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American Journal of Pathology, Vol 99, 243-252, Copyright © 1980 by American Society for Investigative Pathology


REGULAR ARTICLES

Light-microscopic analysis of sectioned Sezary cells: an accurate alternative to electron microscopy

C Myrie, D Zucker-Franklin and D Ramsey

The prognostic implications of circulating Sezary cells in mycosis fungoides (MF) are not known, and the significance of fluctuating Sezary cell counts in either MF or the Sezary syndrome has not been assessed. Such studies have been hampered by the inaccuracy of counts performed on routine blood smears and the unavailability of electron microscopy for routine purposes. The present studies conducted on the peripheral blood of 35 patients with either MF or the Sezary syndrome show that Sezary cell counts performed by light microscopy of sectioned Epon-embedded lymphocyte fractions are as accurate as those carried out at the ultrastructural level. In addition, the studies include preliminary observations concerning 20 patients whose Sezary cell counts were repeated over time intervals ranging from 3 months to over 5 years. The described method should facilitate the performance of blood and lymph node Sezary cell counts on a wider scale, which is a necessity if the significance of circulating Sezary cells is to be evaluated.


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Copyright © 1980 by the American Society for Investigative Pathology.