Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy

Presence of cytoplasmic granules in the blasts is a well known feature of myeloid leukemia. ALL presenting with the numerous cytoplasmic granules in blasts is a rarity and may be misdiagnosed as acute myeloid leukemia. We describe a rare case of hypergranular precursor B-cell acute lymphoblastic leu...

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Main Authors: Tembhare Prashant, Subramanian P, Sehgal Kunal, Yajamanam Badrinath, Kumar Ashok, Gujral Sumeet
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-07-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=3;spage=421;epage=423;aulast=Tembhare
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author Tembhare Prashant
Subramanian P
Sehgal Kunal
Yajamanam Badrinath
Kumar Ashok
Gujral Sumeet
author_facet Tembhare Prashant
Subramanian P
Sehgal Kunal
Yajamanam Badrinath
Kumar Ashok
Gujral Sumeet
author_sort Tembhare Prashant
collection DOAJ
description Presence of cytoplasmic granules in the blasts is a well known feature of myeloid leukemia. ALL presenting with the numerous cytoplasmic granules in blasts is a rarity and may be misdiagnosed as acute myeloid leukemia. We describe a rare case of hypergranular precursor B-cell acute lymphoblastic leukemia (ALL) in an adolescent male expressing CD10, CD19, CytoCD22, CD34, as well as CD13 and CD117. The blasts were cytochemically negative for myeloperoxidase (MPO), and acid phosphatase (ACP) but were positive for non-specific esterase (NSE). In centers where immunophenotypic panel is usually decided on the basis of morphology with limited antibodies may result in an erroneous typing of such rare diseases. Hence it is important to be aware of this rare entity and to confirm the lineage of acute leukemia by using a comprehensive panel of antibodies for immunophenotypic analysis.
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spelling doaj.art-bcd20abd5f9b4711b6b9a90825503e462022-12-21T23:05:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292009-07-01523421423Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boyTembhare PrashantSubramanian PSehgal KunalYajamanam BadrinathKumar AshokGujral SumeetPresence of cytoplasmic granules in the blasts is a well known feature of myeloid leukemia. ALL presenting with the numerous cytoplasmic granules in blasts is a rarity and may be misdiagnosed as acute myeloid leukemia. We describe a rare case of hypergranular precursor B-cell acute lymphoblastic leukemia (ALL) in an adolescent male expressing CD10, CD19, CytoCD22, CD34, as well as CD13 and CD117. The blasts were cytochemically negative for myeloperoxidase (MPO), and acid phosphatase (ACP) but were positive for non-specific esterase (NSE). In centers where immunophenotypic panel is usually decided on the basis of morphology with limited antibodies may result in an erroneous typing of such rare diseases. Hence it is important to be aware of this rare entity and to confirm the lineage of acute leukemia by using a comprehensive panel of antibodies for immunophenotypic analysis.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=3;spage=421;epage=423;aulast=TembhareAcute lukemiahypergranular blastimmunophenotyping
spellingShingle Tembhare Prashant
Subramanian P
Sehgal Kunal
Yajamanam Badrinath
Kumar Ashok
Gujral Sumeet
Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy
Indian Journal of Pathology and Microbiology
Acute lukemia
hypergranular blast
immunophenotyping
title Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy
title_full Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy
title_fullStr Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy
title_full_unstemmed Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy
title_short Hypergranular precursor B-cell acute lymphoblastic leukemia in a 16-year-old boy
title_sort hypergranular precursor b cell acute lymphoblastic leukemia in a 16 year old boy
topic Acute lukemia
hypergranular blast
immunophenotyping
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=3;spage=421;epage=423;aulast=Tembhare
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