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Table 1 Clinical and laboratory features of the B-ALL case

From: Immunophenotypic challenges in diagnosis of CD79a negativity in a patient with B acute lymphoblastic leukemia harboring intrachromosomal amplification of chromosome 21: a case report

Features

Case

Age (years)/gender

8/male

Symptoms/lymphadenopathy and organomegaly

Hemorrhagic syndrome with multiple ecchymoses stretching on all four limbs and the face with petechiae/absent

Complete blood cell count (CBC) data

 Hemoglobin

10 g/dl

 WBC

20.3 × 109/L

 Platelets

18 × 109/L

 Peripheral blood smears examination

Showed significant number of blasts: 25%

Bone marrow examination data

 % of blasts

72%

 Cytochemical MPO

Negative

Immunophenotypic data

 % of blasts

70%

Expression of antigens

 CD34

90%

 HLA-DR

79%

 CD13

0%

 CD33

2%

 MPO

1%

 CD19

97%

 CD10

97%

 CD22

67%

 CD79a

8%

 IgMc

0%

 cCD3

0%

 sCD3

0%

 CD7

0%

Conventional cytogenetics

Did not reveal any clonal chromosomal abnormalities

Cytogenetic study: fluorescence in situ hybridization (FISH)

Intrachromosomal amplification of chromosome 21 (iAMP21)

  1. WBC: White Blood Cell; L: liter; g: gram; dL: deciliter; MPO: Myeloperoxidase; CD: cluster of differentiation; IgMc: cytoplasmic immunoglobulin M; c: cytoplasmic; s: surface