Laguna J, Rodríguez M, Pérez FM, Carlos Laguna J, Merino A. Signet ring cell carcinocythaemia in an advanced gastric carcinoma. Int J Lab Hematol 2020; 42:e231-e233. [PMID: 32501616 DOI: 10.1111/ijlh.13259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 05/07/2020] [Accepted: 05/14/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Natalia Rakislova
- Pathology Department, CDB, Hospital Clínic de Barcelona, Barcelona, Spain.,ISGlobal, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain
| | - Miriam Cuatrecasas
- Pathology Department, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Angel Molina
- Biochemistry and Molecular Genetics Department, Core Laboratory, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Maite Rodrigo
- Pathology Department, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Leticia Moreira
- Gastroenterology Department, ICMDM, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Javier Laguna
- Biochemistry and Molecular Genetics Department, Core Laboratory, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
| | - María Rodríguez
- Biochemistry and Molecular Genetics Department, Core Laboratory, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Francisco M Pérez
- Pathology Department, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Juan Carlos Laguna
- Oncology Department, ICMHO, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Anna Merino
- Biochemistry and Molecular Genetics Department, Core Laboratory, CDB, Hospital Clínic de Barcelona, Barcelona, Spain
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