Table 1.
Summary of MCL-AHN cases.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | |
---|---|---|---|---|---|
Age (at diagnosis of first hematologic malignancy), race, and gender | 45 yo Caucasian male | 71 yo Caucasian male | 74 yo Caucasian male | 60 yo Caucasian male | 68 yo Caucasian female |
MCL type | Aleukemic de novo MCL | Aleukemic de novo MCL, subsequent diagnosis | Aleukemic secondary MCL, subsequent diagnosis | Aleukemic secondary MCL, subsequent diagnosis | Aleukemic de novo MCL, subsequent diagnosis |
AHN type | AML without maturation | ETP-ALL | MDS with ringed sideroblasts | AML NOS | AML with t(8;21) |
Aspirate findings at diagnosis | 23% blasts and 48% mast cells | 31% lymphoblasts on initial aspirate, 63% mast cells on aspirate | 3% myeloblasts on initial aspirate, 20% mast cells on subsequent aspirate | 78% myeloblasts and <5% mast cells on initial aspirate, 37% mast cells on subsequent aspirate | 72% myeloblasts on initial aspirate, 34% mast cells on subsequent aspirate |
Cytogenetics | Trisomy 8q, trisomy 21 | Normal 46, XY male karyotype | Normal 46, XY male karyotype | Failed cytogenetics | Positive RUNX1T1/RUNX1 fusion |
S/A/R status‡ | S/A/Rpos | Unknown | S/A/Rneg | Unknown | S/A/Rneg |
Outcome | Alive | Deceased | Deceased | Deceased | Deceased |
Interval time between MCL and AHN | Concurrent diagnoses | 3 months | 9 years 10 months | 10 months | 2 months |
Survival time from first diagnosed malignancy | 17 months | 21 months | 14 years 3 months | 21 months | 47 months |
MCL, mast cell leukemia; AHN, associated hematologic neoplasm; AML, acute myeloid leukemia; ETP-ALL, early T-cell precursor acute lymphoblastic leukemia; MDS, myelodysplastic syndrome; ‡ S/A/R status indicates any mutation present in panel of SRSF2, ASXL1, and RUNX1.