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High frequency of pro-B acute lymphoblastic leukemia in adults with secondary leukemia with 11q23 abnormalities

Leukemia volume 17, pages 1091–1095 (2003)Cite this article

Abstract

To evaluate the frequency and cytogenetic and immunophenotypic features of therapy-related, precursor B-cell acute lymphoblastic leukemia (ALL), 152 cases of immature B-cell ALL were reviewed. These were compared to the frequency of therapy-related acute myeloid leukemia (t-AML) during the same time period. Eight ALL cases with a prior diagnosis of malignancy were identified, including six (4.0%) with prior therapy considered to be therapy-related ALL (t-ALL). The t-ALL cases followed treatment for breast carcinoma (two cases), lung carcinoma (two cases), lymphocyte predominance Hodgkin's disease and follicular lymphoma with a latency period of 13 months to 8 years. All t-ALL cases had a pro-B (CD10-negative) immunophenotype with significantly higher expression of CD15 and CD65, compared to the de novo CD10-positive ALL cases. All six t-ALL cases had MLL abnormalities by fluorescence in situ hybridization, and four showed t(4;11)(q21;q23). These represented half of all 11q23-positive adult ALL cases. During the same time period, 4.9% of all AML cases were considered t-AML. There was a 16.7% frequency of 11q23 abnormalities in the t-AML group. Despite the similar frequency in therapy-related disease among ALL and AML cases, there were differences in the frequency of the diseases and t-ALL represented 12% of all therapy-related leukemias. However, t-ALL represented 46% of all 11q23-positive therapy-related leukemias. The immunogenetic features of t-ALL appear distinct and may aid in identifying more cases of this disease type in the future.

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Acknowledgements

This work was supported in part by NIH CA-33572 and CA-30206.

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Author notes

  1. S Ishizawa: Visiting Scientist from Toyama Medical and Pharmacy University Hospital, Toyama, Japan

Authors and Affiliations

  1. Division of Pathology, City of Hope National Medical Center, Duarte, CA, USA

    S Ishizawa, M L Slovak, V Bedell, J E Wrede & D A Arber

  2. Hematology/Bone Marrow Transplantation, City of Hope National Medical Center, Duarte, CA, USA

    L Popplewell & D S Snyder

  3. Biostatistics, City of Hope National Medical Center, Duarte, CA, USA

    N H Carter

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  1. S Ishizawa
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  2. M L Slovak
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  3. L Popplewell
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  4. V Bedell
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  5. J E Wrede
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  6. N H Carter
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  7. D S Snyder
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  8. D A Arber
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Ishizawa, S., Slovak, M., Popplewell, L. et al. High frequency of pro-B acute lymphoblastic leukemia in adults with secondary leukemia with 11q23 abnormalities. Leukemia 17, 1091–1095 (2003). https://doi.org/10.1038/sj.leu.2402918

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