Evidence map›Paper›PMID 35291252›Full record

ArticleAmerican journal of blood research2022

Immunophenotypic characteristics of T lineage acute lymphoblastic leukemia: absence of immaturity markers-TdT, CD34 and HLADR is not uncommon.

Richa Gupta, Neha Garg, Mrinalini Kotru, Dilip Kumar, Rajesh Pathak

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Article in American journal of blood research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Richa GuptaDepartment of Pathology, University College of Medical Sciences Delhi, India.
Neha GargDepartment of Pathology, University College of Medical Sciences Delhi, India.
Mrinalini KotruDepartment of Pathology, University College of Medical Sciences Delhi, India.
Dilip KumarDepartment of Paediatrics, Max Super Speciality Hospital Delhi, India.
Rajesh PathakDepartment of Pathology, University College of Medical Sciences Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionT ALL may show variable morphological features and immunophenotypic analysis for characterisation of immature nature of these cells is needed to establish a diagnosis and distinguish from reactive conditions and mature T cell leukemias. Sometimes immaturity markers-CD34, TdT and HLA DR may not be expressed by blasts. The aim of the present study was to analyse immunophenotype of T ALLs especially with respect to absence of immaturity markers.

methodsThirty-eight cases of T ALL diagnosed over a period of two and half years were analysed retrospectively with respect to clinical features, haematological features and flow cytometric immunophenotyping for T, B, Myeloid and immaturity markers. Student's

resultsThe most common T-lineage marker expressed was cCD3 and CD7 which were expressed in 100% cases followed by CD5 in 86.8% cases. The most common immaturity marker expressed was TdT (39.5% cases) followed by CD34 (34.2% cases). Thirteen cases (34.2%) were negative for all three of the immaturity markers i.e. TdT-/CD34-/HLADR. Absence of CD34 was associated with absence of expression of HLA DR (P<0.05) and aberrant expression of B lineage markers (P<0.05).

conclusionT-ALL is a rare and aggressive disease. Many cases lack immaturity markers viz, TdT, CD34 and HLADR. In such cases a comprehensive approach taking into account the clinical presentation, cytomorphology and immunophenotyping is diagnostic in experienced hands. Further, molecular studies may be needed to aid diagnosis.

Indexed as

CD34flow cytometryHLA-DRimmaturity markersT-ALLTdT

Identifiers

PMID35291252
PMCPMC8918703

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