Mixed phenotype acute leukemia with PML-RAR[alpha] positive: a case report and literature review

Mixed phenotype acute leukemia (MPAL) is an uncommon type of leukemia. It is one kind of malignant clonal diseases that expresses more than one genealogical specific antigen simultaneously. Most MPAL patients are associated with clonal chromosomal abnormalities and molecular genetic changes, such as...

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Veröffentlicht in:Molecular cytogenetics 2021-02, Vol.14 (1)
Hauptverfasser: Zheng, Xiaolong, Shen, Huafei, Zhu, Mingyu, Shi, Yuanfei, Wang, Huanping, Chen, Zhimei, Huang, Xin, Wang, Yungui, Jin, Jie, Xie, Wanzhuo
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container_title Molecular cytogenetics
container_volume 14
creator Zheng, Xiaolong
Shen, Huafei
Zhu, Mingyu
Shi, Yuanfei
Wang, Huanping
Chen, Zhimei
Huang, Xin
Wang, Yungui
Jin, Jie
Xie, Wanzhuo
description Mixed phenotype acute leukemia (MPAL) is an uncommon type of leukemia. It is one kind of malignant clonal diseases that expresses more than one genealogical specific antigen simultaneously. Most MPAL patients are associated with clonal chromosomal abnormalities and molecular genetic changes, such as t(9;22) (q34;q11) and KMT2A (MLL) rearrangement. These specific abnormalities usually have important guiding significance in MPAL diagnosis, targeted therapy and prognosis judgment. In this paper, we reported a case of MPAL, T/myeloid (M5) with an unfrequent combination of PML-RAR[alpha] positivity and t(15;17). The treatment was successful with chemotherapy for both AML and ALL with daunorubicin, cytarabine (DA) and vincristine, prednisone (VP). We reported here this suggestive MPAL case of rare disease condition and effective treatment, in order to provide experience for the early diagnosis and treatment of similar patients. Keywords: Acute leukemia, T/myeloid subtype, Mixed phenotype acute leukemia, PML-RAR[alpha], t(15;17), Acute biphenotypic leukemia, Case report
doi_str_mv 10.1186/s13039-021-00530-9
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subjects Acute leukemia
Anthracyclines
Cancer
Chemotherapy
Diagnosis
Genetic aspects
Prognosis
Vincristine
title Mixed phenotype acute leukemia with PML-RAR[alpha] positive: a case report and literature review
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