2015, Number 1
<< Back Next >>
Bol Clin Hosp Infant Edo Son 2015; 32 (1)
Leucemia Mieloide Crónica con Transformación Basofílica: Presentación de un Caso
Morales-Peralta A, Covarrubias-Espinoza G, Arvizu-Amador T, Rendón-García H, Larios-Farak T, Martínez-González A
Language: Spanish
References: 15
Page: 44-48
PDF size: 489.51 Kb.
ABSTRACT
The basophilic leukemia is a rare disease in the (omitted) pediatrics. It is now recognized as a distinct entity
within myeloid leukemias with specific diagnostic criteria that require molecular studies and techniques specific
histopathology. An unusual case of a patient with chronic myeloid leukemia referred to the Children’s Hospital from the
State of Sonora, which presents an abnormal behavior frontline management is presented. Presents with blastic
transformation within the first year of diagnosis. Blasts show myeloid immunophenotype (CD33, CD13, CD117) positive
characterization for CD9, CD11b, I highly suggest the basofiílica nature of the blasts. Conventional cytogenetic study
reveals 2q37 deletion. Bone marrow aspirate blasts watching basophils and basophilia was reviewed. After a short period
of accelerated phase clinical remission and eventually develop blast crisis.
REFERENCES
1.- Hoyle CH, Sherrington P, Fischer P, Hayhoe F. Basophils in acute myeloid leukaemia. J ClinPathol 1989; 42:785-92.
2.- Peterson LC, Parkin JL, Arthur DC, Brunning RD. Acute basophilic leukemia: a clinical, morphologic and cytogenetics study of eight cases. Am J ClinPathol 1991; 96: 160-79.
3.- Pearson MG, Vardiman JW, Le Beau MM, Rowley JD, Schwartz S, Kerman SL, Cohen MM, Fleischman EW, Prigogina EL. Increased numbers of marrow basophils may be associated with a t(6;9) in ANLL. Am J Hematol 1985; 18:393-403.
4.- Daniel MT, Bernheim A, Flandrin G, Berger R. Leucemie aigue myeloblastique (M2) avec atteinte de la lignee basophile etanomalies du bras court du chromosome 12(1 2p). C R AcadSci 1985;301:299-307.
5.- Peterson L, Bloomfield C, Brunning R. Blast crisis as an initial or terminal manifestation of chronic myeloid leukaemia. A study of 28 patients. Am J Med 1976; 60: 209-20.
6.- PizzoP, Poplak D. Principles and Practice of Pediatric Oncology, 6a ed. Lippincott Williams & Wilkins. 2010. Pp. 612-33.
7.- Eguchi, M. Comparative electron microscopy of basophils and mast cells, in vivo and vitro. Electron Microscopy Reviews, 1991; 4(2): 293-318.
8.- Jaffe ES, Harris NL, Stein H, Vardiman JW. World Health Organization classification of tumours. Pathology and genetics of tumours of haematopoietic and lymphoid tissues. Lyon, France: IARC Press; 2001. pp 75-107.
9.- Cheson BD, Cassileth PA, Head DR, Schiffer CH, Bennett J, Bloomfield C, Brunning R, Gale R, Grever M, Keating J, et al. Report of National Cancer Institute-sponsored workshop on definitions of diagnosis and response in acute myeloid leukemia. J ClinOncol. 1990; 8:813-9.
10.- Hoyle CF, Sherrington P, Hayhoe FGJ. Translocation (3;6Xq2l;p2l) in acute myeloid leukaemia with abnormal thrombopoiesis and basophilia. Cancer Genet Cytogenet 1988; 30: 261-9.
11.- Kantarjian HM, O’Brien S, Cortes J, Giles F, Faderl S, Issa J, Garcia-Manero G, Ríos M, Shan J, Andreeff M, Keating M, Talpaz. Results of decitabine (5-aza-2’ deoxycytidine) therapy in 130 patients with chronic myelogenous leukemia. Cancer, 2003;98: 522–8.
12.- Elliane D, Cecile D, Herver R, Alain R, Nicole D. Diagnosis of Acute Basophilic Leukemia & Lymphoma, 1999; 32,(3): 269-78.
13.- Parkin,L.J., McKenna, R.W. and Brunning, R.D. Philadelphia chromosome-positive leukaemia: ultrastructural and ultracytochernical evidence of basophil and mast cell differentiation. Br. J. Haematol. 1982; 52: 663-77.
14.- Youman, J.D., Taddeini, M.L. and Cooper. T. Histamine excess symptoms in basophilic chronic granulocytic leukemia. Arch. Intern. Med. 1973, 131,56&562.
15.- Karbasian EM, Morris EL, Dutcher JP, Wiernik PH.Blastic phase of chronic myelogenous leukemia.Curr Treat Options Oncol. 2006 May;7(3):189-99.