Cup-like acute myeloid leukemia: new disease or artificial phenomenon?

Autor: Frank P. Kroschinsky, Ulrike Schäkel, Rainer Fischer, Brigitte Mohr, Uta Oelschlaegel, Roland Repp, Markus Schaich, Silke Soucek, Gustavo Baretton, Gerhard Ehninger, Christian Thiede
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Haematologica, Vol 93, Iss 2 (2008)
Druh dokumentu: article
ISSN: 0390-6078
1592-8721
DOI: 10.3324/haematol.11669
Popis: We investigated cup-like nuclear morphology of acute myeloid leukemia blasts in 266 randomly selected patients and its association with hematologic findings, disease markers and outcome data. Cup-like acute myeloid leukemia was diagnosed in 55 patients (21%). It was associated with female sex, high white blood cell and blast cell counts, normal karyotype, and low CD34 and HLA-DR expression. Mutations of FLT3, NPM1 or both were detected in 84.9% compared with 58.1% in cases without this morphology (p=0.001). There was no influence on response to treatment or survival. Therefore, cup-like nuclear morphology is an indicator of normal karyotype and should guide more specific molecular analyses.
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