“…Although several groups have attempted to develop a flow cytometric assay for cyclin-D1, most lack sensitivity, and probably the most sensitive method, which uses an enzymatic amplification step, appears to lack specificity in the distinction between CLL/SLL and MCL. 31 MZL is CD5 ϩ in approximately 5% of patients and can be difficult to distinguish from CLL/SLL with a variant phenotype and other CD5 ϩ lymphoid neoplasms. 32,33 Possible distinguishing features include lack of expression of CD23 in most MZL and presence of plasmacytic differentiation in a significant subset of MZL, as demonstrated by expression of CD138, bright expression of CD38, and cytoplasmic immunoglobulin light chain restriction in at least a subset of the neoplastic cells.…”