Haematologica
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Haematologica, Vol 91, Issue 5_Suppl, ECR09-ECR09
Copyright © 2006 by Ferrata Storti Foundation


Case Reports

Two consecutive immunophenotypic switches in a child with MLL-rearranged acute lymphoblastic leukemia

G Germano, M Pigazzi, L del Giudice, M Campo Dell'Orto, M Spinelli, A Zangrando, P Paolucci, S Ladogana, and G Basso

Laboratory of Pediatric Onco-Hematology, Department of Pediatrics, University Hospital of Padua, Padua, Italy.

An 18-month-old girl was diagnosed with pre-pre-B ALL/t(4;11) leukemia, which during the treatment and after matched bone marrow transplantation (BMT), underwent two consecutive switches from lymphoid to myeloid lineage and vice versa. The high expression of HOXA9 and FLT3 genes remaining genotypically stable in a leukemia throughout phenotypic switches, suggests that this leukemia may have originated as a common B/myeloid progenitors.





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Copyright © 2006 by the Ferrata Storti Foundation.