Table 1. Morphology, immunophenotype and cytogenetic changes of ALL and subsequent MDS transforming into AML in the girl with Bloom syndrome.
BM Morphology |
Immunophenotype | Cytogenetics | |
---|---|---|---|
ALL | 95% primitive mononuclear cells with lymphoblast morphology | DR+/TdT+/CD10++/CD38+ and cmu+ CD34/CD45 neg/weak | 46,XX. Non-clonal structural abnormalities noted. FISH for BCR/ABL, MLL, TEL/AML1 and IGH neg. |
MDS/AML | Trilineage dysplasia. About 20% blasts. | CD34+ CD7 weak/CD13+/CD33+/CD117+/ CD36+ TdT−/ MPO−, CD41 − | 41~43,X,add(X)(q2),add(1)(p21),add(1)(q1)x2,,add(1)(p1)x2,add (3)(p21),-4,-5,-6,-6,add(7)(p13),add(9)(p13), add(9)(p13),+add (11)(p1),add(12)(p13),-13,-14,-15,-17,add(19)(p13) -21,+4~8. mar[cp7]/46,XX[1] |