Diagnosis, biology and treatment of hairy-cell leukaemia

Hairy-cell leukaemia (HCL) is usually readily diagnosed by seeing typical hairy cells (HCs) in the blood film. The diagnosis is then confirmed by tartrate-resistant acid phosphatase staining, marker analysis, and bone marrow examination. HCs are clonal mature memory B cells with specific features of...

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Veröffentlicht in:Clinical and experimental medicine 2004-12, Vol.4 (3), p.132-138
Hauptverfasser: Allsup, D J, Cawley, J C
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description Hairy-cell leukaemia (HCL) is usually readily diagnosed by seeing typical hairy cells (HCs) in the blood film. The diagnosis is then confirmed by tartrate-resistant acid phosphatase staining, marker analysis, and bone marrow examination. HCs are clonal mature memory B cells with specific features of activation. This HC activation is responsible for many of the pathological features of the disease, including its distinctive bone marrow fibrosis, splenic red pulp invasion, and pseudo-sinus formation. Chlorodeoxyadenasine is the treatment of first choice. Deoxycoformycin and rituximab are useful for the treatment of relapsed/refractory disease. The nature of the primary oncogenic event(s) remains unknown and is the major unresolved issue in HCL.
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subjects Chemotherapy
Diagnosis, Differential
Humans
Leukemia
Leukemia, Hairy Cell - diagnosis
Leukemia, Hairy Cell - drug therapy
Leukemia, Hairy Cell - pathology
Leukemia, Hairy Cell - physiopathology
Medical diagnosis
Medical treatment
title Diagnosis, biology and treatment of hairy-cell leukaemia
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