From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution

Abstract The simultaneous detection of BCR::ABL1 and JAK2 V617F was rarely reported and their clonal relationship and dynamic clonal shift were not characterized. Here, we described a unique case with the initial presentation as JAK2 V617F+ primary myelofibrosis, followed by the emergence of BCR::AB...

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Main Authors: Devin Wang, Wataru Kamata, Fengxi Ye, M. James You
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.806
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author Devin Wang
Wataru Kamata
Fengxi Ye
M. James You
author_facet Devin Wang
Wataru Kamata
Fengxi Ye
M. James You
author_sort Devin Wang
collection DOAJ
description Abstract The simultaneous detection of BCR::ABL1 and JAK2 V617F was rarely reported and their clonal relationship and dynamic clonal shift were not characterized. Here, we described a unique case with the initial presentation as JAK2 V617F+ primary myelofibrosis, followed by the emergence of BCR::ABL1+ chronic myeloid leukemia. The patient then developed BCR::ABL1+ B‐lymphoblastic leukemia. Treatment for B‐lymphoblastic leukemia prompted a regression to the state of primary myelofibrosis. In light of these observations, we proposed a clonal evolution model for this case.
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spelling doaj.art-b6bbe0ad9a914f62912730aeb05d1be92024-02-23T16:50:43ZengWileyeJHaem2688-61462024-02-015115716110.1002/jha2.806From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolutionDevin Wang0Wataru Kamata1Fengxi Ye2M. James You3Department of HematopathologyThe University of Texas MD Anderson Cancer CenterHoustonTexasUSADepartment of HematopathologyThe University of Texas MD Anderson Cancer CenterHoustonTexasUSADepartment of HematopathologyThe University of Texas MD Anderson Cancer CenterHoustonTexasUSADepartment of HematopathologyThe University of Texas MD Anderson Cancer CenterHoustonTexasUSAAbstract The simultaneous detection of BCR::ABL1 and JAK2 V617F was rarely reported and their clonal relationship and dynamic clonal shift were not characterized. Here, we described a unique case with the initial presentation as JAK2 V617F+ primary myelofibrosis, followed by the emergence of BCR::ABL1+ chronic myeloid leukemia. The patient then developed BCR::ABL1+ B‐lymphoblastic leukemia. Treatment for B‐lymphoblastic leukemia prompted a regression to the state of primary myelofibrosis. In light of these observations, we proposed a clonal evolution model for this case.https://doi.org/10.1002/jha2.806BCR::ABL1 + B‐ALLclonal evolutionCMLJAK2 V617FPMF
spellingShingle Devin Wang
Wataru Kamata
Fengxi Ye
M. James You
From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution
eJHaem
BCR::ABL1 + B‐ALL
clonal evolution
CML
JAK2 V617F
PMF
title From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution
title_full From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution
title_fullStr From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution
title_full_unstemmed From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution
title_short From primary myelofibrosis to chronic myeloid leukemia, BCR::ABL1+ B‐Lymphoblastic leukemia, and back to primary myelofibrosis: An illustration of dynamic clonal evolution
title_sort from primary myelofibrosis to chronic myeloid leukemia bcr abl1 b lymphoblastic leukemia and back to primary myelofibrosis an illustration of dynamic clonal evolution
topic BCR::ABL1 + B‐ALL
clonal evolution
CML
JAK2 V617F
PMF
url https://doi.org/10.1002/jha2.806
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