Near-tetraploid poorly differentiated acute myeloid leukemia M0 diagnosed by short-term cultures with a Phorbol ester TPA

Leukemic blasts of two patients with acute leukemia exhibited similar characteristics. They were heterogeneous in size with a diameter of 14–30 μm in smears and unclassifiable by morphological, cytochemical, immunophenotypic and ultrastructural examinations. Cytogenetic examinations of both revealed...

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Veröffentlicht in:Leukemia research 1994-07, Vol.18 (7), p.493-497
Hauptverfasser: Lemeẑ, Petr, Jelínek, Jaroslav, Michalová, Kyra, Koubek, Kristián, Schwarz, Jiŕí, Malasková, Vêra, Rypáčková, Blanka, Jirásek, Adam, Březinová, Jana, Hrabánek, Jan, Vítek, Antonín
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container_end_page 497
container_issue 7
container_start_page 493
container_title Leukemia research
container_volume 18
creator Lemeẑ, Petr
Jelínek, Jaroslav
Michalová, Kyra
Koubek, Kristián
Schwarz, Jiŕí
Malasková, Vêra
Rypáčková, Blanka
Jirásek, Adam
Březinová, Jana
Hrabánek, Jan
Vítek, Antonín
description Leukemic blasts of two patients with acute leukemia exhibited similar characteristics. They were heterogeneous in size with a diameter of 14–30 μm in smears and unclassifiable by morphological, cytochemical, immunophenotypic and ultrastructural examinations. Cytogenetic examinations of both revealed a near-tetraploid karyotype. Blasts from both patients differentiated into macrophages in cultures with 10 ng/ml 12- O-tetradecanoylphorbol-13-acetate (TPA) which is a feature specific for myeloid blasts and the cases were thus classified as poorly differentiated acute myeloid leukemias (AML M0). Near-tetraploid poorly differentiated acute myeloid leukemias M0 seem to be a special category of AML in the morphologic, immunologic and cytogenetic (MIC) classification. The presence of very large blasts in the heterogeneous blast population in acute unclassified leukemias could be a morphological sign of near-tetraploid leukemias AML M0.
doi_str_mv 10.1016/0145-2126(94)90087-6
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Aged
Biological and medical sciences
Cell Differentiation - drug effects
DNA, Neoplasm - analysis
Female
Hematologic and hematopoietic diseases
Humans
Immunophenotyping
Leukemia, Myeloid, Acute - diagnosis
Leukemia, Myeloid, Acute - pathology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Medical sciences
MIC classification
Middle Aged
near-tetraploid leukemia
phorbol ester TPA
Polyploidy
short-term cultures
Tetradecanoylphorbol Acetate - pharmacology
Undifferentiated acute myeloid leukemia M0
title Near-tetraploid poorly differentiated acute myeloid leukemia M0 diagnosed by short-term cultures with a Phorbol ester TPA
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