Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis

Although acute lymphoblastic leukemia (ALL) and monoclonal B cell lymphocytosis (MBL) are common neoplasia, a simultaneous presentation is very unusual. Here, we present two different B cell clones, MBL and B-ALL, cocirculating in a 78-year-old African American male. Detailed molecular characterizat...

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Main Authors: Maryam Mehdipour Dalivand, Parastou Tizro, Julie Partain, Anita Aggarwal, Jack Lichy, Francisco Mot Ara, Victor E. Nava
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2022/1132544
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author Maryam Mehdipour Dalivand
Parastou Tizro
Julie Partain
Anita Aggarwal
Jack Lichy
Francisco Mot Ara
Victor E. Nava
author_facet Maryam Mehdipour Dalivand
Parastou Tizro
Julie Partain
Anita Aggarwal
Jack Lichy
Francisco Mot Ara
Victor E. Nava
author_sort Maryam Mehdipour Dalivand
collection DOAJ
description Although acute lymphoblastic leukemia (ALL) and monoclonal B cell lymphocytosis (MBL) are common neoplasia, a simultaneous presentation is very unusual. Here, we present two different B cell clones, MBL and B-ALL, cocirculating in a 78-year-old African American male. Detailed molecular characterization revealed an unusual MPL (T487I) point mutation and unmutated VH4-39. After nonstandard chemotherapy, the patient remains in morphologic remission. These findings may stimulate further research to clarify the pathogenesis of hematologic neoplasms.
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institution Kabale University
issn 2090-6579
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publishDate 2022-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-7b0840f9ddf247b79d51b459d837c4732025-02-03T01:22:13ZengWileyCase Reports in Hematology2090-65792022-01-01202210.1155/2022/1132544Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular AnalysisMaryam Mehdipour Dalivand0Parastou Tizro1Julie Partain2Anita Aggarwal3Jack Lichy4Francisco Mot Ara5Victor E. Nava6The George Washington UniversityThe George Washington UniversityOregon Health and Science UniversityThe George Washington UniversityThe George Washington UniversityHospital J.M. de Los RiosThe George Washington UniversityAlthough acute lymphoblastic leukemia (ALL) and monoclonal B cell lymphocytosis (MBL) are common neoplasia, a simultaneous presentation is very unusual. Here, we present two different B cell clones, MBL and B-ALL, cocirculating in a 78-year-old African American male. Detailed molecular characterization revealed an unusual MPL (T487I) point mutation and unmutated VH4-39. After nonstandard chemotherapy, the patient remains in morphologic remission. These findings may stimulate further research to clarify the pathogenesis of hematologic neoplasms.http://dx.doi.org/10.1155/2022/1132544
spellingShingle Maryam Mehdipour Dalivand
Parastou Tizro
Julie Partain
Anita Aggarwal
Jack Lichy
Francisco Mot Ara
Victor E. Nava
Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis
Case Reports in Hematology
title Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis
title_full Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis
title_fullStr Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis
title_full_unstemmed Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis
title_short Concurrent B Cell Acute Lymphoblastic Lymphoma/Leukemia and Monoclonal B Cell Lymphocytosis: A Case Report with Extensive Molecular Analysis
title_sort concurrent b cell acute lymphoblastic lymphoma leukemia and monoclonal b cell lymphocytosis a case report with extensive molecular analysis
url http://dx.doi.org/10.1155/2022/1132544
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