Chronic neutrophilic leukemia and multiple myeloma: An association with λ light chain expression

Two patients with plasma cell dyscrasia and IgG λ paraproteinemia in association with the rare disorder, chronic neutrophilic leukemia (CNL), are described. Cytogenetic studies excluded Philadelphia + chronic myeloid leukemia and molecular analysis of the breakpoint cluster region (bcr) revealed no...

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Veröffentlicht in:Cancer 1990-07, Vol.66 (1), p.162-166
Hauptverfasser: Standen, Graham R., Jasani, Bharat, Wagstaff, Michael, Wardrop, Charles A. J.
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container_end_page 166
container_issue 1
container_start_page 162
container_title Cancer
container_volume 66
creator Standen, Graham R.
Jasani, Bharat
Wagstaff, Michael
Wardrop, Charles A. J.
description Two patients with plasma cell dyscrasia and IgG λ paraproteinemia in association with the rare disorder, chronic neutrophilic leukemia (CNL), are described. Cytogenetic studies excluded Philadelphia + chronic myeloid leukemia and molecular analysis of the breakpoint cluster region (bcr) revealed no evidence of clonal gene rearrangement. Nine similar cases of coexistent CNL and paraproteinemia have been identified in the literature and attention is drawn to the disproportionate excess of λ light chain restriction in this subset of patients. Evidence supporting a clonal origin of CNL is considered and the nature of the relationship between the chronic myeloid expansion and the development of multiple myeloma is discussed.
doi_str_mv 10.1002/1097-0142(19900701)66:1<162::AID-CNCR2820660129>3.0.CO;2-Z
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source MEDLINE; Alma/SFX Local Collection
subjects Aged
Biological and medical sciences
Female
Hematologic and hematopoietic diseases
Humans
Immunoglobulin lambda-Chains - immunology
Immunoglobulin Light Chains - immunology
Immunohistochemistry
Leukemia, Neutrophilic, Chronic - complications
Leukemia, Neutrophilic, Chronic - immunology
Leukemia, Neutrophilic, Chronic - metabolism
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Medical sciences
Multiple Myeloma - complications
Multiple Myeloma - immunology
Multiple Myeloma - metabolism
Paraproteinemias - complications
title Chronic neutrophilic leukemia and multiple myeloma: An association with λ light chain expression
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