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Cytogenetics

Acute lymphoblastic leukemia with an unusual t(8;14)(q11.2;q32): a Pediatric Oncology Group study

Leukemia volume 14, pages 238–240 (2000)Cite this article

Abstract

We present the clinicopathologic findings and survival data on 10 patients with acute lymphoblastic leukemia (ALL) and a rare t(8;14)(q11.2;q32). There were five male and five female patients, nine Caucasians and one Black, aged 4–17 (median 10.9) years. Three had Down syndrome. Eight (80%) patients had a white blood cell (WBC) count <50 × 109/l at presentation. No patient had central nervous system involvement or a mediastinal mass. Two patients had concurrent splenomegaly and hepatomegaly. Adenopathy was absent in four, minimal in three, moderate in one and prominent in two patients. All eight cases where immunophenotyping was performed by flow cytometry showed a B-precursor phenotype with expression of CD10 (CALLA). Only one case exhibited t(8;14)(q11.2;q32) as the sole karyotypic abnormality. Three patients were classified as standard-risk and seven high-risk by NCI (National Cancer Institute) consensus risk group categories. All patients achieved complete remission and seven patients were in complete continuous remission (CCR) after chemotherapy designed for B-precursor ALL. Three patients relapsed after 23.5, 31.3 and 32.1 months of EFS; the first patient also had t(9;22)(q34;q11), the second had a WBC count of 126 × 109/l at presentation while the third patient had no high risk features except for age 10 years. Thus, from our data, the t(8;14)(q11.2;q32) does not appear to confer an increased risk of relapse. Further observations are needed to confirm this conclusion.

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Authors and Affiliations

  1. Division of Surgical Pathology Washington University School of Medicine, St Louis, MO, USA

    Z Kaleem & MM Zutter

  2. POG Statistical Office and Department of Statistics, University of Florida, Gainesville, FL, USA

    JJ Shuster

  3. Department of Human Genetics, University of Alabama at Birmingham, AL, USA

    AJ Carroll

  4. Department of Pathology, Johns Hopkins University, Baltimore, MD, USA

    MJ Borowitz

  5. Department of Pediatrics, University of Mississipi, Jackson, MS, USA

    DJ Pullen

  6. Midwest Children Cancer Center, Milwaukee, WI and the Pediatric Oncology Group, Chicago, IL, USA

    BM Camitta

  7. Division of Medical Genetics, Washington University School of Medicine, St Louis, MO, USA

    MS Watson

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  1. Z Kaleem
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Kaleem, Z., Shuster, J., Carroll, A. et al. Acute lymphoblastic leukemia with an unusual t(8;14)(q11.2;q32): a Pediatric Oncology Group study. Leukemia 14, 238–240 (2000). https://doi.org/10.1038/sj.leu.2401675

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