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. 2022 Jun 22;36(7):1703–1719. doi: 10.1038/s41375-022-01613-1

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.