A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis

B-cell precursor acute lymphoblastic leukemia (BCP-ALL), which is the most common type of ALL, has an excellent prognosis with long-term event-free survival of 90%. The malignancy has several genetic abnormalities that may influence patient prognosis. Rearrangements of the three immunoglobulin genes...

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Main Authors: Jianne Lee, Sun Young Kim, Yeon Jung Lim
Format: Article
Language:English
Published: The Korean Society of Pediatric Hematology-Oncology 2022-10-01
Series:Clinical Pediatric Hematology-Oncology
Subjects:
Online Access:https://doi.org/10.15264/cpho.2022.29.2.89
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author Jianne Lee
Sun Young Kim
Yeon Jung Lim
author_facet Jianne Lee
Sun Young Kim
Yeon Jung Lim
author_sort Jianne Lee
collection DOAJ
description B-cell precursor acute lymphoblastic leukemia (BCP-ALL), which is the most common type of ALL, has an excellent prognosis with long-term event-free survival of 90%. The malignancy has several genetic abnormalities that may influence patient prognosis. Rearrangements of the three immunoglobulin genes IGK(2p12), IGH(14q32), and IGL(22q11) are often seen, especially in non-Hodgkin lymphoma (NHL), but recombination of these genes are uncommon. The translocation, t(14;22)(q32;q11) has been reported in only 9 B-cell leukemia/lymphoma cases, but there has been no report about the clinical feature and prognosis of BCP-ALL with t(14;22)(q32;q11). In this paper, we describe the first pediatric case of BCP-ALL with t(14;22)(q32;q11) who presented with a very high white blood cell (WBC) count. He achieved cytogenetic complete remission after induction chemotherapy, and negative minimal residual disease (MRD) at the end of consolidation.
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spelling doaj.art-256052005adc4494af5b60006717a14a2022-12-22T03:22:34ZengThe Korean Society of Pediatric Hematology-OncologyClinical Pediatric Hematology-Oncology2233-52502022-10-01292899110.15264/cpho.2022.29.2.89cpho.2022.29.2.89A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting HyperleukocytosisJianne Lee0Sun Young Kim1Yeon Jung Lim2Department of Pediatrics, Chungnam National University Hospital, Daejeon, KoreaDepartment of Laboratory Medicine, Chungnam National University Hospital, Daejeon, KoreaDepartment of Pediatrics, Chungnam National University Hospital, Daejeon, KoreaB-cell precursor acute lymphoblastic leukemia (BCP-ALL), which is the most common type of ALL, has an excellent prognosis with long-term event-free survival of 90%. The malignancy has several genetic abnormalities that may influence patient prognosis. Rearrangements of the three immunoglobulin genes IGK(2p12), IGH(14q32), and IGL(22q11) are often seen, especially in non-Hodgkin lymphoma (NHL), but recombination of these genes are uncommon. The translocation, t(14;22)(q32;q11) has been reported in only 9 B-cell leukemia/lymphoma cases, but there has been no report about the clinical feature and prognosis of BCP-ALL with t(14;22)(q32;q11). In this paper, we describe the first pediatric case of BCP-ALL with t(14;22)(q32;q11) who presented with a very high white blood cell (WBC) count. He achieved cytogenetic complete remission after induction chemotherapy, and negative minimal residual disease (MRD) at the end of consolidation.https://doi.org/10.15264/cpho.2022.29.2.89acute lymphoblastic leukemiachromosome aberrationschildprecursor cell lymphoblastic leukemia-lymphoma
spellingShingle Jianne Lee
Sun Young Kim
Yeon Jung Lim
A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis
Clinical Pediatric Hematology-Oncology
acute lymphoblastic leukemia
chromosome aberrations
child
precursor cell lymphoblastic leukemia-lymphoma
title A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis
title_full A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis
title_fullStr A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis
title_full_unstemmed A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis
title_short A Case of B-cell Precursor Acute Lymphoblastic Leukemia with the t(14;22)(q32;q11) Presenting Hyperleukocytosis
title_sort case of b cell precursor acute lymphoblastic leukemia with the t 14 22 q32 q11 presenting hyperleukocytosis
topic acute lymphoblastic leukemia
chromosome aberrations
child
precursor cell lymphoblastic leukemia-lymphoma
url https://doi.org/10.15264/cpho.2022.29.2.89
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