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Utilizing digital pathology and immunohistochemistry of p53 as an adjunct to molecular testing in myeloid disorders.


ABSTRACT: TP53 mutation status guides early therapeutic decisions in the treatment of clonal myeloid disorders and serves as a simple means of monitoring response to treatment. We aim here to develop a standardized protocol for evaluating TP53 mutation status in myeloid disorders using immunohistochemistry assisted by digital image analysis and further compare this approach to manual interpretation alone. To accomplish this, we obtained 118 bone marrow biopsies from patients with hematologic malignancy and molecular testing for mutations associated with acute myeloid leukemia was performed. Clot or core biopsy slides were stained for p53 and digitally scanned. Overall mutation burden was assessed digitally using two different metrics to determine positivity, compared to the results of

SUBMITTER: Rogers KJ 

PROVIDER: S-EPMC10031312 | biostudies-literature | 2023 Jan-Mar

REPOSITORIES: biostudies-literature