Table 1. Clinical and pathologic characteristics of patients with AA and HL.
Patient # | HL subtype | Bone marrow histology at AA diagnosis | Cytogenetics | T-cell receptor rearrangement | NGS for myeloid malignancy-associated mutations | PNH flow cytometry | HLA alleles | Inherited marrow failure testing, if available |
---|---|---|---|---|---|---|---|---|
Patient 1 | n/a | Markedly hypocellular (5% cellularity) with markedly decreased trilineage hematopoiesis. | 46,XY[20] (diagnosis); evolved to 46,XY,der(21)t(3;21)(q11.2;p13)[12] after immunosuppression | Polyclonal | Negative | Negative | A*01:01, A*24:07, B*35:02, C*04:01, DR*11:04 | n/a |
Patient 2 | nodular sclerosis | Markedly hypocellular marrow (<5% cellularity) with markedly decreased trilineage hematopoiesis. | 46,XY [20] | Polyclonal | Negative | Negative | A* 68:02, A*02:01; B* 14:02, B*18:01, C*08:02, C*07:01, DR* 13:03, 08:01 | Chromosome breakage: normal; Lymphocyte telomere length: very high |
Patient 3 | nodular sclerosis | Markedly hypocellular marrow (<5% cellularity) with markedly decreased trilineage hematopoiesis. | 46,XY[1]; poor growth | n/a | n/a | Negative | A*2, 24; B*39, 51; Cw*7, 15, DR*4, 13, DQ*6, 8 | n/a |
Patient 4 | nodular sclerosis | Hypocellular marrow (20%), with foci of erythropoiesis and myelopoiesis. | Normala | n/a | n/a | n/a | A*1, 3; B*35, 57; Cw*02:02; Cw*06:02 | n/a |
HL, Hodgkin Lymphoma; AA, Idiopathic Acquired Aplastic Anemia; NGS, Next-Generation Sequencing; HLA, Human Leukocyte Antigen; PNH, Paroxysmal Nocturnal Hemoglobinuria.
aFor patient 4, results of metaphase cytogenetics from the time of AA diagnosis are not available, however, karyotype after immunosuppression was normal (46,XY,inv(9)(p11q13)c[20]).