Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2004-4-14
pubmed:abstractText
We describe 15 patients (9 children) with precursor B-cell (pB) acute lymphoblastic leukemia (ALL) with surface immunoglobulin (sIg) light chain restriction revealed by flow cytometric immunophenotyping (FCI). The same sIg+ immunophenotype was present at diagnosis and in 3 relapses in 1 patient. In 15 patients, blasts were CD19+ CD10+ (bright coexpression) in 14, CD34+ in 12, surface kappa+ in 12, surface lambda+ in 3; in 8 of 8, terminal deoxyribonucleotidyl transferase (TdT)+; and in 4, surface IgD+ in 2 and surface IgM+ in 1. The 3 CD34- cases included 1 TdT+ case, 1 with t(1;19)(q23;p13), and 1 infant with 70% marrow blasts. One adult had CD10- CD19+ CD20- CD22+ CD34+ TdT+ sIg+ blasts with t(2;11)(p21;q23). Blasts were L1 or L2 in all cases (French-American-British classification). Karyotypic analysis in 12 of 12 analyzable cases was negative for 8q24 (myc) translocation. Karyotypic abnormalities, confirmed by fluorescence in situ hybridization in 6 cases, included hyperdiploidy, t(1;19)(q23;p13), t(12;21)(p13;q22), t(9;22)(q34;q11), t(2;11)(p21;q23), and trisomy 12. The sIg light chain restriction in pB ALL might be present in neoplasms arising from the early, intermediate, and late stages of precursor B-cell maturation; sIg light chain restriction revealed by FCI does not necessarily indicate a mature B-cell phenotype, further emphasizing the importance of a multidisciplinary approach to diagnosing B-lymphoid neoplasms.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0002-9173
pubmed:author
pubmed:issnType
Print
pubmed:volume
121
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
512-25
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15080303-Adolescent, pubmed-meshheading:15080303-Adult, pubmed-meshheading:15080303-Aged, pubmed-meshheading:15080303-Antigens, CD, pubmed-meshheading:15080303-B-Lymphocytes, pubmed-meshheading:15080303-Child, pubmed-meshheading:15080303-Child, Preschool, pubmed-meshheading:15080303-Chromosome Aberrations, pubmed-meshheading:15080303-Female, pubmed-meshheading:15080303-Flow Cytometry, pubmed-meshheading:15080303-Humans, pubmed-meshheading:15080303-Immunoglobulin Light Chains, pubmed-meshheading:15080303-Immunophenotyping, pubmed-meshheading:15080303-In Situ Hybridization, Fluorescence, pubmed-meshheading:15080303-Male, pubmed-meshheading:15080303-Middle Aged, pubmed-meshheading:15080303-Precursor B-Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:15080303-Stem Cells
pubmed:year
2004
pubmed:articleTitle
Precursor B lymphoblastic leukemia with surface light chain immunoglobulin restriction: a report of 15 patients.
pubmed:affiliation
Department of Pathology, Buffalo General Hospital, the State University of New York at Buffalo, USA.
pubmed:publicationType
Journal Article, Comparative Study