Atypical aleukemic presentation of large granular lymphocytic leukemia: a case report.

Abstract:

:Large granular lymphocytic leukemia (LGLL) is a rare lymphoproliferative disorder of transformed natural killer or T-cells attributed to chronic exposure to the proinflammatory cytokine IL-15. Diagnosis of the majority of T-cell LGLL is established by documenting clonal large granular lymphocytes (LGLs) in peripheral blood, by morphology and immunophenotype. The proteasome inhibitor bortezomib is known to target molecular pathways downstream of the IL-15 receptor signaling and has been proposed as a therapy in these patients. We report an uncommon presentation of LGLL with chronic neutropenia lacking typical blood LGLs, which failed to respond to bortezomib but obtained a very good partial remission with a classical methotrexate regimen.

journal_name

Onco Targets Ther

journal_title

OncoTargets and therapy

authors

Bagacean C,Tempescul A,Patiu M,Fetica B,Bumbea H,Zdrenghea M

doi

10.2147/OTT.S115892

subject

Has Abstract

pub_date

2016-12-19 00:00:00

pages

31-34

issn

1178-6930

pii

ott-10-031

journal_volume

10

pub_type

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