CD7 aberrant expression led to a lineage switch at relapsed childhood acute pre-B lymphoblastic leukemia
Case Report
First Online:
Received:
Accepted:
- 200 Downloads
- 1 Citations
Abstract
Immunophenotypic changes and lineage switch between diagnosis and relapse in acute lymphoblastic leukemia are uncommon and accompanied by poor outcomes. In this report, a 12-year-old boy with diagnosis of pre-B ALL with an aberrant expression of CD 7 is described. Patient was treated with the ALL-BFM 2000 protocol and suffered an episode of relapse with a lineage switch from pre-B ALL to T cell ALL. This report concludes that presence of aberrant expression of CD7 at diagnosis of pre-B ALL can have prognostic value of lineage switch to T cell ALL at relapse.
Keywords
Lymphoblastic leukemia Lineage switch Neoplasm antigens RecurrenceNotes
Acknowledgments
Mahak’s research team sends their gratitude to all colleagues for their helpful discussions.
Compliance with ethical standards
Conflict of interest
The authors reported no potential conflicts of interest.
References
- 1.Lanzkowsky P (2011) Manual of hematology and oncology. Elsevier, United States of AmericaGoogle Scholar
- 2.Han X, Bueso-Ramos CE (2007) Precursor T-cell acute lymphoblastic leukemia/lymphoblastic lymphoma and acute biphenotypic leukemias. Am J Clin Pathol 127:528–544CrossRefPubMedGoogle Scholar
- 3.Jaffe ES, Harris NL, Vardiman JW, Campo E, Arber DA (2010) Hematopathology. Saunders, Philadelphia, p 1072Google Scholar
- 4.Matutes E, Morilla R, Farahat N, Carbonell F, Swansbury J, Dyer M, Catovsky D (1997) Definition of acute biphenotypic leukemia. Haematologica 82:64–66PubMedGoogle Scholar
- 5.Henze G, Fengler R, Hartmann R, Kornhuber B, Janka-Schaub G, Niethammer D, Riehm H (1991) Six-year experience with a comprehensive approach to the treatment of recurrent childhood acute lymphoblastic leukemia (ALL-REZ BFM 85). A relapse study of the BFM group. Blood 78:1166–1172PubMedGoogle Scholar
- 6.Reiter A, Schrappe M, Ludwig W-D, Hiddemann W, Sauter S, Henze G, Zimmermann M, Lampert F, Havers W, Niethammer D (1994) Chemotherapy in 998 unselected childhood acute lymphoblastic leukemia patients. Results and conclusions of the multicenter trial ALL-BFM 86. Blood 84:3122–3133PubMedGoogle Scholar
- 7.Van Wering E, Beishuizen A, Roeffen E, Van Der Linden-Schrever B, Verhoeven M, Hählen K, Hooijkaas H, Van Dongen J (1995) Immunophenotypic changes between diagnosis and relapse in childhood acute lymphoblastic leukemia. Leukemia 9:1523–1533PubMedGoogle Scholar
- 8.Guglielmi C, Cordone I, Boecklin F, Masi S, Valentini T, Vegna M, Ferrari A, Testi A, Foa R (1997) Immunophenotype of adult and childhood acute lymphoblastic leukemia: changes at first relapse and clinico-prognostic implications. Leukemia 11:1501–1507CrossRefPubMedGoogle Scholar
- 9.Rossi JG, Bernasconi AR, Alonso CN, Rubio PL, Gallego MS, Carrara CA, Guitter MR, Eberle SE, Cocce M, Zubizarreta PA (2012) Lineage switch in childhood acute leukemia: an unusual event with poor outcome. Am J Hematol 87:890–897CrossRefPubMedGoogle Scholar
- 10.Raghavachar A, Thiel E, Bartram CR (1987) Analyses of phenotype and genotype in acute lymphoblastic leukemias at first presentation and in relapse. Blood 70:1079–1083PubMedGoogle Scholar
- 11.Moradi-Lakeh M, Esteghamati A (2013) National Immunization Program in Iran: whys and why nots. Hum Vaccin Immunother 9:112–114CrossRefPubMedPubMedCentralGoogle Scholar
- 12.Möricke A, Zimmermann M, Reiter A, Henze G, Schrauder A, Gadner H, Ludwig W, Ritter J, Harbott J, Mann G (2010) Long-term results of five consecutive trials in childhood acute lymphoblastic leukemia performed by the ALL-BFM study group from 1981 to 2000. Leukemia 24:265–284CrossRefPubMedGoogle Scholar
- 13.Schorin MA, Blattner S, Gelber RD, Tarbell NJ, Donnelly M, Dalton V, Cohen HJ, Sallan SE (1994) Treatment of childhood acute lymphoblastic leukemia: results of Dana-Farber Cancer Institute/Children’s Hospital Acute Lymphoblastic Leukemia Consortium Protocol 85-01. J Clin Oncol 12:740–747PubMedGoogle Scholar
- 14.Park M, Koh KN, Kim BE, Im HJ, Jang S, Park CJ, Chi HS, Seo JJ (2011) Lineage switch at relapse of childhood acute leukemia: a report of four cases. J Korean Med Sci 26:829–831CrossRefPubMedPubMedCentralGoogle Scholar
- 15.Pui C-H, Raimondi SC, Behm FG, Ochs J, Furman WL, Bunin NJ, Ribeiro RC, Tinsley PA, Mirro J (1986) Shifts in blast cell phenotype and karyotype at relapse of childhood lymphoblastic leukemia [published erratum appears in Blood 1987 Mar; 69 (3): 996]. Blood 68:1306–1310PubMedGoogle Scholar
- 16.Abshire T, Buchanan G, Jackson J, Shuster J, Brock B, Head D, Behm F, Crist W, Link M, Borowitz M (1992) Morphologic, immunologic and cytogenetic studies in children with acute lymphoblastic leukemia at diagnosis and relapse: a Pediatric Oncology Group study. Leukemia 6:357–362PubMedGoogle Scholar
- 17.Cruse JM, Lewis RE, Pierce S, Lam J, Tadros Y (2005) Aberrant expression of CD7, CD56, and CD79a antigens in acute myeloid leukemias. Exp Mol Pathol 79:39–41CrossRefPubMedGoogle Scholar
- 18.Rausei-Mills V, Chang KL, Gaal KK, Weiss LM, Huang Q (2008) Aberrant expression of CD7 in myeloblasts is highly associated with de novo acute myeloid leukemias with FLT3/ITD mutation. Am J Clin Pathol 129:624–629CrossRefPubMedGoogle Scholar
- 19.Hussein S, Gill KZ, Sireci AN, Colovai AI, Small T, Emmons FN, Murty VV, Bhagat G, Alobeid B (2011) Aberrant T-cell antigen expression in B lymphoblastic leukaemia. Br J Haematol 155:449–456CrossRefPubMedGoogle Scholar
Copyright information
© The Japanese Society for Clinical Molecular Morphology 2015