Acute lymphoblastic leukemia with myeloperoxidase activity
Susan Wright, Antoine Chucrallah, Yap Yee Chong, Hagop M. Kantarjian, Michael J. Keating, Maher Albitar
Abstract
Susan Wright, Antoine Chucrallah, Yap Yee Chong, Hagop M. Kantarjian, Michael J. Keating, Maher Albitar
Abstract
The French-American-British (FAB) classification of acute leukemias is based on the light microscopic detection of myeloperoxidase (MPO) activity in blast cells. Cells with MPO activity in > 3% of cells are classified as acute myeloid leukemia (AML) and usually express myeloid cell surface antigens. We describe a case of acute leukemia in which the blast cells have lymphoid morphology, ultrastructure, immunophenotype, and molecular rearrangements, but express significant amounts of MPO. We discuss the incidence, features, and outcome of MPO-positive acute lymphoblastic leukemia (ALL).
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The French-American-British (FAB) classification of acute leukemias is based on the light microscopic detection of myeloperoxidase (MPO) activity in blast cells. Cells with MPO activity in > 3% of cells are classified as acute myeloid leukemia (AML) and usually express myeloid cell surface antigens. We describe a case of acute leukemia in which the blast cells have lymphoid morphology, ultrastructure, immunophenotype, and molecular rearrangements, but express significant amounts of MPO. We discuss the incidence, features, and outcome of MPO-positive acute lymphoblastic leukemia (ALL).
Key concepts: Myeloperoxidase, Immunophenotyping, Myeloid leukemia, Precursor cell, Myeloid, Leukemia, Acute leukemia, CD33