Bilinear Acute Monocytic Leukemia/B BCR ABL positive. presentation of a case

Background: Leukemias with an ambiguous phenotype are classified as undifferentiated leukemias and mixed phenotypes, these in turn can be divided into bilinear or biphenotypic and are usually associated with a poor prognosis, especially if they are accompanied by aggressive translocations such as th...

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Bibliographic Details
Authors: Tello Vera , Stalin, Carpio Vásquez , Wendy del Carmen, Tirado Cruz, Carlos
Format: article
Status:Published version
Publication Date:2023
Country:Perú
Institution:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repository:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Language:Spanish
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1820
Online Access:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1820
Access Level:Open access
Keyword:Leucemia de Células B
Leucemia Mieloide Aguda
Leucemia-Linfoma Linfoblástico de Células Precursoras B
Leucemia Monocítica Aguda
Leukemia, B-Cell
Leukemia, Myeloid, Acute
Precursor B-Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Monocytic, Acute
Description
Summary:Background: Leukemias with an ambiguous phenotype are classified as undifferentiated leukemias and mixed phenotypes, these in turn can be divided into bilinear or biphenotypic and are usually associated with a poor prognosis, especially if they are accompanied by aggressive translocations such as the Philadelphia chromosome. Case report: We present the case of an elderly adult patient who presented acute bilinear leukemia with the presence of a population of monoblastic lineage precursors and another, B lymphoid, evaluated by flow cytometry studies, who also presented the BCR-ABL transcript. , detected by real-time PCR studies. The patient had a poor evolution and died 11 days after her diagnosis. Conclusion: Mixed phenotype leukemias have a poor prognosis and require early diagnosis by flow cytometry and molecular biology to provide timely treatment.