Re[2]: Interesting case

From: mann0002@mc.duke.edu
Date: Wed Dec 03 1997 - 16:53:12 EST


I am not familiar with CD65 per se, but I do not think  a T-lymphoblastic
process has been excluded. They often show coexpression of myeloid antigens. I
do not see that either a CD7 or CD3 has been performed. Of course it could be a
myeloid leukemia, I just do not think it has been proven as of yet. Any
cytogenetic abnormalities to help us out?

Karen Mann
Duke University Medical Center
_______________________________________________________________________________
Subject: Re: Interesting case
From:    melkhali@hotmail.com at internet
Date:    12/03/97  8:41 AM

The case you have described is most likely AML (CD13+, CD65+). Aberrant
expression of lymphoid antigens is frequently seen in MDS and CML
evolving into acute myelogenous leukemia. Less frequently, we have also
seen dim expression of CD10. Normally, CD10 is very dimly expressed by
mature neutrophils. Isolated CD10 expression should not, by its self,
suggest lymphocytic differentiation.

>Date: Mon, 1 Dec 1997 16:09:54 -0400
>To: Cytometry Mailing List <cytometry@flowcyt.cyto.purdue.edu>
>From: stetler@box-s.nih.gov (Maryalice Stetler-Stevenson)
>Subject: Interesting case
>
>
>I recently had an interesting case. We received bone marrow on a 75 yo
WF
>with history of MDS. We noted immediately that she now has leukemia
that is
>+CD34, CD13, CD65 and CD10 but negative for CD33, CD71, CD11b, CD14,
CD61,
>CD41, CD42b, CD64, CD36, CD19, CD20, kappa, lambda, CD4, CD8, CD2, CD5,
>CD16, CD56, and CD57. Unfortunately our MDS panel is set up to answer
>protocol questions and doesn't have all leukemia antigens we would wish
>(yes we have to worry about costs too). The blasts are weird, as
expected
>for MDS, and have scant cytoplasm, no granules and wild but small
nuclei.
>We then did some IP on the parrafin stuff and found the
>following:myeloperoxidase -, Leu 22(CD43) + and Leu M1-CD15- weird
spotty
>+. TDT is pending. My question- Has any one seen CD65 on an ALL? What
do
>you think of this?
>
>
>        Maryalice
>
>Maryalice Stetler-Stevenson
>Director Flow Cytometry Unit
>Laboratory of Pathology, NCI, NIH
>
>
>


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Subject: Re: Interesting case
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