Table 2.
Typical and Variant APL
| Clinical parameters | Typical APL | Variant APL⁎†‡ | P value |
|---|---|---|---|
| Number of patients | 8 | 8 | |
| Male/female | 3/5 | 5/3 | |
| Age in years at diagnosis, mean (range) | 43 (21–65) | 47 (37–68) | |
| t(15;17) | 8 | 8 | |
| PML-RARα transcript | |||
| bcr1 | 6 (75) | 0 (0) | |
| bcr3 | 1 (13) | 6 (75) | |
| Not done | 1 (13) | 2 (25) | |
| FLT3-ITD, heterozygous | 0 | 8 | |
| Immunophenotype, mean† | |||
| SSC (ratio)‡ | 3.7 (2.6–4.5) | 2.6 (1.6–3.4) | 0.0281 |
| CD34 (%) | 5 (0–17) | 48 (2–90) | 0.0011 |
| c-MPO (%) | 94 (81–98) | 95 (84–99) | 0.3823 |
| HLA-DR (%) | 1 (0–5) | 19 (1–44) | 0.0030 |
| CD13 (%) | 88 (55–99) | 89 (68–99) | 0.9591 |
| CD33 (%) | 97 (94–99) | 91 (37–99) | 0.7984 |
| CD117 (%) | 82 (64–97) | 74 (51–95) | 0.5054 |
| CD11b (%) | 3 (1–5) | 8 (2–33) | 0.1949 |
| CD15 (%) | 4 (1–11) | 2 (0–4) | 0.3823 |
| CD2 (%) | 2 (0–5) | 48 (10–68) | 0.0002 |
| CD56 (%) | 2 (0–8) | 19 (1–64) | 0.0148 |
| CXCR4 (%) | 17 (1–60) | 27 (4–97) | 0.5728 |
| CLIP (%) | 89 (83–98) | 91 (82–98) | 0.3823 |
Genetic aberrancies were determined according to routine cytogenetics and molecular analyses. P values in italics are significant.
APL, acute promyelocytic leukemia; bcr, breakpoint cluster region, an isoform of PML-RARα; FLT3-ITD, internal tandem duplication of the FLT3 gene; PML, promyelocytic leukemia; RAR, retinoic acid receptor; SSC, side scatter.
Classification of APL subforms according to morphology.5
Numbers in brackets represent the percentage or range of each variable within the patient group.
Median SSC ratio between immature myeloid cells and CD45bright lymphocytes in the same sample.