The onset of CML in blastic crisis: molecular features.

Abstract:

:The lack of distinguishing characteristics between lymphoid blastic crisis (BC) of Philadelphia (Ph)+ chronic myeloid leukemia (CML) and Ph+ acute lymphoblastic leukemia (ALL) remains an exciting dilemma. Indeed, the genetic defect of approximately half of Ph+ ALL patients is identical to that identified in CML. Here we report the case of one patient admitted with immunological and molecular patterns indicative of Ph+ ALL. The patient was brought into complete remission by chemotherapy and was transplanted with an HLA identical sibling donor, but relapsed a few months later with immunological and molecular evidence of BC of CML, displaying myeloid markers and lacking lymphoid antigens and immunoglobulin heavy chain (IgH) rearrangement. This suggest a CML case with an initial BC without a previous chronic phase or supervening on a subclinical CML.

authors

Gregorini A,Filippetti A,Luchetti F,Walker A,Lillington DM,Papa S,Valentini M

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

111-4

issue

3

eissn

0393-974X

issn

1724-6083

journal_volume

11

pub_type

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