B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma

Secondary acute lymphoblastic leukemia (ALL) is a rare disease that has not been well characterized compared with secondary myelodysplastic syndrome or secondary acute myeloid leukemia. We present a report of two patients who developed ALL following complete remission of diffuse large B-cell lymphom...

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Main Authors: Daria Gaut, Anthony Bejjani, Joshua Sasine, Gary Schiller
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Hematology Reports
Subjects:
Online Access:https://www.pagepress.org/journals/index.php/hr/article/view/8100
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author Daria Gaut
Anthony Bejjani
Joshua Sasine
Gary Schiller
author_facet Daria Gaut
Anthony Bejjani
Joshua Sasine
Gary Schiller
author_sort Daria Gaut
collection DOAJ
description Secondary acute lymphoblastic leukemia (ALL) is a rare disease that has not been well characterized compared with secondary myelodysplastic syndrome or secondary acute myeloid leukemia. We present a report of two patients who developed ALL following complete remission of diffuse large B-cell lymphoma (DLBCL). The first case is more consistent with a therapy-related ALL as a PCR analysis of bone marrow aspirate revealed a distinct clone and the mixed-lineage leukemia gene rearrangement, commonly associated with exposure to topoisomerase II inhibitors. The second case is more consistent with clonal evolution given positive MYC and BCL2 fusion signals in the original diagnosis of DLBCL and the secondary ALL.
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spelling doaj.art-cae9b2965ada453c855b1ba6a8aa7f2b2023-02-02T08:03:17ZengMDPI AGHematology Reports2038-83222038-83302019-06-0111210.4081/hr.2019.8100B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphomaDaria Gaut0Anthony Bejjani1Joshua Sasine2Gary Schiller3Department of Medicine, University of California Los Angeles, CADivision of Hematology/Oncology, David Geffen School of Medicine, University of California Los Angeles, CADivision of Hematology/Oncology, David Geffen School of Medicine, University of California Los Angeles, CADivision of Hematology/Oncology, David Geffen School of Medicine, University of California Los Angeles, CASecondary acute lymphoblastic leukemia (ALL) is a rare disease that has not been well characterized compared with secondary myelodysplastic syndrome or secondary acute myeloid leukemia. We present a report of two patients who developed ALL following complete remission of diffuse large B-cell lymphoma (DLBCL). The first case is more consistent with a therapy-related ALL as a PCR analysis of bone marrow aspirate revealed a distinct clone and the mixed-lineage leukemia gene rearrangement, commonly associated with exposure to topoisomerase II inhibitors. The second case is more consistent with clonal evolution given positive MYC and BCL2 fusion signals in the original diagnosis of DLBCL and the secondary ALL.https://www.pagepress.org/journals/index.php/hr/article/view/8100acute lymphoblastic leukemiadiffuse large B-cell lymphoma, secondary malignancysecondary acute lymphoblastic leukemiatherapy-related acute lymphoblastic leukemia
spellingShingle Daria Gaut
Anthony Bejjani
Joshua Sasine
Gary Schiller
B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma
Hematology Reports
acute lymphoblastic leukemia
diffuse large B-cell lymphoma, secondary malignancy
secondary acute lymphoblastic leukemia
therapy-related acute lymphoblastic leukemia
title B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma
title_full B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma
title_fullStr B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma
title_full_unstemmed B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma
title_short B-cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large B-cell lymphoma
title_sort b cell acute lymphoblastic leukemia as a secondary malignancy following diffuse large b cell lymphoma
topic acute lymphoblastic leukemia
diffuse large B-cell lymphoma, secondary malignancy
secondary acute lymphoblastic leukemia
therapy-related acute lymphoblastic leukemia
url https://www.pagepress.org/journals/index.php/hr/article/view/8100
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