Re: Yet another interesting case

From: Anna Porwit-MacDonald (Anja.Porwit@mb.ks.se)
Date: Mon Jan 26 1998 - 10:24:18 EST


Dear Jan,

During last four years we had 2 similar cases of childhood ALL showing
coexpression of myeloid (one CD15 and one CD13) and CD7 markers together
with a common ALL phenotype.
The clinics and response to the first line treatment did not differ from
what is usually seen in B-precursor ALL.
Best wishes
Anna Porwit-MacDonald



At 13.14 1998-01-25 +1200, you wrote:
>
>We have just typed a child with the following immunophenotype.
>
>The blasts are postive(>90%) for CD45, HLA-DR, TdT, CD34 , CD19, CD22. CD10
>= 60%, CD20= 47%.  There are 40% CD33+CD7+ cells which by further double
>labelling are also CD10+.
>Negative for: CIg-mu, T markers, CD1a,CD2, CD3, Cyto CD3, CD5, Myeloid,
>CD13 and CD14.
>Myeloperoxidase stain is negative and the blasts look lymphoid :FAB ALL-L2.
>Cytogenetics not through yet.
>
>Is this a common ALL with CD33 expression (not uncommon of course) with
>abberant expression of CD7?
>I would be reluctant to call it mixed or biphenotyic.
>
>I have seen one reference which cited 3 cases of CD7 + common ALL but there
>was no myeloid antigen positivity.
>Feedback appreciated.
>thanks
>Jan
>
>Jan Nelson
>Molecular Haematology
>Department of Molecular Medicine
>The University of Auckland
>Phone: (+64)(9) 373-7599 ext 6381
>Fax:   (+64)(9) 373-7492
>
>
>
>
Anna Porwit-MacDonald
Heamatopathology Lab.
Department of Pathology
Karolinska Hospital, Stockholm
anpo@mb.ks.se
tel.:+46-851775863
fax.:+46-851775843



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