Table 13.
Lineage assignment criteria for mixed-phenotype acute leukaemia.
| Criterion | |
|---|---|
| B lineage | |
| CD19 stronga | 1 or more also strongly expressed: CD10, CD22, or CD79ac |
| or, | |
| CD19 weakb | 2 or more also strongly expressed: CD10, CD22, or CD79ac |
| T lineage | |
| CD3 (cytoplasmic or surface)d |
Intensity in part exceeds 50% of mature T-cells level by flow cytometry or, Immunocytochemistry positive with non-zeta chain reagent |
| Myeloid lineage | |
| Myeloperoxidase | Intensity in part exceeds 50% of mature neutrophil level |
| or, | |
| Monocytic differentiation | 2 or more expressed: Non-specific esterase, CD11c, CD14, CD64 or lysozyme |
aCD19 intensity in part exceeds 50% of normal B cell progenitor by flow cytometry.
bCD19 intensity does not exceed 50% of normal B cell progenitor by flow cytometry.
cProvided T lineage not under consideration, otherwise cannot use CD79a.
dUsing anti-CD3 epsilon chain antibody.