Re: AML

From: Elizabeth Paietta (paietta@aecom.yu.edu)
Date: Wed Jan 22 1997 - 08:22:35 EST


On Tue, 21 Jan 1997, Anna Porwit-MacDonald wrote:

> 
> >
> >     We have just seen a case that is suspected of being AML but is 
> >     positive for CD13 only.  It is negative for all other markers 
> >     including CD45.  This patient has presented with bilateral renal 
> >     masses and a deep iliac mass.  A random bone marrow showed a diffuse 
> >     infiltrate of blast cells believed to be myeloid but only CD13 
> >     positive.  Has anyone else seen any AMLs that are only positive for 
> >     CD13?
> >     
> >     Thanks for the help.
> >     
> >     Haywood Pyle
> >     pyle@kfshrc.edu.sa
> >
> >Hi!
> I  have not seen such a case in a rather large material 
> (approx.300 cases studied) !
>  Did you check cytoplasmic staining for CD22, CD3, myeloperoxidase? Is CD117 
> and  CD56 also negative?
> CD13 reacts with aminopeptidase-N (ref. among others Favaloro et al, 
> Leukocyte typing V,p.1788, Oxford University Press 1995), so it is not 
> impossible that non-hematopoietic tumors may react. Is it possible to 
> perform cytochemistry (eg chloracetate esterase) on cytologic material?
> Would be grateful to know the facit when you have it!
> Best wishes
> Anna Porwit-MacDonadl
> Haematopathology Lab., Department of Pathology,
> Karolinska Hopital, Stockholm
> >
> 
> I agree with Anna and her questions.  I have not seen a case like this 
in about 1,000 cases of AML studied.  
Regards, Elisabeth Paietta



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