Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia

Acute monoblastic leukemia (AMoL) is a rare hematopoietic neoplasm, and simultaneous occurrence of acute monoblastic leukemia with chronic lymphocytic leukemia is very rare and only a few cases have been reported in the literature. We here report a rare case of dual hematological malignancy in an 85...

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Main Authors: Vikrant Singh Bhar, Vasudha Gupta, Mahak Sharma, Rishi Dhawan, Shilpi Modi, Mona Vijyaran
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2018/6452843
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author Vikrant Singh Bhar
Vasudha Gupta
Mahak Sharma
Rishi Dhawan
Shilpi Modi
Mona Vijyaran
author_facet Vikrant Singh Bhar
Vasudha Gupta
Mahak Sharma
Rishi Dhawan
Shilpi Modi
Mona Vijyaran
author_sort Vikrant Singh Bhar
collection DOAJ
description Acute monoblastic leukemia (AMoL) is a rare hematopoietic neoplasm, and simultaneous occurrence of acute monoblastic leukemia with chronic lymphocytic leukemia is very rare and only a few cases have been reported in the literature. We here report a rare case of dual hematological malignancy in an 85-year-old male. The peripheral blood and bone marrow examination revealed dual population of atypical cells, comprising large cells with opened-up chromatin having monocytic appearance and small mature-appearing lymphocytes. Flowcytometric immunophenotyping confirmed the monocytic lineage of cells, whereas small lymphocytes showed the immunophenotype consistent with chronic lymphocytic leukemia (CLL). The final diagnosis was made as acute monoblastic leukemia with associated CLL. This is a rare case scenario, and this highlights the importance of careful morphological examination and flowcytometric immunophenotyping in the exact characterization of hematopoietic malignancies.
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publishDate 2018-01-01
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series Case Reports in Hematology
spelling doaj-art-d54026909d3d4bab9aae1d4aa4e6bcc22025-08-20T03:23:38ZengWileyCase Reports in Hematology2090-65602090-65792018-01-01201810.1155/2018/64528436452843Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic LeukemiaVikrant Singh Bhar0Vasudha Gupta1Mahak Sharma2Rishi Dhawan3Shilpi Modi4Mona Vijyaran5Associate Consultant, Department of Haematopathology, Artemis Hospitals, Gurgaon, IndiaAssociate Consultant, Department of Haematopathology, Artemis Hospitals, Gurgaon, IndiaSenior Resident, Department of Haematopathology, Artemis Hospitals, Gurgaon, IndiaAssistant Professor, Department of Hematology, AIIMS, New Delhi, IndiaAssociate Consultant, Department of Histopathology, Artemis Hospitals, Gurgaon, IndiaAssociate Consultant, Department of Hematooncology, Artemis Hospitals, Gurgaon, IndiaAcute monoblastic leukemia (AMoL) is a rare hematopoietic neoplasm, and simultaneous occurrence of acute monoblastic leukemia with chronic lymphocytic leukemia is very rare and only a few cases have been reported in the literature. We here report a rare case of dual hematological malignancy in an 85-year-old male. The peripheral blood and bone marrow examination revealed dual population of atypical cells, comprising large cells with opened-up chromatin having monocytic appearance and small mature-appearing lymphocytes. Flowcytometric immunophenotyping confirmed the monocytic lineage of cells, whereas small lymphocytes showed the immunophenotype consistent with chronic lymphocytic leukemia (CLL). The final diagnosis was made as acute monoblastic leukemia with associated CLL. This is a rare case scenario, and this highlights the importance of careful morphological examination and flowcytometric immunophenotyping in the exact characterization of hematopoietic malignancies.http://dx.doi.org/10.1155/2018/6452843
spellingShingle Vikrant Singh Bhar
Vasudha Gupta
Mahak Sharma
Rishi Dhawan
Shilpi Modi
Mona Vijyaran
Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia
Case Reports in Hematology
title Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia
title_full Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia
title_fullStr Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia
title_full_unstemmed Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia
title_short Rare Coexistence of Acute Monoblastic Leukemia with Chronic Lymphocytic Leukemia
title_sort rare coexistence of acute monoblastic leukemia with chronic lymphocytic leukemia
url http://dx.doi.org/10.1155/2018/6452843
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AT rishidhawan rarecoexistenceofacutemonoblasticleukemiawithchroniclymphocyticleukemia
AT shilpimodi rarecoexistenceofacutemonoblasticleukemiawithchroniclymphocyticleukemia
AT monavijyaran rarecoexistenceofacutemonoblasticleukemiawithchroniclymphocyticleukemia