Phenotypic and genotypic analyses of blastic cell population suggest that pure B-lymphoblastic leukemia may arise from myelodysplastic syndrome

被引:14
作者
Pajor, L
Matolcsy, A
Vass, JA
Méhes, G
Marton, É
Szabó, F
Iványi, JL
机构
[1] Univ Pecs, Sch Med, Dept Pathol, H-7643 Pecs, Hungary
[2] Markusovszky Hosp, Dept Haematol, Szombathely, Hungary
关键词
myelodysplastic syndrome; acute lymphoblastic leukemia; immunoglobulin gene rearrangement;
D O I
10.1016/S0145-2126(97)00131-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The case history of a 70-year-old man with myelodysplastic syndrome terminated into acute leukemia in 22 months is presented. The leukemic cells exhibited multifocal acid phosphatase positivity and expressed TdT, CD45, CD34 and HLA-DR but not myeloid, monocytic or megakaryocytic differentiation antigenes. The genotypic analysis revealed clonal immunoglobulin heavy chain gene rearrangement. These phenotypic and genotypic analyses of the blastic cell population suggest that myelodysplastic syndrome may transform to pure acute lymphoblastic leukemia of B-cell origin. (C) 1998 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:13 / 17
页数:5
相关论文
共 18 条
[1]   Progression of a myelodysplastic syndrome to pre-B acute lymphoblastic leukemia: A case report and cell lineage study [J].
Abruzzese, E ;
Buss, D ;
Rainer, R ;
Pettenati, MJ ;
Rao, PN .
ANNALS OF HEMATOLOGY, 1996, 73 (01) :35-38
[2]   ACUTE LYMPHOBLASTIC-LEUKEMIA IN IDIOPATHIC REFRACTORY SIDEROBLASTIC ANEMIA - EVIDENCE FOR A COMMON LYMPHOID AND MYELOID PROGENITOR-CELL [J].
BARTON, JC ;
CONRAD, ME ;
PARMLEY, RT .
AMERICAN JOURNAL OF HEMATOLOGY, 1980, 9 (01) :109-115
[3]   A MYELODYSPLASTIC SYNDROME PRECEDING ACUTE LYMPHOBLASTIC-LEUKEMIA [J].
BERNEMAN, ZN ;
VANBOCKSTAELE, D ;
DEMEYER, P ;
VANDERPLANKEN, M ;
VERTESSEN, F ;
DEBOCK, R ;
PEETERMANS, ME .
BRITISH JOURNAL OF HAEMATOLOGY, 1985, 60 (02) :353-354
[4]  
CHOMCZYNSKI P, 1987, ANAL BIOCHEM, V162, P156, DOI 10.1016/0003-2697(87)90021-2
[5]   CLONAL LYMPHOCYTES ARE DETECTABLE IN ONLY SOME CASES OF MDS [J].
CULLIGAN, DJ ;
CACHIA, P ;
WHITTAKER, J ;
JACOBS, A ;
PADUA, RA .
BRITISH JOURNAL OF HAEMATOLOGY, 1992, 81 (03) :346-352
[6]  
DELFAU MH, 1990, LEUKEMIA, V4, P1
[7]   MYELODYSPLASTIC SYNDROMES - PATHOGENESIS, FUNCTIONAL ABNORMALITIES, AND CLINICAL IMPLICATIONS [J].
JACOBS, A .
JOURNAL OF CLINICAL PATHOLOGY, 1985, 38 (11) :1201-1217
[8]  
Kabat E. A., 1991, SEQUENCES PROTEINS I
[9]   Progression from myelodysplastic syndrome to acute lymphoblastic leukaemia with Philadelphia chromosome and p190 BCR-ABL transcript [J].
Kohno, T ;
Amenomori, T ;
Atogami, S ;
Sasagawa, I ;
Nakamura, H ;
Kuriyama, K ;
Tomonaga, M .
BRITISH JOURNAL OF HAEMATOLOGY, 1996, 93 (02) :389-391
[10]  
MIGUEL JFS, 1991, BLOOD, V78, P768