Table 1.
Case # | Age | Gender | Diagnosis by WHO classification | WBC (/mcl) | Eosinophilia (Y/N) | PB eosinophils (%) | PB absolute eosinophil count (/mcl) | BM Blast (%) | Abnormal T-cells by flow cytometry | Karyotype | STAT5B mutation(s) (VAF%) | Therapy | Follow up (months) | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 77 | F | AML with with mutated NPM1 | 40300 | N | 1 | 400 | 66 | Not detected | 46,XX[20] | p.N642H (38.9%) | Decitabine, Enasidenib | 12 | DOD |
2 | 70 | F | AML, therapy-related* | 2200 | N | 4 | 100 | 34 | ND | 46,XX[20] | p.N642H (10.1%) | Cytarabine, daunorubicin, HIDAC | 24 | AWD |
3 | 71 | F | AML, NOS** | 8000 | N | 3 | 200 | 8 | Not detected | 46,X,t(X;9)(p22.1;q34.3)[15]/46,XX[5] | p.N642H (12.2%) | CLAG-M, Enasidenib | 30 | DOD |
4 | 88 | M | MDS-RS-SLD | 7100 | Y | 24 | 1700 | 4 | Not detected | 47,XY,+8[16]/46,idem,-Y[8]/46,XY[1] | p.T628S (5.4%); p.V712E (1.8%) | Decitabine, EPO, G-CSF | 60 | AWD |
5 | 74 | M | CMML | 17000 | Y | 14.7 | 2500 | 3 | Not detected | 46,XY[20] | p.N642H (44.9%) | Observation | 10 | DOC |
AML; acute myeloid leukemia. NOS; not otherwise specified. MDS-RS-SLD; myelodysplasic syndrome with ring sideroblasts and single lineage dysplasia. CMML; chronic myelomonocytic leukemia. PB; peripheral blood. BM; bone marrow.
ND; not done. HIDAC; high-dose cytarabine. CLAG-M; Cladribine, Cytarabine, G-CSF, Mitoxantrone. DOD; died of disease. AWD; alive with disease. DOC; died of complications
History of marginal zone lymphona, status post chemotherapy
Persistent AML, NOS, showing 8% blast in the bone marrow after induction therapy