Philadelphia chromosome-positive T-cell acute lymphoblastic leukemia: a case report

被引:0
作者
Dong, Qianze [1 ]
Darwish, Tarneem [1 ,2 ]
Howard, Meyerson [1 ,2 ]
Shetty, Shashirekha [1 ,2 ]
Wang, Yang [1 ]
Xiu, Yan [1 ]
Gallogly, Molly [3 ]
Zhao, Chen [1 ,2 ,4 ,5 ]
机构
[1] Case Western Reserve Univ, Dept Pathol, Cleveland, OH USA
[2] Univ Hosp Cleveland Med Ctr, Dept Pathol, Cleveland, OH USA
[3] Univ Hosp Cleveland Med Ctr, Dept Hematol & Oncol, Cleveland, OH USA
[4] Louis Stokes Vet Affairs Med Ctr, Dept Pathol, Cleveland, OH USA
[5] Wolstein Res Bldg,Room 6523,2103 Cornell Rd, Cleveland, OH 44106 USA
关键词
T-cell acute lymphoblastic leukemia; BCR-ABL1; Philadelphia chromosome; chronic myeloid leukemia; case report; diagnosis; BLAST PHASE; CHILDREN; IMATINIB; ADULTS;
D O I
10.1177/03000605231156757
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Philadelphia chromosome-positive (Ph+) T-cell acute lymphoblastic leukemia (T-ALL) is a rare and aggressive type of acute leukemia. The Philadelphia chromosome is the hallmark of chronic myeloid leukemia (CML). The differentiation between Ph+ T-ALL and T-cell lymphoblastic crisis of CML may be problematic in some cases. Here, we report a rare case of de novo Ph+ T-ALL that presented a diagnostic challenge. The overall clinical, immunophenotypic, cytogenetic, and xenotransplantation results suggest a diagnosis of Ph+ T-ALL. The patient was treated with induction chemotherapy including imatinib followed by haploidentical stem cell transplantation and achieved complete remission.
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