T-PLL Presenting with an Indolent Course

T-cell prolymphocytic leukemia (T-PLL) is a rare, mature T-cell leukemia which usually presents with aggressive behavior. We report an asymptomatic T-PLL patient diagnosed by clinical features, lymphocyte morphology, and flow cytometry. Incidentally, she was found to have lymphocytosis and lymphaden...

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Main Authors: Arsa Thammahong, Narittee Sukswai, Chantana Polprasert
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2024/7310135
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author Arsa Thammahong
Narittee Sukswai
Chantana Polprasert
author_facet Arsa Thammahong
Narittee Sukswai
Chantana Polprasert
author_sort Arsa Thammahong
collection DOAJ
description T-cell prolymphocytic leukemia (T-PLL) is a rare, mature T-cell leukemia which usually presents with aggressive behavior. We report an asymptomatic T-PLL patient diagnosed by clinical features, lymphocyte morphology, and flow cytometry. Incidentally, she was found to have lymphocytosis and lymphadenopathy. Flow cytometry from blood revealed an abnormally increased CD4+ T-cell population. T-cell receptor clonality assessment by next-generation sequencing revealed a dominant clone in the ß-chain constant region. No pathogenic mutations in 25 lymphoma-related genes were found. Due to her asymptomatic T-PLL disease, we observed her clinical situation and blood count every three months for at least one year.
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publishDate 2024-01-01
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series Case Reports in Hematology
spelling doaj-art-c65d2e4b81e04a13851cf522bd2030052025-02-03T07:23:37ZengWileyCase Reports in Hematology2090-65792024-01-01202410.1155/2024/7310135T-PLL Presenting with an Indolent CourseArsa Thammahong0Narittee Sukswai1Chantana Polprasert2Department of MedicinePrecision Pathology of Neoplasia Research GroupDepartment of MedicineT-cell prolymphocytic leukemia (T-PLL) is a rare, mature T-cell leukemia which usually presents with aggressive behavior. We report an asymptomatic T-PLL patient diagnosed by clinical features, lymphocyte morphology, and flow cytometry. Incidentally, she was found to have lymphocytosis and lymphadenopathy. Flow cytometry from blood revealed an abnormally increased CD4+ T-cell population. T-cell receptor clonality assessment by next-generation sequencing revealed a dominant clone in the ß-chain constant region. No pathogenic mutations in 25 lymphoma-related genes were found. Due to her asymptomatic T-PLL disease, we observed her clinical situation and blood count every three months for at least one year.http://dx.doi.org/10.1155/2024/7310135
spellingShingle Arsa Thammahong
Narittee Sukswai
Chantana Polprasert
T-PLL Presenting with an Indolent Course
Case Reports in Hematology
title T-PLL Presenting with an Indolent Course
title_full T-PLL Presenting with an Indolent Course
title_fullStr T-PLL Presenting with an Indolent Course
title_full_unstemmed T-PLL Presenting with an Indolent Course
title_short T-PLL Presenting with an Indolent Course
title_sort t pll presenting with an indolent course
url http://dx.doi.org/10.1155/2024/7310135
work_keys_str_mv AT arsathammahong tpllpresentingwithanindolentcourse
AT naritteesukswai tpllpresentingwithanindolentcourse
AT chantanapolprasert tpllpresentingwithanindolentcourse