A hybrid form of myeloid/NK-cell acute leukemia and myeloid/NK-cell precursor acute leukemia

Natural killer (NK)-cell leukemia/lymphoma is a rare entity that has been defined only in recent years. In the Revised European-American Lymphoma and World Health Organization classifications, only the mature NK-cell malignancies are included. However, at least 3 types of precursor NK-cell neoplasms...

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Veröffentlicht in:Human pathology 2003-05, Vol.34 (5), p.504-508
Hauptverfasser: Sun, Tsieh, Pashaei, Shayesteh, Jaffrey, Ira, Ryder, John
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container_issue 5
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container_title Human pathology
container_volume 34
creator Sun, Tsieh
Pashaei, Shayesteh
Jaffrey, Ira
Ryder, John
description Natural killer (NK)-cell leukemia/lymphoma is a rare entity that has been defined only in recent years. In the Revised European-American Lymphoma and World Health Organization classifications, only the mature NK-cell malignancies are included. However, at least 3 types of precursor NK-cell neoplasms have been reported in the literature. These include myeloid/NK-cell acute leukemia, myeloid/NK-cell precursor acute leukemia, and blastic NK-cell lymphoma/leukemia. These leukemias are characterized by the presence of blasts, which express CD56, in the peripheral blood, bone marrow, lymph nodes, and/or extranodal tissues. We report a case that is morphologically consistent with myeloid/NK-cell acute leukemia but immunologically is myeloid/NK-cell precursor acute leukemia. This case is unique in its cutaneous presentation without involvement of the peripheral blood. Extensive flow cytometric studies were performed on the skin biopsy and bone marrow aspirate specimens, which included many markers that had not been tested before in these entities. The clinical implications of these findings are discussed.
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In the Revised European-American Lymphoma and World Health Organization classifications, only the mature NK-cell malignancies are included. However, at least 3 types of precursor NK-cell neoplasms have been reported in the literature. These include myeloid/NK-cell acute leukemia, myeloid/NK-cell precursor acute leukemia, and blastic NK-cell lymphoma/leukemia. These leukemias are characterized by the presence of blasts, which express CD56, in the peripheral blood, bone marrow, lymph nodes, and/or extranodal tissues. We report a case that is morphologically consistent with myeloid/NK-cell acute leukemia but immunologically is myeloid/NK-cell precursor acute leukemia. This case is unique in its cutaneous presentation without involvement of the peripheral blood. Extensive flow cytometric studies were performed on the skin biopsy and bone marrow aspirate specimens, which included many markers that had not been tested before in these entities. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melphalan</topic><topic>myeloid/NK-cell acute leukemia</topic><topic>myeloid/NK-cell precursor acute leukemia</topic><topic>Podophyllotoxin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Tsieh</creatorcontrib><creatorcontrib>Pashaei, Shayesteh</creatorcontrib><creatorcontrib>Jaffrey, Ira</creatorcontrib><creatorcontrib>Ryder, John</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Human pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Tsieh</au><au>Pashaei, Shayesteh</au><au>Jaffrey, Ira</au><au>Ryder, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A hybrid form of myeloid/NK-cell acute leukemia and myeloid/NK-cell precursor acute leukemia</atitle><jtitle>Human pathology</jtitle><addtitle>Hum Pathol</addtitle><date>2003-05-01</date><risdate>2003</risdate><volume>34</volume><issue>5</issue><spage>504</spage><epage>508</epage><pages>504-508</pages><issn>0046-8177</issn><eissn>1532-8392</eissn><coden>HPCQA4</coden><abstract>Natural killer (NK)-cell leukemia/lymphoma is a rare entity that has been defined only in recent years. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects acute biphenotypic leukemia
Acute Disease
Adult
Antineoplastic Combined Chemotherapy Protocols
Biological and medical sciences
Bone Marrow - pathology
Carmustine
CD2 Antigens - metabolism
Cytarabine
Flow Cytometry
Hematologic and hematopoietic diseases
Humans
Immunophenotyping
Killer Cells, Natural - immunology
Killer Cells, Natural - metabolism
Leukemia, Lymphoid - immunology
Leukemia, Lymphoid - metabolism
Leukemia, Lymphoid - pathology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Medical sciences
Melphalan
myeloid/NK-cell acute leukemia
myeloid/NK-cell precursor acute leukemia
Podophyllotoxin
title A hybrid form of myeloid/NK-cell acute leukemia and myeloid/NK-cell precursor acute leukemia
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